#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.

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Hayley Grice @HayleySGrice
@physiotalk Hi Hayley,Stroke Physio. Working in Derby community, tweeting from Birmingham #physiotalk #neurophysio #nihrintern #nihrmasters #researchmatters
Janet Thomas @JanetThomas47
I'm on the @physiotalk account tonight tweeting from a slightly chilly Edinburgh #physiotalk
Hayley Grice @HayleySGrice
@physiotalk I work in an Early supported stroke discharge team, an invested part of the pathway however stroke patients have long term needs often long term rehabilitation is not well commissioned or funded #physiotalk #investinlongterm #mindthegap
Justine Musiime - MSc MPH MCSP @JustineMusiime
@physiotalk Justine. Care home practitioner. @AGILECSP East Rep. Tweeting from Hertfordshire. #physiotalk
Janet Thomas @JanetThomas47
@physiotalk From a clinical perspective its having the flexibility to deliver truly person centred rehab when you have to constrains of the staffing and service you work in #physiotalk
Hayley Grice @HayleySGrice
RT @lindsaybearne:
Alex Fisher @alex_fisher1969
@physiotalk Hi. #physiotalk. I'm an OT gatecrashing as I can't do my job without y'all. Barrier to this essential is delivering it in context & within v restrained resources. People don't 'do' in 6 weeks (or whatever random no of sessions ascribed).
Hayley Grice @HayleySGrice
@lindsaybearne @physiotalk ESSD is EBP; research gap for slower stream community post-six weeks/six months rehabilitation. In my community caseload I can see improvements years post-stroke anecdotally but less research to inform commissioners #physiotalk
Hayley Grice @HayleySGrice
RT @RtHphysio:
Justine Musiime - MSc MPH MCSP @JustineMusiime
@HayleySGrice @physiotalk This is a major problem indeed. Something needs to be done about it. We have organisations like @LaterLifeTrain training exercise instructors who can continue the rehab in the community once patients have been discharged by therapists, but these instructors are few. #physiotalk
Alex Fisher @alex_fisher1969
@Karen_ThPCU @physiotalk Yes this! In order for any rehab to stand a chance. Not just our patients but the buy in of their companions, care staff, etc #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
@physiotalk @AGILECSP Thank you๐Ÿ™ #physiotalk
Janet Thomas @JanetThomas47
@JustineMusiime @HayleySGrice @physiotalk @LaterLifeTrain Yes - we do need to consider a life long pathway for people living with a #LTC And that means moving on from physiotherapy to supported self management AND suitable exercise provision #physiotalk
Alex Fisher @alex_fisher1969
@physiotalk @lindsaybearne @HayleySGrice #physiotalk not all the time but it really helps. In folk with LTCs we need to walk alongside of them particularly if palliative or misunderstood and that takes investment
Hayley Grice @HayleySGrice
@alex_fisher1969 @Karen_ThPCU @physiotalk Self management is not self and investment and buy in from patient support network and motivators/supporters is key #physiotalk rehab is a 24/7 approach and carers need support too
Hayley Grice @HayleySGrice
RT @lindsaybearne:
Hayley Grice @HayleySGrice
RT @JanetThomas47: @JustineMusiime @HayleySGrice @physiotalk @LaterLifeTrain Yes - we do need to consider a life long pathway for people living with a #LTC And that means moving on from physiotherapy to supported self management AND suitable exercise provision #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @physiotalk:
Hayley Grice @HayleySGrice
@physiotalk Technical instructors/rehab support workers are key to support intensity; training formal carers seeing patients daily area for investment; my community role was funded to support non-stroke specialist staff & patients not on specialist pathway #physiotalk #competencies #invest
Alex Fisher @alex_fisher1969
@physiotalk #physiotalk we can now offer a hybrid approach which is great BUT I worry that its going to be seen as the be all and end all. We must remember lack of equality and skills in our patients
Hayley Grice @HayleySGrice
@PhysioFarrell @physiotalk Telerehab is definitely a positive to come out of the difficult Covid pandemic but easier to embed in smaller specialist services compared to wide-scale across all community rehab #seethepositives #physiotalk
Hayley Grice @HayleySGrice
RT @PhysioFarrell:
Justine Musiime - MSc MPH MCSP @JustineMusiime
@physiotalk Non-specialist staff are brilliant, but their referral criteria tends to be a relatively 'higher' functional level which our patients are sometimes discharged before achieving due to the short-term-ness of our therapy services. This means that some patients miss out. #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @physiotalk: Q:
bob laventure @boblaventure4
RT @JustineMusiime: @HayleySGrice @physiotalk This is a major problem indeed. Something needs to be done about it. We have organisations like @LaterLifeTrain training exercise instructors who can continue the rehab in the community once patients have been discharged by therapists, but these instructors are few. #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
@physiotalk @lindsaybearne @HayleySGrice @LaterLifeTrain Brilliant. Thanks. I'll have a look later. #physiotalk
Hayley Grice @HayleySGrice
@physiotalk Had some positive feedback from virtual rehabilitation inc. high level balance assessment and rehab #berg ; not for all patients or therapists though; often we default back to f2f; mood/social cues can be less obvious virtually #physiotalk #hybrid
Alex Fisher @alex_fisher1969
@physiotalk #physiotalk ๐Ÿคช๐Ÿคฏ I now run a group online and tbh it was a baptism of fire. Fortunately the patients and their companions were up for it and have actually become co-producers. I'm now building on their guidance
Hayley Grice @HayleySGrice
RT @JustineMusiime: @physiotalk Non-specialist staff are brilliant, but their referral criteria tends to be a relatively 'higher' functional level which our patients are sometimes discharged before achieving due to the short-term-ness of our therapy services. This means that some patients miss out. #physiotalk
Hayley Grice @HayleySGrice
RT @RtHphysio:
Hayley Grice @HayleySGrice
@hannahmbarbour @physiotalk @RtHphysio Also health inequality and access to Internet/virtual mediums can be an issue.We loan out iPads to patients short-term to support meeting their rehab needs and introducing them and carers to apps for self-management #physiotalk
Janet Thomas @JanetThomas47
@physiotalk Real life research - NOT excluding people with dementia or multiple comorbidities for example For my older peoples rehab service patients I would think none of them have a single condition issue #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
@physiotalk Sometimes the goal is to 'make the patient as safe as possible' & then discharge. Equipment gets issued & the hope is that the patient can self refer once more confident & happy to progress. Pt get used to the equipment & the review never happens. #physiotalk
Hayley Grice @HayleySGrice
@physiotalk Personally from my #nihrinternship and #nihrmasters literature reviews more mixed-methods and qualitative research with patients and carers as co-producers #physiotalk #patient-centred
Hayley Grice @HayleySGrice
RT @lindsaybearne:
Hayley Grice @HayleySGrice
RT @MTMaddocks:
Justine Musiime - MSc MPH MCSP @JustineMusiime
@physiotalk I know an organisation that delivers a hybrid system - face to face assessments & introduction to the electronic devices, followed by virtual sessions. Patients have given good reviews. #physiotalk
Linda Tremain @lindatremain34
@physiotalk Our Abi service in @abuhb_rehab has been co-developing and co-producing various online groups with patients- it's scary and challenging to admit that you don't have all the answers, but the end product seems to be more fit for their purpose #physiotalk
Hayley Grice @HayleySGrice
RT @NIHRevidence:
Hayley Grice @HayleySGrice
RT @MTMaddocks:
Hayley Grice @HayleySGrice
RT @lindatremain34: @physiotalk Our Abi service in @abuhb_rehab has been co-developing and co-producing various online groups with patients- it's scary and challenging to admit that you don't have all the answers, but the end product seems to be more fit for their purpose #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @physiotalk: Q:
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @MTMaddocks:
Alex Fisher @alex_fisher1969
@physiotalk #physiotalk absolutely...testing the tech, the comms, the dosing, the frequency, the barriers, the facilitators, a brave new world
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @J0Physio:
Hayley Grice @HayleySGrice
RT @Mandy_Sekhon:
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @hannahmbarbour:
Hayley Grice @HayleySGrice
RT @NIHRevidence:
Alex Fisher @alex_fisher1969
@JanetThomas47 @physiotalk #physiotalk...again this! It cannot be done in a controlled setting which does not replicate the messiness of life. Research often limited by research structure, time, ยฃ.
Janet Thomas @JanetThomas47
@J0Physio @physiotalk So true! #physiotalk
Hayley Grice @HayleySGrice
@J0Physio @physiotalk Admin investment in our service is definitely freeing up clinical hours/sessions #physiotalk
UWAโ€ข eth #WID โ™ฅ๏ธ memecoin @UwaAjayi
RT @physiotalk: Q:
Justine Musiime - MSc MPH MCSP @JustineMusiime
@JanetThomas47 @physiotalk The question is how to go about this! I work with care homes and the prevalence of multiple cormobidities is extremely high. Do you think that the fact that research has to be 'narrow focused' contributes to less 'real life' research? #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @Mandy_Sekhon:
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @physiotalk: Q:
Janet Thomas @JanetThomas47
@JustineMusiime @physiotalk Does it 'have' to be narrow focussed though??? (But I know what you mean!) #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @lindatremain34: @physiotalk Our Abi service in @abuhb_rehab has been co-developing and co-producing various online groups with patients- it's scary and challenging to admit that you don't have all the answers, but the end product seems to be more fit for their purpose #physiotalk
Hayley Grice @HayleySGrice
@physiotalk Also invest and embed research and #QI into culture of services and systems so clinicians have time and space to innovate with resources and funds they have to maximise rehab provision with nhs reality #physiotalk #morewithnomore #innovate #improvement
Hayley Grice @HayleySGrice
RT @Mandy_Sekhon:
Alex Fisher @alex_fisher1969
@physiotalk #physiotalk...recognise the importance of it to maintaining the health, wellbeing, productivity and quality of life of so many people. BUT to do that...allow clinicians the time to capture this. I often have to do service development/research as a kitchen sink activity
Justine Musiime - MSc MPH MCSP @JustineMusiime
@physiotalk More funding. #physiotalk
Hayley Grice @HayleySGrice
RT @lindsaybearne:
Hayley Grice @HayleySGrice
RT @lindsaybearne:
Janet Thomas @JanetThomas47
@RtHphysio @physiotalk Important that we include advance practice rehab roles. As someone tweeted earlier - we can't just focus on assessment #physiotalk
Hayley Grice @HayleySGrice
RT @RtHphysio:
Justine Musiime - MSc MPH MCSP @JustineMusiime
@JanetThomas47 @physiotalk That is THE question @JanetThomas47! I am thinking of doing some research under the enhanced health in care homes project in our Trust. Just trying to think of a topic/ or topics... if anyone has ideas, please do share. #physiotalk
Hayley Grice @HayleySGrice
@RtHphysio @physiotalk Data and evidence speaks to commissioners but we need to make sure capturing rich data-patient-reported outcomes alongside mood and quality of life for both patient and carers and capturing patient stories/journeys across pathway #gapanalysis #physiotalk
Hayley Grice @HayleySGrice
RT @Mandy_Sekhon:
Hayley Grice @HayleySGrice
RT @lindsaybearne:
Hayley Grice @HayleySGrice
RT @MTMaddocks:
Justine Musiime - MSc MPH MCSP @JustineMusiime
@lindsaybearne @JanetThomas47 @physiotalk You are very right. The onus then is on us to think of that pragmatic research and work out the justification for it so as to get the appropriate people to approve and engage with it. I think #collaboration will play a key role in this. #physiotalk
Hayley Grice @HayleySGrice
@NIHRevidence Really great chat for not only the poignant topic but links to research shared and relevant signposts and for increasing people to follow on Twitter! #physiotalk
Alex Fisher @alex_fisher1969
@physiotalk #physiotalk thank you. I think u are all fab. Its pressured out there so be excellent to each other https://t.co/R0gjBjo9lQ
Justine Musiime - MSc MPH MCSP @JustineMusiime
@NIHRevidence @JanetThomas47 @physiotalk Thanks @NIHRevidence. I'll definitely have a look. #physiotalk
Hayley Grice @HayleySGrice
RT @NIHRevidence:
Hayley Grice @HayleySGrice
RT @SusanneSyme:
Justine Musiime - MSc MPH MCSP @JustineMusiime
@hannahmbarbour @JanetThomas47 @physiotalk This is brilliant, and exciting! That's the beauty of hearing from each other. Thanks for sharing @hannahmbarbour. #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
@physiotalk Thank you for a brilliant and engaging tweetchat. ๐Ÿ‘๐Ÿ‘๐Ÿ‘ #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @lindsaybearne:
Justine Musiime - MSc MPH MCSP @JustineMusiime
@lindsaybearne @physiotalk @NIHRevidence I've bookmarked this for some bedtime reading ๐Ÿ˜Š Thanks for sharing. #physiotalk
Hayley Grice @HayleySGrice
@MTMaddocks @physiotalk Thanks for signpost to this @MTMaddocks so true that an ability to capture long term cost reductions (how easy is this?!?) might hopefully inform more medium-long term rehab pathway investment and ultimately #QOL for patients RTW/positive occupational performance #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @JanetThomas47: @JustineMusiime @HayleySGrice @physiotalk @LaterLifeTrain Yes - we do need to consider a life long pathway for people living with a #LTC And that means moving on from physiotherapy to supported self management AND suitable exercise provision #physiotalk
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @hannahmbarbour:
Justine Musiime - MSc MPH MCSP @JustineMusiime
RT @NIHRevidence:
Hayley Grice @HayleySGrice
RT @DrAndrewBateman:
Hayley Grice @HayleySGrice
RT @Mandy_Sekhon:
#PhysioTalk content from Twitter.