“<i>What do you expect from physiotherapy</i>?”: a detailed analysis of goal setting in physiotherapy

Schoeb, Veronika; Staffoni, Liliana; Parry, Ruth; Pilnick, Alison

doi:10.3109/09638288.2013.867369

Cited by 46 publications

(35 citation statements)

References 37 publications

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“…The process not only offers a method of documenting treatment effectiveness, but also offers an opportunity for dialogue and negotiation between the patient and the treating team thereby engaging the patient in their own care and establishing expectations for the outcome. [14,15] Another important aspect of HCP communication identified by this survey is the need to use terminology that can be understood by the patient and their carers and family members. Use of complicated terminology was cited as a key reason for dissatisfaction with information provision.…”

Section: Discussionmentioning

confidence: 99%

An international survey of patients living with spasticity

Barnes

Koçer

Fernandez³

et al. 2016

Disability and Rehabilitation

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Purpose: To better understand patient perspectives on the life impact of spasticity. Methods: Global Internet survey (April 2014-May 2015 of 281 people living with spasticity. Results: Respondents indicated that spasticity has a broad impact on their daily-life: 72% reported impact on quality of life, 44% reported loss of independence and 44% reported depression. Most respondents (64%) were cared for by family members, of whom half had stopped working or reduced their hours. Overall, 45% reported dissatisfaction with the information provided at diagnosis; main reasons were ''not enough information'' (67%) and ''technical terminology'' (36%). Respondents had high treatment expectations; 63% expected to be free of muscle spasm, 41% to take care of themselves and 36% to return to a normal routine. However, 33% of respondents had not discussed these expectations with their physician. The most common treatments were physiotherapy (75%), botulinum neurotoxin (BoNT, 73%) and oral spasmolytics (57%). Of those treated with BoNT, 47% waited >1 year from spasticity onset to treatment. Conclusions: This survey emphasises the broad impact of spasticity and highlights unmet needs in the patient journey. Improvements with regards to communication and the therapeutic relationship would be especially welcomed by patients, and would help manage treatment expectations. ä IMPLICATIONS OF REHABILITATIONSpasticity has broad impact on the lives of patients and their families that extends beyond the direct physical disability. Patients with spasticity need to be well informed about their condition and treatments available and should be given the opportunity to discuss their expectations. Physicians need to be aware of the patient's individual needs and expectations in order to better help them achieve their therapeutic goals. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 99%

An international survey of patients living with spasticity

Barnes

Koçer

Fernandez³

et al. 2016

Disability and Rehabilitation

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“…Observing actual interactions enables one to better understand complex organizational processes (Llewellyn & Hindmarsh, 2010). Conversation analysis, a qualitative observational method inspired by ethnomethodology, has been widely applied to medical interactions (Heritage & Maynard, 2006) and allied health professions, such as nursing (Jones, 2009) and physiotherapy (Parry, 2004;Schoeb, Staffoni, Parry, & Pilnick, 2014). Ethnomethodology aims to explicate how people "create and maintain a sense of order and intelligibility in social life (pp.14)" (Ten Have, 2004).…”

Section: Methodsmentioning

confidence: 99%

Influence of interactional structure on patient’s participation during interprofessional discharge planning meetings in rehabilitation centers

Schoeb

Staffoni

Keel

2018

Journal of Interprofessional Care

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Interprofessional practice has become increasingly important. In addition, patients are expected to participate more actively in health-care decisions. While comprehensive discharge planning has been shown to be effective, it is unclear how interactional structure influences patients' participation during discharge planning meetings. The aims of this qualitative study were to examine the interactional structure of interprofessional meetings in two rehabilitation clinics and to identify patients' types of communicative involvement (patient participation) during discharge planning meetings. Using an ethnomethodological approach and Conversation Analysis, 121 interprofessional meetings were video-recorded (19 hours of recordings). Twenty-five patients (30-87 years) with neurological or musculoskeletal disorders and their teams were included. The findings revealed two types of meetings aimed at either (a) exchanging information with team members and patient ("information exchange meeting") or (b) negotiating care plans with patients and the team. "Negotiation meetings" were often led by allied health professionals or nurses and were characterized by active patient participation. Those meetings offered patients an opportunity to give additional information rather than only ask questions. The discussion includes reflections on how interactional analysis can help understand the social organization of meetings and how patient participation can be enhanced in this context and concludes with practice implications.

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“…Having a sense of hope for the future can provide the optimism and encouragement for adherence to self-management (Brown et al 2014;Delmer et al, 2005). Nevertheless, some individuals may find goal setting challenging especially if they have not had any previous experience of this process (Schoeb, Staffoni, Parry and Pilnick, 2014) or, lack the motivation to engage (Hartley and Stockley, 2016). Therefore, there may be times that require more input by the physiotherapist to nurture the individual to a point where they are more capable and self-assured to take some responsibility for setting goals.…”

Section: Goal Settingmentioning

confidence: 99%

Re-imagining the role of the physiotherapist when managing people with long-term conditions

Hartley¹,

Mcsp²,

Fhea³

2018

Physiotherapy Theory and Practice

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The rising prevalence of long-term conditions (LTCs) is placing increasing pressures on healthcare systems. With the future prospect that more individuals will experience multiple comorbidities, LTCs are becoming a growing concern. This article aims to discuss the challenges faced by and the opportunities afforded to physiotherapists when caring for people with LTCs. It highlights the complexity of managing people with LTCs and the demands faced by physiotherapists when working within a transitioning healthcare service that necessitates cost-effective yet, sustainable care. It considers ways that interventions can be optimized to not only support individuals with LTCs to improve their quality of life, but live an existence that has meaning and purpose. It also explores health promotion strategies that could be influential in changing the future healthcare landscape, by helping to prevent the occurrence of LTCs. The wider intention is to facilitate discussion of the future role of the physiotherapy profession in LTC management, in the hope that a shared vision can be created that is inspiring and transformative. A vision that imagines a physiotherapy service that is resilient to change and contemporary in approach, which continues to evolve to support the changing needs of people with LTCs.

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“What do you expect from physiotherapy?”: a detailed analysis of goal setting in physiotherapy

Cited by 46 publications

References 37 publications

An international survey of patients living with spasticity

An international survey of patients living with spasticity

Influence of interactional structure on patient’s participation during interprofessional discharge planning meetings in rehabilitation centers

Re-imagining the role of the physiotherapist when managing people with long-term conditions

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