Pre-Placement Information

Transcription

1 Pre-Placement Information PCCC Dublin West, CHO 7 Address Acorn Unit, Cherry Orchard Hospital, Ballyfermot, Dublin 10 2nd Floor, Rossecourt Resource Centre, Balgaddy, Lucan, Co. Dublin Inchicore Primary Care Centre, St. Michaels Estate, Inchicore, Dublin 8. Ballyfermot Primary Care Centre, Ballyfermot Road, Dublin 10. Contact Person Roseanne Freeman Physiotherapy Manager (Laura Fitzharris from September 2015) Where to Check In Acorn Unit 10, Cherry Orchard Hospital, Ballyfermot, Dublin 10 Preferred Contact Method Phone Manager: Cherry Orchard Office Rossecourt Physiotherapy: Inchicore Reception: (01) /6364 Ballyfermot Reception: / roseanne.freeman@hse.ie; laura.fitzharris@hse.ie How to Get Here Car Bus Ballyfermot: 18, 78A, 76, 26 (hourly) Rossecourt: 40 (Fonthill, Liffey Valley SC, Ballyfermot, Inchicore) 51D (Clondalkin village, Fonthill, Palmertown bypass) 151 (Adamstown, Nangor Road, Foxborough) 25A, 25X (Lucan and Foxborough) 239 (parts of Lucan & Liffey Valley SC) NA Luas/Dart Working Hours /17.00 Breaks Uniform Policy Dress code: Smart, No jeans, tracksuits or sports wear. Suitable clothes and footwear for manual handling. Accommodation NA

2 Student Facilities Access to Staff Room Canteen Changing Facilities Car/Bicycle Parking Library Study Areas Internet On-site Reading Resources Yes in all primary care centres listed Yes (Cherry Orchard only) Staff kitchens in all primary care centres Restaurant available in Rossecourt. Basic and in all primary care centres, some inclusive of showers Yes in all areas Selection of books available Access to Dr Steevens s library online Small library facility available in Cherry Orchard. Yes in all areas Yes Yes Clinical Information It is suggested that students familiarise themselves with the following pathologies, assessment procedures and treatment options prior to the beginning of placement. Students are expected to utilise the physiotherapy facilities available in preparation for all placements. Specialty Area Conditions Seen Assessment Procedures Used Paediatrics (Acorn Unit / Rossecourt) Milestone delay Dyspraxia / Developmental Coordination Disorder Toe walking Osgood - Schlatter's Disease Flat feet / Intoeing Autism Mild Intellectual Disability Hypotonia Premature babies with low tone Developmental delay - due to hypotonia with or without diagnosis and may be gross motor or global. Postural problems - Torticollis, Plagiocephaly, Scoliosis, Metatarsus adductus. Benign Hypermobility Syndrome Evaluation includes: Clinical observation of the child s mobility (method, quality and functionality), Static posture (weight bearing alignment, sitting posture, etc.), Dynamic posture (transitions, walking on line, walking on tip

3 toes, etc.), Gait pattern and any deviations and Overall quality of movement Administration of an evaluation tool for age appropriate skills Physical examination, including: o range of motion o muscle tone o clonus o balance reactions (speed, effectiveness, maturity) o tolerance to vestibular stimulation o Genu valgum,varum,recurvatum or excessive calcaneal valgus in weight-bearing o clonus, heel cord or hamstring contracture, limited hip abduction (possible hip dysplasia Ongoing conversation with parents and caregivers regarding their child s o function and safety across environments (including frequency and pattern of falls), o overall health and activity level, o temperament and personality factors, o performance during the evaluation compared to their typical behaviour. o also elicit not-easily-observed information Supplemental testing (as needed to identify underlying impairments): o balance challenge (e.g., step over obstacle, walk on pillow, recovery from perturbation, stance on rocker board, etc.) o strength indicators (e.g., ease of stair climbing, steadiness in squat, jumping, sustaining tip toes with or without hand support, etc.) o motor planning (e.g., novel fine motor task, climbing off couch, down stairs or off kitchen chair, complex fine motor task, etc.) o eye-hand/eye-foot coordination (e.g., catch, throw, kick; walk on a line, etc.) Closing Conversation with family to o invite caregiver questions o communicate initial impressions and findings o provide home activity suggestions as appropriate o foreshadow next steps (test scoring and analysis of findings, consultation with other professionals, service coordinator, written report mailed to family, meeting to determine eligibility, possible development of IFSP) Synthesize findings and write report in family-friendly language. Treatment Options Tots and tums Stretches HEP Family involvement in care - teaching educating etc

4 MDT Opportunities Outcome Measures Useful References (3 max) Strengthening programme Neuro development exercise programmes Meeting with other members of the Early intervention Team Participate in Meeting and Family Service Planning. Modified Ashworth Scale Lee Method of Gross Motor Assessment The Developmental Coordination Disorder Questionnaire 2007 (DCDQ 07) Quality of Movement Checklist for the School Age Children Motor Screening by Portwood Sensory Motor History Questionnaire (3-5) Pediatric Balance Scale Gross Motor Function Measure (GMFM) Bayley Scales of Infant Develpoment second edition BSID-II BOOKS Physiotherapy for Children- By Teresa E. Pountney American Physical Therapy Association. Guide to Physical Therapist Practice, 2nd ed. Alexandria, VA: American Physical Therapy Association, Campbell, Suzann K., Darl W. Vander Linden, and Robert J. Palisano. Physical Therapy for Children, 2nd ed. Philadelphia: W. B. Saunders Company, PERIODICALS Hayes, Margo Starks, et. al. "Next Step: A Survey of Pediatric Physical Therapists' Educational Needs and Perceptions of Motor Control, Motor Development, and Motor Learning as They Relate to Services for Children with Developmental Disabilities." Pediatric Physical Therapy 11, no. 4 (Winter 1999): King, G. A., et. al. "An Evaluation of Functional, School- Based Therapy Service sfor Children with Special Needs." Physical and Occupational Therapy in Pediatrics 19, no. 2 (1999): Ryan Cieply and Todd Milbrandt. Back pain in children and adolescents. In Current Orthopaedic Practice. Nov./Dec Vol. 20. No. 6. Pp. 627 to 633 Useful Additional Information Revise: Early Milestones in Gross Motor Development. (Good website: ) Normal lower and upper extremity range of motion (ROM) Known neurological conditions (e.g intraventricular hemorrhage, periventricular leucomalasia) Neonatal Reflexes Tone assessment Symptoms of low tone (e.g. clumsy, weakness, history of

5 delayed milestones, falls, W sitting) Normal lower limb variants in children (flat feet, intoeing, out-toeing, genu varum, genu valgus) What is motor planning? Specialty Area Conditions Seen Assessment Procedures Used Treatment Options Domicillary home visits Reduced mobility issues Falls risks Generalised OA/RA Post hip/knee replacement Neuro/ortho/rheumatological conditions Recent hospital discharges Assessment for mobility aid for use at home/outdoors Evaluation includes: Clinical observation of the adults mobility(method, quality and functionality), Static posture (weight bearing alignment, sitting posture, etc.), Dynamic posture (transitions, walking on line, walking on tip toes, etc.), Gait pattern and any deviations and Overall quality of movement Administration of an evaluation tool for age appropriate skills Physical examination, including: o range of motion o muscle tone/strength etc Ongoing conversation with patients family and caregivers/home help regarding patient needs/status: o function and safety across environments (including frequency and pattern of falls), o overall health and activity level, o temperament and personality factors, Supplemental testing (as needed to identify underlying impairments): Closing Conversation with family to o Invite any questions Assessment/treatment planning and goal setting Rehabilitation/exercise prescription/progression. Communication with family/carers. Education to family/carers. Team working - MDT Holistic approach to patient through use of physiotherapy skills Setting of home exercise plans Disease prevention Health promotion Chronic disease management

6 Exercise classes run in community MDT Opportunities Outcome Measures Useful References (3 max) Useful Additional Information Meeting with other members of the primary care team Participate in primary care meetings and goal setting/problem solving. Berg balance scale Tinetti Functional mobility scale Timed up and go Elderly mobility scale BOOKS Explain pain Carr and Shepard NICE Guidelines for falls risk Revise: As per college material Specialty Area Conditions Seen Assessment Procedures Used Out- patient musculoskeletal (Rossecourt) Reduced mobility issues/lbp RA/OA Biomechanical footwear issues Chronic shoulder/neck/back pain Multiple soft tissue injuries/ WAD etc Chronic pain syndrome Chronic Neurological conditions Evaluation includes: Clinical observation of the adults mobility/gait(method, quality and functionality), Static posture (weight bearing alignment, sitting posture, etc.), Dynamic posture (transitions, walking on line, walking on tip toes, etc.), Observation cardinal signs of inflammation Gait pattern and any deviations and Overall quality of movement Administration of an evaluation tool for age appropriate skills Physical examination, including: o range of motion o muscle tone/strength etc o neuro assessment Ongoing conversation with patients family and caregivers/home help regarding patient needs/status: o function and safety across environments (including frequency and pattern of falls), o overall health and activity levels,

7 o Temperament and personality factors, Supplemental testing (as needed to identify underlying impairments): o Closing Conversation with family to invite any questions Treatment Options MDT Opportunities Outcome Measures Useful References (3 max) Useful Additional Information Assessment/treatment planning and goal setting Rehabilitation/exercise prescription/progression. Communication with family/carers. Education to family/carers. Team working - MDT Holistic approach to patient through use of physiotherapy skills acupuncture/yoga/pilates Setting of home exercise plans Identifying further need for referral to member of MDT, Referral to acute services/secondary care/specialist services Disease prevention Health promotion Chronic disease management OA/LBP exercise classes run in community setting Pain education classes Footwear clinic Meeting with other members of the primary care team Participate in primary care meetings and goal setting/problem solving. Pain scales HADS Disability outcome measures multiple WAD outcome measures as per department protocols Use of multiple protocols in department Neck disability index BOOKS Explain pain David Butler On line websites available for researching articles Clinical Sports Medicine (McGraw-Hill Sports Medicine) by Peter Brukner/Khan Revise: As per college material Specialty Area Conditions Seen Long stay hospital units Reduced mobility issues/high dependency Dementia/alzheimers Care of the elderly Chronic respiratory infections Falls Young people with chronic disability

8 Assessment Procedures Used Treatment Options MDT Opportunities Outcome Measures Useful References (3 max) Useful Additional Information Evaluation includes: Clinical observation of the adults mobility/gait(method, quality and functionality), Static posture (weight bearing alignment, sitting posture, etc.), Dynamic posture (transitions, walking on line, walking on tip toes, etc.), Observation Gait pattern and any deviations and Overall quality of movement Administration of an evaluation tool for age appropriate skills Physical examination, including: o range of motion o muscle tone/strength etc o neuro assessment Ongoing conversation with patients family and caregivers/home help regarding patient needs/status: o function and safety across environments (including frequency and pattern of falls), o overall health and activity levels, o Temperament and personality factors, Supplemental testing (as needed to identify underlying impairments): Closing Conversation with family to o Invite any questions o How to manage family member on the ward Assessment/treatment planning and goal setting Rehabilitation/exercise prescription/progression. Communication with family/carers. Education to family/carers. Team working - MDT Holistic approach to patient through use of physiotherapy skills acupuncture/yoga/pilates Setting of home exercise plans Identifying further need for referral to member of MDT, Falls exercise classes Meeting with other members of the MDT team Participate in meetings and goal setting/problem solving re: care plan in place. Pain scales Functional mobility scales BOOKS Physiotherapy in Respiratory Care Third Edition: A Problem-solving Approach by Alexandra Hough Physical Management in Neurological Rehabilitation (Physiotherapy Essentials)Paperback 13 Oct 2004 Revise: As per college material OTHER ACTIVITIES Back exercise groups

9 Generalised exercise classes for hip/knee OA/LBP Staff pilates classes Footwear clinics run in primary care Primary care meetings to attend Inservice education in community and hospital linked with community care areas Observation with paediatric physiotherapy on early intervention team and long stay units.