Development of Physiotherapy - Coursework Example

Professionalism Development Portfolio Checklist: Bar front sheet ment and Narrative x7 Professionalism Development Contents Physiotherapy is the process of undertaking physical exercise in order to cure physical disability, accidents, or age. It is mainly done through manual therapy, therapeutic or electrical therapy. For physiotherapist, it is essential to follow the following steps when dealing with a patient. First, the physiotherapist should come up with a statement that will provide evidence demonstrating the contribution of the long-term condition (LTC) that patients have by enhancing their functional ability (3a.1 HPC; LO 1). The evidence found based on SOAP notes- Pt. diagnosed with parking sons disease a year ago and the feedbacks from the physio-results that I scheduled during exercise group on my third year placement. My narrative based on this is that when I become a qualified physiotherapist my responsibility was to provide an adequate assessment, treatment, and intervention for patients who had been referred to me. This will involve taking into account their functional ability, medical history, and their drug history. In order to achieve optimum independence and enhance their functional abilities, it will be essential to recognize patient needs and adequately refer and lease with a range of professionals and multi-disciplinary team (MDI) long time conditions (LTC) and the need for continuing management and treatment over time. Based on evidence 1:1 it clearly shows my ability to create an exercise program adequately taking into consideration patients’ goals (return to work). According to Singh 2010 the physiotherapist can greatly increase the quality of the life of the patient with psycho-social support, self- management, chiefly peer-led programs and support, support for daily living with a LTC all this strategies will also enhance out-of-hours and emergency services. During one of my 2nd year placement, I encountered 45-year-old female who had been newly diagnosed with Parkinson disease. This patient was going through serious depression problems due to her condition. Through this, I was able to recognize the physiotherapist role in not only a physically but in also a holistically way. I was also able to lease with other multi discipline team (MDT) because she needed a lot of input from the sociology department. Having gained all that knowledge I am more informed of the physiotherapy role when dealing with pt in LTC. I also understood the importance of working together with other member. Evidence 1:! Clearly shows that I was able to recognize the different problems on my patient and, therefore, negotiating with the right professional in order to enhance my patience care and to achieve the highest level physically, socially and intellectually. According to the evidence, 1:2 clearly shows my ability to tailor treatment in order to cater for the functional needs of the patient with LTC. Although the feedback from one individual is considered as subjective as I based it on just one opinion, the comment can be taken as evidence when considered in conjunction with evidence 1:1. It clearly quotes the SOAP note that I was able to recognize my patients need and create an appropriate treatment plan. The highlighted comments pay attention to my approach to treatment planning. They also highlight the areas that show improvement from a week to another. Section 2: The statement should provide evidence demonstrating my ability to plan and implement a physiotherapy treatment aimed in facilitating and restoring the movement and function of a client with a LTC (HPC 2b.3; LO 2). The evidence provided should be based on the placement form and the soap note. The narrative of this statement explains how the management of the LTC has been shifted to community-based anticipatory care founded on multi-disciplinary groups working in collaboration with the patient (Tylee & Haddad, 2007; Pg. 53). A preemptive, preventive approach must be undertaken to the management of LTC. These approaches should be flexible, person-centered, and incorporated across all sectors. From the evidence (2:1), a clear link can be seen from the patient’s problems to the goals, outcomes and finally the patient’s rehabilitation plan. In understanding the needs of my patients, I was able to demonstrate effective treatment through effective care services. This was reinforced by the comments from my clinical educator on evidence 2:2 Section 3: It is important for the statement to Provide evidence demonstrating my ability to evaluate research and other evidence to inform my practice for a patient with a LTC (HPC 2b.1; LO 5). The evidence demonstrated in this statement will be based on the outcome of the Burg balance research and the evidence evaluation on QIPP. This can be narrated by dealing with patients suffering from LTC; I was able to understand that undertaking a reasonable research on the condition was important in providing the right treatment and diagnosis. The research process enabled me to understand the condition hence giving patients the right information. The evidence 2:1 demonstrates that I able to evaluate evidences I gained some knowledge based on the research process that It is critical to give the patient an enhanced understanding of their condition, prognosis, and symptoms as well as how best to manage the condition. Information from the research is a valued tool in allowing individuals and their cares to participate in care planning completely. It also gives them more control and preferences over their care and other health services. This will also have positive results on a person’s overall health, well-being and quality of life. Evidence 3: 2 shows my evaluation of QIPP- an important area that all physiotherapists must understand in order to improve services. In this area, my mark was 62%; thus, my ability to evaluate evident will be of great assistance. Section 4: The statement should provide evidence of my self-directed learning in relation to my career long development (HPC 1a.8; 1a.6; LO 7; LO 10). The evidence available is based on evidence 4:1- ITU self-directed learning before placement ABGs, evidence 4.2-a presentation on the shoulder and evidence 4:2- certificate of attendance heart scanning. This can be narrated through the Health Professional Council HPC (2007) states that all physiotherapist has the responsibility of maintain their competence thought their working career, of keeping up to date with relevant scientific developments and of actively seeking to develop their ability to cater for the changing health care needs of the community. By keeping self-directed learning, I will make sure I will be able to adequate treat and inform my patient based on the treatment and maintenance conditions. (Evidence 4:1 is an illustration of a completed autonomous learning prior my Respiratory placement that I do acknowledge. The placement in the ITU has equipped me with the knowledge and skills that greatly boosted my career in the field of physiotherapy. The placement through the assistance of my clinical educator, peers in the facility, medical practitioners, and patients enriched my career. The experience from the facility was overwhelming since I came out in the right position to undertake any aspect of my career. The placement session allowed me to understand the various needs of patients suffering from LTC hence equipping me with the right skills to assist clients. In addition, I was in a position to comprehend that individuals with LTC must have an all-inclusive needs valuation that reflects what information and support are essential to permit them to self-manage their state. The experience I received was in line with the Continue Professional Development (CPD) in Physiotherapy career. At the end of the placement period, I was convinced that I had developed the requisite skills that could allow me to continue with my career comfortably. Moreover, I came to understand that I had developed my career through the Continue Professional Development approach through the experience. The feedback from my clinical educator in the facility commented on my experience positively demonstrating that I had developed my career successfully. However, in aspects related to respiratory placement, I was conscious that it was a weakness in aspects of topics as it was my first time to join ITU location. I had done some self-directed learning in relation on how to read an ITU chart and learn diverse principles to be competent to comprehend some important pathology (Tylee& Haddad 2007). During my 2-year Msk placement, I was able to carry out a research that was based on LTC successfully; however, the research was specific on the topic: Assessment and Management of the Painful Shoulder in the Community. The topic required substantive research to get facts concerning the ‘Painful Shoulder’ condition. While I was in the placement undertaking the research I used various books, journals, periodicals, articles, and other literature materials to allow me have the insight of the topic. I used primary source of collecting data concerning the topic where I carried out interview on patients suffering from the condition. This research gave me in-depth understanding of the topic on ‘Painful Shoulder. In my school life and particularly during the placement period, while I was undertaking physiotherapy I was not only interested in skeletal part of my course but on the entire body, for instance, the heart. I was more fascinated by the structures that constitute the body function. This interest led to my interest in my career that made me interested in understanding the career more. This was the greatest experience in the placement time, in ITU, and in my school life. This level of interaction boosted my learning experience while undertaking my placement. In some cases, I could volunteer in order to get a better understanding of it. The understanding of physiotherapy was very beneficial to my career. The proof will be the certificate that I received for my attendance to the seminar held by doctors and scanning the heart. It was great to view all the designs of the heart in details, which include aorta, atrium, ventricles (Tylee & Haddad, 2007; Pg. 83). Section 5: This statement: Provides evidence of my ability to relate personal practice based on their performance level and the ethics displayed (HPC 1a.1; LO 8). The evidence can be seen through the Placement feedback and Research on HPC Standards’ of conduct to reinforce my practice. This can be narrated through the HPC 1a.4. It states that it is essential to understand the importance of obtaining informed consent from the patient. Evidence and consistency show my ability to ask and record appropriate on soap notes the consent of my patients. HPC standards of proficiency (2007) also mention that practitioners need to be able to manage the task ahead of them and allocate the resources effectively. It also shows how to manage the workload and resources effectively and be able to practice accordingly. Feedback from my CE Evidence 5:1 highlighted in Yellow clearly states my ability to manage workload in a Respiratory word. These feedbacks from the CE further support the evidence 5:1. The CSP (2012) identify that practitioners need to be able to demonstrate expertise, full of informed decisions and act within their scope of practice. 5:2 shows I have actively demonstrated my ability to justify when and why to carry out treatments providing evidence of informed decision-making. The overall feedback shows my learning towards understanding HPC standard number one. It suggests that I will be able to follow the HPC standards to enable patient autonomy over their treatment in the future. Evidence 5:3 helped me to understand how the NHS can guide us in the practice. In order to ensure I commit to my duties as an HPC registrant, I will need to gather similar evidence for the remaining duties. Section 6: The statement Provides an evidence which demonstrating my understanding of audit, reflection and review of practice (2c.2; LO 9). The evidence is based on the 6:1- Summary of a paper on audit and mind map and the essay on reflection after my elective placement. This can be narrated through audit; reflection and review of practice promote assessment of needs of patients suffering from LTC or any other Pathology. During the time I was undertaking a placement, I came to understand that Audit, reflection and review of practice promote were the fundamental aspects that promoted quality of services offered to patients. I was requested to produce an example of an audit; nevertheless, I could not make it since I did not pose adequate awareness concerning audit. I commented that to my clinical educator, and she recommended me to investigate about auditing and improve my understanding on how to create and design one. The content and feature of the audit report will differ; nonetheless, it must typically comprise of the information, advice and support patients and society needs to meet their requirements. Where they are competent to do so, it must support maintaining their disorder and contain appropriate contact details for counsel and support. Clinical audit is a procedure, which has been defined as a quality enhancement procedure that pursues to advance patient care and results via a methodical review of care against unequivocal standards and the execution of change (Egede 2007). Evidence 6:1 clear demonstrates that I have my understanding in relation to the audit. During the placement reflection, I played a leading role in ensuring that I developed crucial concepts that was beneficial in acquiring important skills. These were needed to assist patients through care services and advice. Reflection, therefore, promoted the aspect of self-development hence better understanding of the patients’ needs. On the other hand, review of practice, in the facility while I was in my placement, gave me the understanding of the major processes that was vital in development of my career in the field of psychotherapy. The clinical educator commented positively on my acquired skills through reflection, review of practices. The comment from the clinical educator was encouraging as far as my career was concerned, which my confidence in dealing with patients suffering from LTC. Evidence 6:2 reinforces that I am able to reflect on my experiences. It shows I reflected and did research and mid map. This experience lets me develop a better understanding of audit and increase my confidence. I believe that now I am able to implement changes in my clinical practice and improve patient care by conducting an audit when necessary. When I begin my career, I hope to improve my practice through reflection, audit and review of practice. Section 7: This statement clearly demonstrates that I am fit to this practice. Moreover, as per the legal and ethical boundaries, it is worth noting that I understand the limits the practice and can provide advice whenever needed (1a.6; LO 10). This can be evident by using the 7:1 placement form feedback, 7:2 – placement form feedback remarking my ability to identify my needs and make changes appropriately. Lastly, the 7:3 Cross over placement feedback form (respiratory) can be narrated through my placement, particularly when I was handling patients suffering from LTC, I exhibited high ethical standards that were in line with the established standards in the healthcare sector. During the placement period, I understood that the most significant element physiotherapy professional autonomy is the ethical code of the occupation, both jointly and for the member of the profession. Therefore, while I was in the facility-attending patients, I had to practice high ethical standards that were in tandem with the codes established. Furthermore, in an ethical viewpoint, physiotherapy is a practice that is on a trajectory toward improved professionalism. Physiotherapists have countless images on ethics, and these reflections are principally founded on individual common sense opinions and deontological considerations (Tylee& Haddad 2007). During my placement, the clinical educator who was my supervisor found that I had sufficient ethics that will enable me to serve in the profession. The recommendation from the clinical educator was positive. It pointed out that while I was in my placement, I had acquired relevant skills that were evident during my practice. The feedback from one clinical educator is and condition, which usually clinical educator is senior physiotherapists with a comprehensive understanding of how is appropriate and pursue assistance when required (Egede 2007). I was able to display high professionalism while I was handling the patients suffering from LTC. The placement equipped with skills that enabled me to practice professionalism in my career. The aspect of professionalism was one of the key ethical codes that were needed in the healthcare. Through my placement, I continuously demonstrated and proved professionalism and constantly get good grades. I do understand ethical limits of my professional and I do attempt to live up to the dates with the outlines and plans. Lastly, I am a member of CSP, which is a magazine that is published every month, which creates awareness among the youth (Tylee& Haddad 2007). In section 7: Statement Know the limits of your practice and when to seek advice (1a. 6; LO 10) Evidence Narrative: Each professional plays a different role in the rehabilitation of the patient and it is essential to accept the role of each member of multidisciplinary team (MDT) in practice. I was able to distinguish the roles of each MDT members through efficient communication and collaborative work with them while providing patients the effective care. The evidence 7: 1 (highlighted in pink) which shows that I was able to communicate well with the MDT and engage the patient in the joint treatment session with other member of MDT supports this. This indicates my first approach of understanding my limitation as a physiotherapist in a clinical setting. The evidences 7: 2 and 7:3 (highlighted in yellow) demonstrate that I was able to refer to the responsible member of the MDT and other different services. This indicates that I am aware of my limitations, and I am able to involve MDT in my patient’s care ensuring all the physical, biological and psychosocial needs of the patient are met. The evidence 7:1 and 7:3 (highlighted in green) points out that I seek advice appropriately when necessary to ensure the safety of the patients. As an autonomous practitioner, every physiotherapist should know the extent of their abilities and understand their limits. This way they can make appropriate decisions about patient care and provide appropriate treatment. The Chartered Society of Physiotherapists (CSP) code of professional values 1.2.1 (2011) states that physiotherapists should ‘limit their professional activity hence making them competent and qualified to work well’. During my placements, my educators always supervised me, but I often treated patients independently. Evidence 7:1 and 7:2 demonstrates that I have been able to recognize my own limits and when to seek guidance from my supervisors. This demonstrates awareness of my own skills and learning needs as well as competency to treat patients appropriately. Physiotherapy has many lines of practice that overlap with other members of MDT. HPC states that MDT work is an essential part of the physiotherapy profession (2007). Evidence 7:3 highlights my ability that I was able to identify the need for appropriate referral for my patient, as she required assistance in her daily life activities. This is important in defining my limits as well as providing prove that I am able to treat patients with appropriate referrals to other professionals. I am also aware, and I recognize when to seek for help. It shows that I discussed my clinical Educator with them to receive adequate feedback. This allows me to act on improving areas that need to be developed. My improvement is also clear stated on evidence 7:3 Looking to the future, this evidence shows that I know when to seek help from senior therapists. It suggests that when I start working as a band 5, I will be able to identify my scope of practice and my employers’ expectations of me. In addition, I will attempt to make the most of my supervision sessions to discuss complex patients with them and enhance my own understanding of the roles of other professionals Bibliography EGEDE, (2007). “Depression in Adults with Long Term Conditions 1: How to identify and assess symptoms”, Nursing Times.Net (26 April 2013) EVASHWICK, C. ( 2005). ‘The continuum of long-term care’. New York: Thomson/Delmar Learning. GHOSH R. (2009). ‘Clinical Audit for Doctors’. Nottingham: Developmedica. (ISBN 978-1- 9068390-1-7) HEALTH PROFESSIONAL COUNCIL. (2007). Standards of proficiency physiotherapists. Retrieved May 13, 2013, from http://www.hpcuk.org/assets/documents/10000DBCStandards_of_Proficiency_Physiotherapists.pdf. SINGH, D. A. (2010). ‘Effective management of long-term care facilities’. Sudbury, Mass: Jones and Bartlett Publishers. TYLEE & HADDAD (2007). “Depression in Adults with Long Term Conditions 1: How to identify and assess symptoms”, Nursing Times.Net.   Read More