#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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Janet Thomas @JanetThomas47
Hello all! I'm on hashtagging duties tonight - so a reminder as we start to all put the hashtag #physiotalk in ALL of your tweets! https://t.co/oYNtXhCexH
Joe Middleton @_JoeMiddleton
RT @physiotalk:
Janet Thomas @JanetThomas47
@physiotalk @AGILECSP @thecsp Whoops - meant that from my own account :) #physiotalk
Janet Thomas @JanetThomas47
@theLDphysio @physiotalk Call Penrith north?! #physiotalk
kate bennett @kategahr_kate
@AnnabelleLong75 @physiotalk #physiotalk Kate...outgoing agile chair..based in Winchester work as a community physio in Southampton.
kate bennett @kategahr_kate
@sarahdebiase @JanetThomas47 @AGILECSP #physiotalk me......
Janet Thomas @JanetThomas47
Just to complete the weather picture - a nice dry day in Scotland after a lovely sunny weekend :) #physiotalk
Joe Middleton @_JoeMiddleton
RT @physiotalk:
Pamela Kipps Hansford @PamKHphysio
@physiotalk Evening, Pam Hansford from #CapeTown #physiotalk
Janet Thomas @JanetThomas47
@physiotalk Just to clarify a little? Community = visits at home or any service not in acute? #physiotalk
Joe Middleton @_JoeMiddleton
@physiotalk Speaking as a non-community physio (although I have done my fair share), it seems there are more community physiotherapists, in a wide-range of roles and services, with a greater evidence base behind what they do. So yeah, mostly positive? #Physiotalk
kate bennett @kategahr_kate
@physiotalk #physiotalk sorry
Joe Middleton @_JoeMiddleton
@physiotalk It seems there has been a growth in community physiotherapists moving into advanced roles, and roles that blur traditional boundaries (e.g. with nursing or OT). #Physiotalk
kate bennett @kategahr_kate
@_JoeMiddleton @physiotalk #physiotalk yes I would agree with this but in our Trust the more specialist community teams ie learning disabilities, mental health, are being cut massively leaving the general community teams to pick up the less specialist cases
Joe Middleton @_JoeMiddleton
I'm interested. How do you feel about the role being 'quite generic'? #physiotalk https://t.co/ERmqRC2GJ8
Janet Thomas @JanetThomas47
I'm in a Day Hospital (now an assessment and rehab centre) and we have certainly been evolving recently. Focus on frailty and accessing the right service for each individual #physiotalk
kate bennett @kategahr_kate
@JoFishpoole @physiotalk We are versatilists @natbeswetherick #physiotalk @VickiG_physio
Joe Middleton @_JoeMiddleton
@kategahr_kate @physiotalk Interesting. I have noticed that, locally, community services seem to be re-modelled frequently, boucing between specialist, defined services and more generalist services. #physiotalk
Pamela Kipps Hansford @PamKHphysio
@physiotalk Thanks Janet, always enjoy #physiotalk & #WeActiveChallenge2019 lets start by #celebrating the #PhysioCommunity #WeAHPsActive #LoveActivity
kate bennett @kategahr_kate
@theLDphysio @physiotalk #physiotalk we have no provision for respiratory patients in our Trust. It is left to the community teams and most of us have not done acute resp for several years. Equally not much provision for training around this area
kate bennett @kategahr_kate
@BexTownley @JanetThomas47 @physiotalk #physiotalk #babybrain
Janet Thomas @JanetThomas47
@AnnabelleLong75 @kategahr_kate @JoFishpoole @physiotalk @natbeswetherick @VickiG_physio 14 years ago - that's recent history! I think that anyone working in a community setting needs to be versatile! We never know who is going to walk through the door next! #physiotalk
kate bennett @kategahr_kate
@_JoeMiddleton @physiotalk #physiotalk we don't tend to bounce just lose posts and then it falls (pardon the pun!) On the general community teams
kate bennett @kategahr_kate
RT @JanetThomas47: @AnnabelleLong75 @kategahr_kate @JoFishpoole @physiotalk @natbeswetherick @VickiG_physio 14 years ago - that's recent history! I think that anyone working in a community setting needs to be versatile! We never know who is going to walk through the door next! #physiotalk
Joe Middleton @_JoeMiddleton
@kategahr_kate @JoFishpoole @physiotalk @natbeswetherick @VickiG_physio #Physiotalk https://t.co/2mOlf7ONtE
kate bennett @kategahr_kate
@JanetThomas47 @AnnabelleLong75 @JoFishpoole @physiotalk @natbeswetherick @VickiG_physio #physiotalk and we never know what we are going to encounter behind the door either...
Joe Middleton @_JoeMiddleton
Prepare to get even busier! #Physiotalk
Janet Thomas @JanetThomas47
@cathhoppo @physiotalk Wondering why? How can we ensure that 'proper' rehab doesn't get lost in a squeezed service - because it works and saves money in the long run I'm sure! #physiotalk
kate bennett @kategahr_kate
@NIHR_RDS @physiotalk @EstherClift #physiotalk @EstherClift is an amazing success story but posts like these are few and far between. I asked how to influence this at PTUK 2018 during a talk and was told to wait and see if it happened or move jobs....
kate bennett @kategahr_kate
@sarahseager94 #physiotalk and organisations like @LaterLifeTrain
Physio Companion @PhysioCompanion
@physiotalk Hello! Tweeting from Iowa! #Physiotalk
kate bennett @kategahr_kate
@wigmore_welsh @physiotalk #physiotalk do you mean basic msk in the community is difficult to get hold of or unless your patient has a basic msk injury you can't get community care? #babybrain means I'm easily confused....
Janet Thomas @JanetThomas47
Why might that be? Surely need to link in for support as well as practical issues around referrals / equipment etc? #physiotalk
kate bennett @kategahr_kate
@naojane18_PT @AnnabelleLong75 @physiotalk #physiotalk not if all the money is going on building new hospitals!
kate bennett @kategahr_kate
@PhysioNatalie @physiotalk #physiotalk yes! I am just a referral system at times!
Janet Thomas @JanetThomas47
@sarahdebiase Do you think the response times are useful? Sorry - not really up to speed with LTP of course as in Scotland! #physiotalk
Joe Middleton @_JoeMiddleton
@wigmore_welsh @physiotalk Are services moving more towards 'generic' support workers, rather than profession-specific staff? #Physiotalk
kate bennett @kategahr_kate
@wigmore_welsh @physiotalk #physiotalk this is the system we use...we are bottom heavy on rehab assistants who are all OTAGO trained and amazing
Physio Companion @PhysioCompanion
@physiotalk In the United States, we hope to have the ability to utilize diagnostic imaging on our own ie. X-Ray and cut out the middleperson. #physiotalk
kate bennett @kategahr_kate
@_JoeMiddleton @wigmore_welsh @physiotalk #physiotalk all our rehab assistants and band 4s are generic
Janet Thomas @JanetThomas47
@_JoeMiddleton @wigmore_welsh @physiotalk Not sure - but if they are appropriately trained is that an issue I wonder or not? #physiotalk
Joe Middleton @_JoeMiddleton
@JanetThomas47 @wigmore_welsh @physiotalk I suspect it is not an issue. Seems to be the way things are going across communtity and hospital-based services. #physiotalk
kate bennett @kategahr_kate
@JanetThomas47 @sarahdebiase #physiotalk we have an urgent response service which aims (and usually succeeds) to respond in the appropriate timeframes. Lack of success is usually due to factors outside their control.
Pamela Kipps Hansford @PamKHphysio
@physiotalk #physiotalk Absolutely (depending on where you are) ☆ Years ago David Teager was #WCPT President & we #WCPTA organised a #CBR workshop in #Uganda attended by him & sec Brenda Myers & a number of member countries We realised the practice of #FlyInFlyOut #CBR was outdated
kate bennett @kategahr_kate
@_JoeMiddleton @JanetThomas47 @wigmore_welsh @physiotalk #physiotalk ours have competencies to complete and competencies are checked annually
kate bennett @kategahr_kate
RT @sarahdebiase:
Physio Companion @PhysioCompanion
RT @physiotalk:
Janet Thomas @JanetThomas47
@PamKHphysio @physiotalk I remember David Teager! I'm pretty sure he presented our certificates when I graduated. #physiotalk
Physio Companion @PhysioCompanion
‼️Hurry‼️ 📢Tune into @physiotalk for an awesome discussion as always!📢 #physiotalk https://t.co/JXTcfwHkm8
kate bennett @kategahr_kate
RT @PhysioCompanion: ‼️Hurry‼️ 📢Tune into @physiotalk for an awesome discussion as always!📢 #physiotalk https://t.co/JXTcfwHkm8
Joe Middleton @_JoeMiddleton
@Jolockyear1 @wigmore_welsh @physiotalk Did you feel prepared for that? I wonder whether pre-registration programmes are changing to reflect this? (It's not just community roles that are becoming more generic) #Physiotalk
Janet Thomas @JanetThomas47
@JoFishpoole @KWestPhysio @physiotalk Really?! Again showing my lack of commissioning knowledge but is it that specific to excluse? #physiotalk
Joe Middleton @_JoeMiddleton
This. This! THIS! I hate the language of admission avoidance/prevention. The goal should be right care, right time, right place. Any reduction in hospital admissions should be seen as a happy byproduct (and similarly, hospital admission is not a failure) #Physiotalk
Physio Companion @PhysioCompanion
@physiotalk Barrier: Insurance Insurance Insurance!!! #physiotalk https://t.co/yX8qlepzgp
kate bennett @kategahr_kate
@physiotalk #physiotalk restrictions placed by commissioners. We all know the Sherrington recommendations around ex provision yet only allowed to keep pts on caseload for 12 weeks...Can refer to exercise groups but large proportion of pts can't attend 🤷‍♀️🤷‍♀️🤷‍♀️
Pamela Kipps Hansford @PamKHphysio
@physiotalk #physiotalk The #report of the #Workshop we produced eventually became the basis of the first #WCPT #PositionStatement & policy document on the practice of #CBR through #Strength based #CommunityLedEngagement and #Relevant #NeedsAnalysis related to their #Environment
kate bennett @kategahr_kate
RT @_JoeMiddleton: This. This! THIS! I hate the language of admission avoidance/prevention. The goal should be right care, right time, right place. Any reduction in hospital admissions should be seen as a happy byproduct (and similarly, hospital admission is not a failure) #Physiotalk
kate bennett @kategahr_kate
RT @JoFishpoole:
kate bennett @kategahr_kate
RT @physiotalk:
Joe Middleton @_JoeMiddleton
@JanetThomas47 @JoFishpoole @KWestPhysio @physiotalk I struggle with this also. It seems community services are so severly hamstrung by what they are 'commissioned' to do. #physiotalk
Janet Thomas @JanetThomas47
@_JoeMiddleton We've looked at how we reduce ED / admissions but its absolutely not what our service is set up to do! As you say, its a happy byproduct of effective interventions. #physiotalk
Joe Middleton @_JoeMiddleton
RT @Jolockyear1:
kate bennett @kategahr_kate
@JoFishpoole @physiotalk #physiotalk I go back to work tomorrow after 9 months off (mat leave) and will have a look as sure we have some somewhere.....
Pamela Kipps Hansford @PamKHphysio
@JanetThomas47 @physiotalk #physiotalk Great leader and community participant Amazing #Hospitality in #Uganda A very special and #WorthwhileExercise
Joe Middleton @_JoeMiddleton
@JanetThomas47 Unfortunately, it is usually an expected outcome as it = ££££££ #physiotalk
kate bennett @kategahr_kate
@cathhoppo @physiotalk #physiotalk service spec. If longer than 12 weeks we have to demonstrate significant progress at weekly case meetings. We are expected to refer on to local exercise groups to continue but lots of barriers to attendance.
kate bennett @kategahr_kate
@cathhoppo @physiotalk #physiotalk ideally we have patients off our caseload at 10 weeks.....
kate bennett @kategahr_kate
@physiotalk @theLDphysio #physiotalk and strategic nappy change...not mine...
Joe Middleton @_JoeMiddleton
@physiotalk Barriers: Time. Information. Focus on acute response/hospital discharge --> loss of longer-term rehab services #physiotalk
kate bennett @kategahr_kate
@wigmore_welsh @KWestPhysio @physiotalk #physiotalk yes and no....it is great for the patient to have one person sorting Every thing...this is a common plaudit in our team. But equally it would be nice to concentrate on my strengths (which is being a physio) at times rather than the other stuff
Janet Thomas @JanetThomas47
@JoFishpoole @Jolockyear1 @_JoeMiddleton @wigmore_welsh @physiotalk Just ask! I'm sure most HEI's would be happy to have input. The key time is to be involved at revalidation as that's when programmes change - and local stakeholders are a key part of the process #physiotalk
kate bennett @kategahr_kate
@Srikesavan @naojane18_PT @physiotalk Really? I'm always very happy to talk to acute clinicians. Any information is always gratefully received! I Will even call/ bleep back if it means I get more info lol #physiotalk
Joe Middleton @_JoeMiddleton
@physiotalk Now, there is the next bit of #physiotalk research!
kate bennett @kategahr_kate
@Jolockyear1 @JoFishpoole @_JoeMiddleton @wigmore_welsh @physiotalk #physiotalk unpopular opinion over here but I think some kind of community placement should be compulsory 🙈🙈🙈. Could be in any patient group though....
Joe Middleton @_JoeMiddleton
RT @kategahr_kate: @Jolockyear1 @JoFishpoole @_JoeMiddleton @wigmore_welsh @physiotalk #physiotalk unpopular opinion over here but I think some kind of community placement should be compulsory 🙈🙈🙈. Could be in any patient group though....
kate bennett @kategahr_kate
@southernscampi @_JoeMiddleton #physiotalk some people sadly need to be in hospital 🤷‍♀️🤷‍♀️🤷‍♀️
Abdullah⚕️ @Abdoullwah
@physiotalk We need to put alot in the care of geriatrics with the increasing number of older people in our communities.. and more specialisation in the field of geriatrics #physiotalk
kate bennett @kategahr_kate
RT @AbdullahiMSPT: @physiotalk We need to put alot in the care of geriatrics with the increasing number of older people in our communities.. and more specialisation in the field of geriatrics #physiotalk
Janet Thomas @JanetThomas47
@kategahr_kate @Jolockyear1 @JoFishpoole @_JoeMiddleton @wigmore_welsh @physiotalk Not at all! That's what I aspire to, but as you say could be in comm resp / pulmonary / cardiac / paeds as well as older people and integrated care #physiotalk
kate bennett @kategahr_kate
RT @JanetThomas47: @kategahr_kate @Jolockyear1 @JoFishpoole @_JoeMiddleton @wigmore_welsh @physiotalk Not at all! That's what I aspire to, but as you say could be in comm resp / pulmonary / cardiac / paeds as well as older people and integrated care #physiotalk
Joe Middleton @_JoeMiddleton
*Leading* comprehensive geriatric assessment 🤔😉 #physiotalk
Physio Companion @PhysioCompanion
@physiotalk Fall Prevention events and screenings! #Physiotalk
Joe Middleton @_JoeMiddleton
RT @physiotalk:
Sarah Judge @sarah_judge
RT @_JoeMiddleton: This. This! THIS! I hate the language of admission avoidance/prevention. The goal should be right care, right time, right place. Any reduction in hospital admissions should be seen as a happy byproduct (and similarly, hospital admission is not a failure) #Physiotalk
kate bennett @kategahr_kate
RT @eephysio1:
kate bennett @kategahr_kate
@sarahseager94 @KWestPhysio @Srikesavan @naojane18_PT @physiotalk #physiotalk
Janet Thomas @JanetThomas47
@sarahseager94 That's a great idea. Have you thought about using the Life Curve app to help with early intervention and self management? #physiotalk
Joe Middleton @_JoeMiddleton
Forgive me for hijacking #physiotalk , but I must ask a question about language, Common parlance is to refer to 'community' and 'acute', but doesn't that misrepresent community services and therapists? Like, don't y'all see acute presentations too?! Thoughts?
kate bennett @kategahr_kate
@theLDphysio @KWestPhysio @physiotalk #physiotalk example. Huntington patient with a chest infection. Neuro don't treat chests. Care plan is not for admission. Community team get referral but we don't routinely see chests. My resp competencies are definitely out of date (last on a ward in 2014) 1/2
Physio Companion @PhysioCompanion
@physiotalk Community engagement! Fall risk screenings and education for the elderly. Sports screenings for youth sports! Just have to find some good screening tools and get into the community! #Physiotalk
Joe Middleton @_JoeMiddleton
@physiotalk Advanced Practice roles Revolutionising pro-active, preventative care for older people living with frailty Champions of Public Health #Physiotalk
kate bennett @kategahr_kate
@theLDphysio @KWestPhysio @physiotalk #physiotalk it is hard enough getting funding/ leave for courses that are deemed to be appropriate so no chance of getting funding for respiratory update when we see resp patients maybe once a year. The service the patient needs isn't commissioned.
Pamela Kipps Hansford @PamKHphysio
@_JoeMiddleton #physiotalk Right care yes not nec right Rx☆Let's enter #CollaborativePartnerships w people in their communities on THEIR INVITATION & TERMS☆NOT working on impairments+ problems BUT on enhancing goal directed beh, activity levels+skills development to #Optimize #Participation
kate bennett @kategahr_kate
@cathhoppo @sarahseager94 @KWestPhysio @Srikesavan @naojane18_PT @physiotalk #physiotalk permission to share not recognised and they wouldn't call my service back to check who I was in the end they took the phone to the patient who spoke to me and then said in my hearing that she was happy for her discharge plans to be discussed with me.
kate bennett @kategahr_kate
@cathhoppo @sarahseager94 @KWestPhysio @Srikesavan @naojane18_PT @physiotalk #physiotalk but when they have a patient they need to get out they can't get on the phone quick enough and permission to share doesnt even come into it!
Abdullah⚕️ @Abdoullwah
@physiotalk Advanced clinical expertise and more skills in preventing and treating pts within our communities and more evidence as there will be an increased number of research findings #physiotalk
kate bennett @kategahr_kate
RT @NIHR_RDS:
kate bennett @kategahr_kate
RT @sarahdebiase:
Physio Companion @PhysioCompanion
@physiotalk Our ability to continue to advocate for our profession and illustrate the great things we do through research. We are an AWESOME profession!! #physiotalk
kate bennett @kategahr_kate
RT @PhysioCompanion: @physiotalk Our ability to continue to advocate for our profession and illustrate the great things we do through research. We are an AWESOME profession!! #physiotalk
kate bennett @kategahr_kate
RT @physiotalk:
Janet Thomas @JanetThomas47
And watch out for tweets coming from @AGILECSP over the weekend at their annual learning event #AGILE19 (Is that the hashtag!?) #physiotalk
Pamela Kipps Hansford @PamKHphysio
#LackofUnderstanding of how to work with people in their own families in the #Context of #TheirOwnCommunities Together we can learn about the vast array of resources available We need to #Encourage #Facilitate & #Support as they find & evaluate the resources that work for to them
Jennifer @jenngeorge08
@physiotalk #physiotalk being advocates and empowering patients/caregivers to self-manage and advocate for their care...support and champion chronic management in homes and functional retraining to maximize independent mobility and function.
Joe Middleton @_JoeMiddleton
@cathhoppo @kategahr_kate @sarahseager94 @KWestPhysio @Srikesavan @naojane18_PT @physiotalk 'Missed opportunity' is definitely the right phrase here. As an aside, secondary care-based therapists would love to hear about the success stories of patients who have managed to stay at home, or who have made great recoveries. #Physiotalk
Joe Middleton @_JoeMiddleton
@cathhoppo @kategahr_kate @sarahseager94 @KWestPhysio @Srikesavan @naojane18_PT @physiotalk Unfortunately, we usualy only hear about the "failures", and often not in a productive or learning-focussed way! #Physiotalk
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