C. Treatments Available at the Unit In October 2005, a new form for patient records was tried at the Physio Unit. (See attached Appendix A & B). This enabled an audit for the services done at the Physio Unit and its implications. The following table shows the results for October 2005 – October 2006: Services Done: A. Evaluations Initial Evaluations Re-evaluations Home-Evaluations B. Education Patient education Family/Caregiver education Community Education C. Chest Physiotherapy D. E. F. G.
H. I.
J.
K. L.
Cryotherapy Aquatherapy Jobst compression & Elevation Electrotherapy TENS ES NMES Interferential Currents Heating Agents Ultrasound HMP Soft Tissue Mobilizations Peripheral Joint Mobilization Manipulation Massage Stretching Therapeutic Exercises Prescription Demonstration Supervision Diet Advice Plan Others Posture Education Ergonomics Orthotics Prosthetic Assessment Gait re-education Traction Work Hardening Taping POP Neurological techniques Others
IMPLICATIONS - 189 - 77 -1
Needed: Standard forms Training: Updates on quick assessments Documentation responsibilities
- 172 - 73 -0 - 36
Needed: Patient space for education : Time for community education Training: Caregiver training Needed: Re-check client base with Ward 2 Nurses doing a good job! Training: Student nurses trained for CPT Needed: Ice packs (currently only 5 at unit) Needed: Pool area (?) Needed: Equipment
- 48 - 11 -5 - 38 -7 -0 -1 - 59 - 61
Needed: More equipment (Only 1 TENS machine – owned by HSaweni) Needed: More equipment (Currently only 1 Ultrasound machine & Hot packs used are IV bags.)
-9 - 32 - 86 - 27
Needed: Proper beds Training: Students – nursing and physio students taught these techniques
- 185 - 153 - 167
Needed: Equipment Training: More training focused on exercises
- 24 - 22 - 12 -2 - 35 -2 -5 -5 -0 - 0* -4 - 10 - 47**
Needed: Nutritionist Training: Nutritionist/Dietician Training: Students and staff to be trained for these Note: *not accurate because of Sports Injuries not counted in records ** other treatments include positioning, PEEP bottles, wound management, giving of knee braces, ball exercises, referral to other services, reflexology, herbal medications, and giving of Vitamin B
Skills under-utilized in hospital-based Physiotherapy are the following: Home evaluation Community Education Neuromuscular Electrical Stimulation (no machine) Paraffin Wax Bath (no equipment – a makeshift was done with pan & candle wax: oil mixture) Traction (no equipment) – calculations with patient’s body weight and angle of pull with the pulley system at the unit is being done. However, physio needs to stand at the pulley system to make sure that the correct weight arm is being applied for 20 minutes 6. Work hardening (no time for office/workplace evaluation) 7. Taping – No sports tapes available 8. Neurological Techniques (need further training) 1. 2. 3. 4. 5.
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