Tidy's Physiotherapy, 15e (Physiotherapy Essentials)

Product Information

Access-restricted-item true Addeddate 2022-03-29 00:35:35 Associated-names Porter, Stuart B; Thomson, A. M. (Ann M.). Tidy's physiotherapy Boxid IA40407609 Camera Sony Alpha-A6300 (Control) Collection_set printdisabled External-identifier Maintaining competence to practise So an individual's scope of practice and competence are constantly evolving, based on professional and life experiences, learning from reading, from evaluating practice, from reflecting on practice, or more formal ways of learning. It includes undertaking programmes of structured CPD. Clinical reasoning skills are continually refined and further developed throughout a career through evaluative and reflective practice, leading to the ability to deal with increasingly complex and unpredictable situations. Physiotherapists have a duty to keep up to date with new knowledge generated by research, with what their peers are thinking and doing, and by formally evaluating the outcome of their practice. The responsibility for this is reflected in Standards of Physiotherapy Practice (CSP 2000). In particular, Core Standards 19-22 are concerned with a requirement that individuals assess their learning needs, then plan, implement An emphasis on continuing professional development and lifelong learning (ILL) Clinical governance acknowledges the importance of CPD/LLL for all healthcare workers, in order to keep up to date and deliver high-quality services. evidence-based practice and clinical effectiveness applying national standards and guidelines locally evaluating the effectiveness and quality of services continuing professional development/life-long learning • having the right workforce and using it appropriately. Online access to over 50 video clips and 100's of dowloadable images (http://evolve.elsevier.com/Porter/Tidy)

Online resources via Evolve Learning with video clips, image bank, crosswords and MCQs! Log on and register at http://evolve.elsevier.com/Porter/Tidy

My Book Notes

Physiotherapy students need a solid foundation upon which to build their knowledge base, and we must not lose sight of this reality. This new edition reflects current trends and innovations whilst acknowledging that just occasionally it is good to have a clearly laid out reference guide for students, for whom the learning curve is especially steep. Physiotherapy qualifying programmes must prepare students to function effectively in the changing world of healthcare - to be analytical problem-solvers who are autonomous practitioners in their own right. I wonder, though, how many graduates still recall how difficult it was to reflect, hypothesise, reason, analyse and integrate vast amounts of new information when we were new to the profession. The journey to become a physiotherapist is not an easy one, and we should facilitate the learning process for students, the physiotherapists of the future, in every way possible. Albert Einstein said 'Make everything as simple as possible, but not simpler.' The team of authors in this volume have tried to give student physiotherapists a simple - but accurate and relevant guide which is grounded in the clinical world and presented in a clear format. I hope that we have succeeded in our aim. 2003 oped by a European consortium, known as the AGREE instrument (the AGREE Collaboration: www.agreecollaboration.org). For users of clinical guidelines, CSP-endorsed clinical guidelines can be considered of high quality and should be implemented locally. Further information about the process for the development of clinical guidelines in physiotherapy is available from the CSP (2002e). The Responsibilities of Being a Physiotherapist Judy Mead MCSP Head of Clinical Effectiveness, Research and Clinical Effectiveness Unit, Chartered Society of Physiotherapy, London, UK Musculoskeletal Assessment Lynne Gaskell Grad Dip Phys PGD(Res) Lecturer, School of Health Care Professions, University of Salford, Salford, UK An Introduction to Fractures Stuart B. Porter BSc (Hons) Grad Dip Phys MCSP SRP CertMHS Lecturer, School of Health Care Professions, University of Salford, Salford, UK The Intervertebral Disc in Health and Disease: An Introduction to Back Pain Stuart B. Porter BSc(Hons) Grad Dip Phys MCSP SRP CertMHS Lecturer, School of Health Care Professions, University of Salford, Salford, UK Management of Burns and Plastic Surgery Sally Dean Grad Dip Phys MCSP Clinical Specialist, Hand Therapy, Burns and Plastics Unit, Whiston Hospital, St Helens and Knowsley Hospital Services NHS Trust, Prescot, Merseyside, UK Biomechanics Jim Richards BEng MSc PhD Senior Lecturer in Biomechanics, School of Health Care Professions, University of Salford, Salford, UK Physiotherapy in Women's Health Gill Brook MCSP SRP Eileen Brayshaw MSc MCSP SRP FETC

More information about evidence-based practice can be found in Bury and Mead (1998), or at http: //www.nettingtheevidence.org.uk/, a catalogue of useful electronic learning resources and links to organisations, which facilitate evidence-based healthcare. See also the section 'Sources of Critical Appraisal Tools' towards the end of this chapter. CLINICAL EFFECTIVENESS Clinical effectiveness as defined by the Department of Health sounds very much like evidence-based practice • doing things you know will be effective for a particular patient or group of patients. But the fact that an intervention has been proved to work in research studies, in a relatively controlled environment, does not necessarily mean that it will work for a particular patient. Both patients and practitioners are unique beings, and there are many additional factors, practical and behavioural, that need to be considered to ensure the patient gets the maximum benefit from an intervention. Clinical audit is a cyclical process involving the identification of a topic, setting standards, comparing practice with the standards, implementing changes, and monitoring the effect of those changes (CSP 2000). Further information about clinical audit can be found in an information paper published by the CSP (2002f) and in Principles for Best Practice in Clinical Audit published by NICE (2001). and Sharon Baines, lecturers at the University of Salford; Judith Chapman, lecturer at the University of Southampton; Sue Barnard, lecturer in physiotherapy at the University of Southampton; Rod Moore, of Medical Dynamics; Pauline Davey, assistant communications manager at the National Osteoporosis Society; Mr R. F. Adam FRCS MChOrth, consultant orthopaedic surgeon; Fiona Cobbold, senior physiotherapist, and Mike Somervell and Julie Butler, senior occupational therapists, at the Southport & Ormskirk Hospital NHS Trust; Reinier van Mierlo, superintendent physiotherapist at the Royal Preston Hospital; Carol Barnes, senior physiotherapist at Stepping Hill Hospital, Stockport; and the medical photography department at Whiston Hospital. Thanks also go to Andrew and Justine Arlow for their encouragement and advice. I should also like to thank all my colleagues at the University of Salford School of Health Care Professions for their support; the physiotherapy staff at Wrightington and Ormskirk Hospitals; and the unsung heroes of our profession - the physiotherapy assistants with whom I have worked over the years and who have kept me functioning on numerous occasions. My thanks go to my wife, Sue, for always having picked me up whenever I have fallen down. Finally, thank you to our three little girls Alison, Claire and Jessica for helping me to believe in magic again and never complaining when they were buried under a mountain of paper during the final months of this project! Contributors Physiotherapy in Rheumatology Rachel Lewis MCSP SRP HT Physiotherapy Department, Avon Orthopaedic Centre, Southmead Hospital, Bristol, UK Physiotherapy Management of Ankylosing Spondylitis Juliette O'Hea MCSP MSc PG Dip (Rheum) Rheumatology Practioner, Salisbury District Hospital, Odstock Road, Salisbury, Wiltshire, UK Management of Respiratory Diseases Stephanie Enright PhD MPhil MSc PG Cert MSCP Senior Lecturer, School of Health Care Professions, University of Salford, Salford, UK Cardiac Disease /. P. Moore PhD Academic Unit of Cardiovascular Medicine, University of Leeds, UK Physiotherapy in Thoracic Surgery Anne Dyson Grad Dip Phys MCSP SRP Senior Physiotherapist, Cardio Thoracic Centre, NHS Trust, Liverpool, UK The Research Process Lynne Goodacre PhD SROT Postdoctoral Research Associate, Lancashire Postgraduate School of Medicine and Health, University of Central Lancashire, Preston, Lancashire, UK Upper and Lower Joint Arthroplasty Ann Birch BA (OU) MCSP SRP Senior Physiotherapist, Wrightington Hospital, Hand and Upper Limb Surgery Unit, Wigan, Lancashire, UKClinical guidelines are 'systematically developed statements to assist practitioner and patient decisions about appropriate healthcare for specific circumstances' (Field and Lohr 1992). National Service Frameworks (NSFs) This government initiative aims to provide the NHS with explicit standards and principles for the pattern and level of services required for a specific service or care group. The NSFs aim to address the 'whole system of care' and each will set out where care is best provided and the standard of care that patients should be offered in each setting. They provide 'a clear set of priorities against which local action can be framed' and seek to ensure that patients will get greater consistency in the availability and quality of services, right across the NHS (Secretary of State for Health 1998). NSFs have so far been developed for coronary heart disease (including cardiac rehabilitation), mental health, older people (including falls, osteoporosis and stroke) and diabetes. They provide broad statements of expected services; for example in the older-people NSF: 'Older people who have fallen receive effective treatment and rehabilitation and, with their carers, receive advice on prevention through a specialised falls service.' Physiotherapists will therefore need to address the implementation of this standard in any services they provide to older people. Implementation will also provide opportunities to promote the value of physiotherapy to this patient population and highlight the