The profession of physiotherapy comes with a lot of responsibilities just like any other healthcare profession. This report is the compilation of the things that I have learnt in my working life. Elderly care is a very sensitive healthcare on its own and physical therapy treatment for them needs to be carried out very carefully. This report is a documentation of the aspects that I have maintained to ensure proper clinical governance and patient safety.
I have learnt that time management is an important responsibility in any form of healthcare services. Physiotherapy might seem unlikely, but does require management of time. Increase in number of patients, mostly elderly patients with cardiovascular issues, Alzheimer’s diseases and orthopedic issues. I have treated various patients with a multitude of problems who require prolonged care. So management of time is something that I have always given top priority. I used to calculate the exact number of treatment hours to be assigned to maintain patient commitment and how many base hours are to be used for assessments, reviews and referrals.
I have come across many studies that show an increasing number of people undergoing physical therapy, from athletes to the general working class suffering from lifestyle hazard (Ostaszkiewicz, 2013). Along with these treatment of elderly people is also increasing. I have myself treated as well as lead my team to treat patients, elderly or otherwise and subdivided the workload to ensure effective division of labor. Implementation of various tools and machines has reduced the workload over the course of my profession.
I have always trained student and team members to develop strong skills and medical intuitions. Appointing efficient professionals who have the fundamental knowledge about the medical field, work culture has always been my strong suit. I have always maintained documented records of the team members and students who work for me to maintain the integrity of the healthcare workforce and have encouraged my subordinates to do the same. This ensures smooth governance in the facility and if any mishap arises, it can be easily dealt with (Morris et al., 2014).
I am a firm believer of maintainance of proper and safe clinical practice should always be maintained in healthcare services. Since the majority of our patients are elderly people, implementing individual and specific physical therapy care is very important (Mudge, McRae & Cruickshank, 2013). I have always appointed skilled and determined professionals who take their job seriously and are responsible to minimize risk factors. I encourage my team members to employ a pain management session which serves as an opportunity to optimize mobility, muscle dexterity and rehabilitation. Apart from physical treatment, developing a trust with the patient always seemed to me as an important part of treatment. Implementing evidence based assessment tools, like, physical mobility scales which provide critical treatment analysis. I have always taught my team to pay attention to the patients needs in order to ensure professional engagement.
I tried to ensure a safe and state of the art service environment should be provided to the patient. In my professional life, I have always looked out for incorporating newer techniques, technologies in my treatment methods. I have also encouraged my students and team members to do the same, so that treatment can be done by maximum healthcare efficiency. I have evaluated and maintained all clinical records which are clear and crisp, implying transparency between patients and professionals. Patient safety is also a primary concern that cannot be neglected, elderly patients have fragile physical ability and in no way that should be jeopardized (Taylor, Sims & Haines, 2014).
Providing convenient and affordable healthcare service is also one of the things I deem important for this industry. Not everyone can afford expensive healthcare services, especially elderly patients. Most of the elderly patients are retired and reliant on medical benefits which do not require them to provide out-of-pocket cost. We ensure in-house treatment for patients with disabilities. My team has members who are specialized for treating in-house patients.
As a doctor, my responsibility towards my patients is a top priority but at the same time I am a leader of a medical management team which works day and night. These modules have helped me to minimize risk factors and provide efficient and quick service to those who seek it. I hope this report will provide a template for future aspirants who wish to lead a medical team.
Morris, J., Grimmer, K., Ashman, B., Gilmore, L., Kyle, G., & Murphy, K. et al. (2014). Principles to guide sustainable implementation of extended-scope-of-practice physiotherapy workforce redesign initiatives in Australia: stakeholder perspectives, barriers, supports, and incentives. Journal Of Multidisciplinary Healthcare, 249.
Mudge, A. M., McRae, P., & Cruickshank, M. (2015). Eat walk engage: an interdisciplinary collaborative model to improve care of hospitalized elders. American Journal of Medical Quality, 30(1), 5-13.
Ostaszkiewicz, J. (2013). Providing continence care in residential aged care facilities: A Grounded theory study (No. PhD). Deakin University.
Smyth, L., Kinsman, R., Ransome, H., & Smith, P. (2013). Practical physiotherapy with older people. Springer.
Taylor, J., Sims, J., & Haines, T. P. (2014). The emergent relevance of care staff decision?making and situation awareness to mobility care in nursing homes: an ethnographic study. Journal of advanced nursing, 70(12), 2767-2778.
Yu, P., Zhang, Y., Gong, Y., & Zhang, J. (2013). Unintended adverse consequences of introducing electronic health records in residential aged care homes. International Journal Of Medical Informatics, 82(9), 772-788.