Friday 13 September 2013

Learn More About - Physiotherapy


Our staff team includes people with many different professional backgrounds.  Here we look at Physiotherapy and what support is available to both staff and service users.
What do physiotherapists do?
Physiotherapists help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. 
They maintain health for people of all ages, helping patients to manage pain and prevent disease.
The profession helps to encourage development and facilitate recovery, enabling people to stay in work while helping them to remain independent for as long as possible.
What is physiotherapy?
Physiotherapy is a science-based profession and takes a ‘whole person’ approach to health and wellbeing, which includes the patient’s general lifestyle.
At the core is the patient’s involvement in their own care, through education, awareness, empowerment and participation in their treatment.
You can benefit from physiotherapy at any time in your life. Physiotherapy helps with back pain or sudden injury, managing long-term medical condition such as asthma, and in preparing for childbirth or a sporting event.
Why physiotherapy?
Physiotherapy is a degree-based healthcare profession. Physios use their knowledge and skills to improve a range of conditions associated with different systems of the body, such as:
  • Neurological (stroke, multiple sclerosis, Parkinson's)
  • Neuromusculoskeletal (back pain, whiplash associated disorder, sports injuries, arthritis)
  • Cardiovascular (chronic heart disease, rehabilitation after heart attack)
  • Respiratory (asthma, chronic obstructive pulmonary disease, cystic fibrosis).

Physiotherapists work in a variety of specialisms in health and social care. Additionally, some physiotherapists are involved in education, research and service management.
What is the role of the personal assistant in physiotherapy?

We all play a vital role in ensuring best physiotherapy best practice is used.  Some of the main areas to consider are:

  • Mobilising and promoting movement
  • Ensuring appropriate posture in bed or chair
  • Correct repositioning
  • Promoting independence in daily activities

How can we promote mobilisation and reduce the risk of injury?

Each of us should on a daily basis, encourage service users to mobilise as much as possible.  We can do this by promoting greater independence and offering encouragement to move, change position from bed to chair and maintaining personal hygiene.

Where service users require assistance to move there are some key points to remember.  Always consult the moving and handling assessment.  Ensure the environment is safe and the equipment needed is in place.  Use your moving and handling training and remember the basic of good posture:

  • Put your feet in a wide stable position
  • Ensure you have a good hold on equipment or service user
  • Use equipment to assist you
  • Don’t lift weight, instead guide, support or steady.

What is a pressure ulcer?

A pressure ulcer (bedsore) is an area of skin and tissue damage caused by pressure, shear, friction or mixture of these factors. Pressure is the direct force on the skin and tissues which affects the person if he or she remains in one position for too long. This is common when people are being cared for in bed or sitting up in a chair for long periods of time without moving or being moved. Two hours is the maximum allowable time in one position for many people. The blood supply to the tissues is reduced or cut off when tissue is compressed against bone for long periods of time .This may cause blue/black skin damage, which can appear like bruising on the skin.

What can we do to prevent skin damage?

Some important steps can be taken to reduce the risk to people who are vulnerable to skin damage. This includes:

  • Inspecting the skin regularly
  • Making sure all surfaces, such as the bed and chair, are appropriate to the person
  • Assisting the person to reposition him or herself on a regular basis
  • Use manual handling aids to minimise shear and friction.

The techniques and equipment available for pressure redistribution are:

  • Repositioning
  • Specialist mattresses
  • Specialist beds
  • Specialist cushion
  • Other aids, such as heel protectors

More information on Tissue Viability can be found on the Care Inspectorate website or by following the following link Tissue Viability

Where can I learn more about what a Physiotherapist does?
If you need more help or advice then please feel free to contact me as I am only too happy to help.  You can also follow me on the SCA blog or Forum.  You can also learn more about what a physiotherapist does by following the link below:



Agnieszka Korplaska 
Team Leader + Professional Advisor - Physiotherapy

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