Historically patients at North Manchester General Hospital received traditional 1:1 Physiotherapy treatments post total knee replacement (TKR). Literature suggests a class environment can be more cost effective and yield improved results. Therefore a TKR class was set up in 2015. This summary highlights the findings from the first year demonstrating clinical outcomes, patient satisfaction and cost-effectiveness.
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Our quality assured examples of successful initiatives aim to promote physiotherapy as an innovative and cost effective approach to improving patient pathways and promoting public health. We welcome examples and case studies from all aspects of physiotherapy practice, research, education, and service delivery.
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This paper reports on the findings of the first phase of a service improvement project that used the Ophelia approach developed by Deakin University, Australia to evaluate the health literacy (HL) needs of adults attending outpatients musculoskeletal (MSK) physiotherapy.
Little is known of the impact that the social determinates of health have on the health literacy needs of patients presenting with musculoskeletal pathologies so the relationship with demographic data, including the Welsh Index of Multiple Deprivation (WIMD) was explored.
The aim of the first phase was to profile adults' health literacy attending outpatient MSK physiotherapy. Objectives included:
- to evaluate adults across nine domains of health literacy
- to establish whether there is a relationship with measures of deprivation. The results of profiling will inform the development of specific health literacy interventions and resources for the local population in future phases.
The poster provides an overview of the partnership established between the UEA and Norwich City over the past 5 years. It outlines the way that the MSc pre-registration physiotherapy students develop their research dissertation topics through a collaborative approach with physiotherapists at the Norwich City football club academy. It identifies the research questions investigated by current and previous Masters students. The final section demonstrates the benefits of using research to inform practice in the elite professional football academy setting and the value of making explicit links between research, education and practice. It does this through the narrative of the physiotherapists, students and academic staff themselves.
Advanced Level Physiotherapy (ALP) is a term used to describe a level of practice for a physiotherapist to be working at. It includes utilising a combination of advanced skills, knowledge and clinical reasoning to successfully and safely manage patients, recognising where a clinical presentation is outside an individual's scope, and taking appropriate action. Utilising advanced clinical reasoning and making appropriate radiology referrals enables physiotherapists to exclude serious pathology and determine the appropriate pathway for a patient. Being able to safely triage and direct patients to conservative management or escalate to an orthopaedic review where suitable is the cornerstone of a clinically-effective service, and highlights the benefits of having experienced physiotherapists on hand to guide patients appropriately. Many studies have looked at whether the diagnostic accuracy of physiotherapists is comparable to orthopaedic consultants, but the diagnostic accuracy of a telephone based ALP triage service has not previously been investigated. The aim of this study was to audit the diagnostic accuracy of radiology investigations performed for spinal pain (cervical, thoracic, lumbar and sacroiliac) by a telephone based ALP triage service.
Respiratory function significantly predicts both survival and quality of life in people with Motor Neurone Disease (MND). Early referral to specialist respiratory services at the onset of symptoms is vital to facilitate decisions regarding respiratory management. Effective management of respiratory symptoms is likely to have a positive impact on the quality of life of the person with MND. Objective measures of respiratory function allow clinicians and patients to self-monitor respiratory symptoms at home. A challenge of working within a multi-disciplinary (MDT) community neurological therapy team was the lack of easy to use, accessible, accurate objective measures of respiratory function. We describe the development of the team's MND respiratory assessment, which aimed to improve early identification of people with respiratory impairment. A further aim was to improve the referral pathway between the community team and its local sleep and ventilation service.
To describe the role of an Advanced Physiotherapy Practitioner (APP) working within a multidisciplinary team with people with complex persistent pain in acute hospital, outpatient and community settings.
To describe relevant physiotherapy skills required in these settings
To describe the clinical outcomes of the service
To examine the key factors influencing the transformation of Therapy Services within our institution, creating links to sustainable service quality improvements. In 2014 Salisbury NHS Foundation Trust (SFT) carried out a service wide consultation of Physiotherapy and Occupatonal Therapy provision with the aim of transforming Therapy Services. The key outcome from the consultation was the re-organisation of Therapy Services into defined team "clusters" under a single management structure, creating a Head of Therapy Services who reports directly to the Chief Operating Officer and Director of Nursing. The key challenges were addressing the collaborative working within Therapies and across the hospital taking into consideration professional isolation within Directorates, localities, Wiltshire and Wessex Deanary; staffing, recruitment and retention; morale and innovation; and patient flow.
1) To identify variations from NICE MSCC guidelines in the MSK pathway for patients regarding timelines from early detection and time to MRI 2) To use this clinical audit data to inform clinical commissioning groups (CCGs) and local hospital providers about access of referral
Time: Ours to organise, ours to spend and equally ours to waste- but what about when that control is taken. In a culture where our days are filled with loved ones, work and activity, we choose to balance our time across these. However, when you are admitted to an acute hospital, this aspect of choice is often taken away.
As physiotherapists one of our key roles in inpatient care is to improve and regain function to allow our patients to return to their home at their baseline level. By making simple changes- getting patients dressed into day clothes, walking to the toilet and sitting in a chair for meals there can be a clear correlation with the speed of a patient's rehabilitation.
Physiotherapy programmes must prepare graduates to live and work in a globally interconnected society. Internationalised learning experiences have the potential to break down ethnocentric worldviews by exposing students to analysis and critique of practice from different cultural perspectives. Such experiences may enable transformative learning by developing the student's ability to shift perspective and reflect critically on how disciplinary practice can change with the social context. Opportunities to study abroad can only be offered to a minority of students. In contrast, digital technology such as discussion forums and video conferencing provide an inclusive platform to make international experiences available to all students on a programme. The aim of this educational project was to engage physiotherapy students in a transnational collaborative group task in order to increase awareness of different international perspectives on clinical practice and healthcare provision and facilitate reflection on their local context.