PHTY102 Lecture Notes - Lecture 12: Cardiovascular Disease, Thrombophlebitis, Myositis
PHTY week 12 summary
- Main topics:
oCommunication
oProfessionalism and team work
oDisability
oRisk management and manual handling
oEthical, legal and professional requirements of practice
oCultural diversity and cultural awareness
oFirst people’s culture and knowing
oImmobilisation
oOutcome measures
oPassive movement
oMassage
oClinical reasoning
oReflective practice
Case Study: Phyllis
- Phyllis is a 68-year-old woman who was hospitalised for 3/12 following septicaemia
and respiratory failure
- In the video, how did the physio in hospital use the following:
oCommunication
oConsent
oProfessional practice and teamwork
oPassive movements
oRisk management
oManual handling/transfers
Communication
- Effective communication occurs when what was intended to be said has been heard
and the individuals involved have reached a shared understanding
- 6 features of effective communicative:
oActive listening
oReflection
oParaphrasing
oNon-verbal behaviours
oQuestioning
oSummarising
Consent
- 6 features of informed consent:
oExplanation of symptoms/condition
oProposed intervention
oExpected benefits
oSide effects and risks of intervention (provide other interventions if available)
oOpportunity for questions
Professionalism and Teamwork
- What is physiotherapy?
find more resources at oneclass.com
find more resources at oneclass.com
oPhysiotherapy is a health care profession which provides services to
individuals and populations to develop, maintain and restore maximum
movement and functional ability throughout life
oImproving mobility and quality of life
- What are the three models of interprofessional teamwork?
oMulti-disciplinary
oInterdisciplinary
oTrans-disciplinary
Risk Management
- What is risk?
oThe probability that (adverse) event will have an impact function of
likelihood and consequences
- Assess the patient, the environment and the therapist for risks
- What is the three-step process to minimise risk?
oIdentifying the hazard (potential for injury, harm, damage)
oAssessing the risk (probability of injury, harm, damage)
oControlling the risk
Manual Handling
- What things should physiotherapists do to practice safe manual handling?
oAdopt wide base of support for stability
oHold load close to body
oEnsure good grip
oExecute smooth, controlled movement
oAvoid rotation of spine – move your feet instead
oPivot don’t twist
Case Scenario: Mr L
Questions to ask Possible Responses
Who? Mr L, elderly man
First impressions what’s going on? Left-sided weakness, right-sided stroke,
right-sided weakness
Thoughts on impairment – why? Range of motion, strength, balance
Thoughts on activity limitations – when? Walk, go up stairs, stand on one leg
Thoughts on participation restrictions –
when?
Driving, exercise, shopping
Do you know enough at this point? –
probably not
If no, what do you want to know? –
how/why?
What sort of questions might a physio be
asking/considering?
Where would you go for information?
Classification of Disability and the ICF
- Define impairment
oAny loss or abnormality of psychological or anatomical structure or function
- Define activity limitations
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Phyllis is a 68-year-old woman who was hospitalised for 3/12 following septicaemia and respiratory failure. In the video, how did the physio in hospital use the following: communication, consent, professional practice and teamwork, passive movements, risk management, manual handling/transfers. Effective communication occurs when what was intended to be said has been heard and the individuals involved have reached a shared understanding. 6 features of effective communicative: active listening, reflection, paraphrasing, non-verbal behaviours, questioning, summarising. 6 features of informed consent: explanation of symptoms/condition, proposed intervention, expected benefits, side effects and risks of intervention (provide other interventions if available, opportunity for questions. What is physiotherapy: physiotherapy is a health care profession which provides services to individuals and populations to develop, maintain and restore maximum movement and functional ability throughout life, improving mobility and quality of life. What are the three models of interprofessional teamwork: multi-disciplinary, interdisciplinary, trans-disciplinary.
