Friday, December 6, 2019

Wheelchair Propulsion In Persons Paraplegia -Myassignmenthelp.Com

Question: Discuss About The Wheelchair Propulsion In Persons Paraplegia? Answer: Introduction While I was working as physiotherapist in a multidisciplinary unit, I came across of patient who was vouching to avail motorised wheel chair in order to aid swift movement in accomplishing the daily activities. He was complaining to sudden knee accident and his difficulty in walking. Following details of his pathological condition and verifying the same, the I as a physiotherapist along with the occupational therapists confirmed the requirement of the wheel chair and the registered nurse in that unit, proceeded with the quotation for wheel chair. Upon arrival of the wheel chair, me and the occupational therapists helped the patients to get accustomed with the new vehicle. However, few days after the patient was released, when I was discussing the case with another health care professionals (orthopaedic of another multidisciplinary team), he informed me that those wheel chairs can be availed for free as government specifically fund for them. Feelings Upon seeing the patient, the first thought that came into my mind is what the reason behind his requirement of wheel chair is. Another thought that crossed my mind that what kind of injuries n his knees provoked him to use wheel chair. The feelings which run through my mind were why person is vouching for motorised wheel chair and not the hand cycling wheel chair. management, I was aware that hand-cycling wheel chair may cause should muscle strains and hence scores less in comparison to motorised wheel chair. I was happy when the patient was gradually getting accustomed with the motorised wheel chair navigation under the controlled observation of my physiotherapy and assistance from the occupational therapists and nurse. I also assisted the patient in helping to control the navigation unit of wheel chair. However, when I was enlightened by another health care professionals that such wheel chair are sponsored by government and can be availed for free, I got extremely depressed for the patient. I thought it was negligence from my end that cost the patients a huge sum of money. Evaluation The main good thing about the event I learnt how a physiotherapist can work in unison with an occupational therapists and a nurse to deliver quality care to the patient who is suffering from knee injury and is required to avail a wheel chair. The skills used by the occupational therapists and nurse helped me learn proper accommodation of the mobility needs to people with disabilities apart from the restriction coming from the muscle spasm. Another thing that got well with this case study is, I learnt that relief in joint pain help in improve the physical function and quality of life. I also get a detailed overview of the how exercise, orthotics, patellar taping, joint protection education and assistive devices help a patient to attain health and well-being. However, in the midst of all this, I felt extremely sorry for the patient as negligence from our end has cost the patients a huge sum of money. If we had consulted with other health care professionals then this loss might have bee n avoided. This again goes with the ethical and professional code of conduct of physiotherapists of Australia and Aotearoa New Zealand, that states that a physiotherapists must derive knowledge from, with and about the patients and relevant other. Analysis After experiencing this event, the main learning outcome from my end is the importance of the multidisciplinary team in providing comprehensive care. According to Mitchell, Tieman and Shelby-James (2008), multidisciplinary team is crucial to deliver comprehensive care. I also learnt that a registered physiotherapists must be trained enough to indulge in a collaborative, inclusive, culturally responsive and client oriented model of practice. This is a kind of care procured by a wide range of professionals functioning as a single team under one organizational umbrella or via professionals from different organizations. Moreover, I also analyzed that since the patients conditions changes over time, the composition of the team may also change in order to reflect the changing clinical and psychosocial needs of the patient. Ndoro (2014) further opined that a multidisciplinary team may be such that there exist trust between the team members so that it may deliver best mix of skills. If we ha d am enrich or vast multi-disciplinary team or have discussed this issue with other health care professionals from other organization, we might not have missed this important information. According to New South Wales Government (NSW) of Health, a multidisciplinary team must contain a rich group of general practitioners, practice nurse, community health nurse, allied health professionals and health educators. The same incidence also enlightened me about the policies of government of Australia in relation to people with disability. Conclusion Thus from my above reflection, I would like to conclude that all the health care professionals must work in sync and must also promote exchange of knowledge in order to promote comprehensives care to the patients. Action Plan My action plan for the future will mostly be based on the professional code of conduct of physiotherapists in Australia and Aotearoa New Zealand. According to this professional code of conduct, a physiotherapist must work both collaboratively and autonomously with the patients and the significant others. The approach of providing care will be such that it acknowledges the dignity of the client while respecting the clients culture and rights. The professional code of conduct also put immense emphasis of shared decision-making while providing quality care to the patient (Physiotherapy practice thresholds in Australia Aotearoa New Zealand, 2015). I will try to practise this code of conduct ingeniously as abiding by the same will help me side-pass mistakes that I have committed in this case. I will also respect my patients opinion in case of drafting the action plan. However, if the client refuses to avail the best possible care, I will not forcefully impose my decision on him but will facilitate effective discussion towards the process of negotiation of the therapy plan. This again goes with the ethical code of conduct of physiotherapists. Under the banner of effectiveness discussion marketing procedure, I will try to educate the patient about the importance of the therapy while monitoring his or her response to that therapy. I will also try to effectively address the barriers in order to promote effective professional collaboration so that this kind of knowledge gap situations can easily be avoided. In order to promote the between functioning of the multidisciplinary team, I will try to maintain good working relationships with both the clients and other members of the multidisciplinary team. This healthy relationship will help me to indulge in knowledge sharing and will make me more comfortable in seeking guidance of professional support or assistance in situations which are beyond my expertise or when the positive outcome of physiotherapy is not as expected. Ma intenance of healthy relationship will also help me to acknowledge and respect the roles of others delivering care and services to the patients. I will also act towards the promotion of client-centred interprofessional team that will place clients interest at the principal position of the care plan while recognising and eliminating the barriers towards optimal implementation of the care plan. References Arnet, U., van Drongelen, S., Scheel-Sailer, A., van der Woude, L. H., Veeger, D. H. (2012). Shoulder load during synchronous handcycling and handrim wheelchair propulsion in persons with paraplegia.Journal of rehabilitation medicine,44(3), 222-228. Best, K. L., Miller, W. C., Routhier, F. (2015). A description of manual wheelchair skills training curriculum in entry-to-practice occupational and physical therapy programs in Canada.Disability and Rehabilitation: Assistive psychology,10(5), 401-406. Mikolajewska, E. (2012). The most common problems in wheelchair selectionown observations.Journal of Health Sciences,2(1), 089-093. Mitchell, G. K., Tieman, J. J., Shelby-James, T. M. (2008). Multidisciplinary care planning and teamwork in primary care.Medical Journal of Australia,188(8), S61. Multidisciplinary Team Care - HealthOne NSW. (2017) Retrieved 5 February 2018, from Ndoro, S. (2014). Effective multidisciplinary working: the key to high-quality care.British Journal of Nursing,23(13), 724-727. People with disability | (2017) Retrieved 5 February 2018, from Physiotherapy practice thresholds in Australia Aotearoa New Zealand. (2015) (1st ed.). New Zealand. Retrieved from

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