Module 1

Question 1

What is physiotherapy?

Answer 1

-A health care profession in which services and interventions are provided to populations and individuals to develop, maintain and restore maximum movement and functional ability throughout life.
-These interventions are generally physical in natures, such as exercising or motor retraining

Question 2

What are the professional expectations of a physiotherapist?

Answer 2

-Evidence based profession- when coming to a decision, we have to balance out both of these factors (communicating what they value and their needs/wants, applying the evidence in creating decisions)
-Using evidence based practice and ethical reasoning

Question 3

What is evidence based practice?

Answer 3

The evidence itself, our clinical expertise and experience, the patient preferences

Question 4

What is ethical reasoning?

Answer 4

What is the justified approach to your patient’s care?

Question 5

What is patient autonomy and its aligned practice standard?

Answer 5

-Self determination, making their own decision about their healthcare, explaining the treatment, asking if they are okay, giving them the option to direct their own healthcare- obtaining what we call informed consent

Question 6

What is beneficence?

Answer 6

• Do good!- We want to complete treatment that will make the treatment better, the patient must not be harmed

Question 7

What is non-maleficence?

Answer 7

• Do no harm, we can not do a treatment that will make the treatment worse- how much could it make them worse- make that decision

(patient confidentiality and mandatory reporting as well)

Question 8

What is justice?

Answer 8

Acting fairly, as physios we must ensure that each patient has the same access to our care and treatment, no equity or inequality in their physio care (TELEHEALTH)

Question 9

Why do physios need to be professional?

Answer 9

-Patients or clients trust practitioners because they believe that, in addition to being competent, practitioners will not take advantage of them, in a position of power over someone elses body, patients need to rely on practitioners to protect their confidentiality

Question 10

What are the professional qualities of a physiotherapist?

Answer 10

Integrity, truthfulness, dependability and compassion

Question 11

What are the community expectations of a physiotherapist?

Answer 11

-The community expectation of the physiotherapy profession is one of utmost integrity- the community must be confident that professional boundaries will be maintained and that clients are not placed at risk
* Discipline skills (knowledge, technical skills)
* Expectations regarding being: trustworthy, up to to date (competency, abiding by ethical and professional standards

Question 12

What are the professional expectations of a physiotherapist?

Answer 12

-Physiotherapists will be of good character, honesty and integrity
Strength of character to resist opportunities for explorations etc- financial or sexual exploitation (abusing our position of power)
-Respect for the personal and religious beliefs of others
-Important to consider personal and professional values: personal beliefs must be trumped by professional values
* If the opinion doesn’t align with the values of physiotherapy, it must be ignored basically.

Question 13

What is AHPRA?

Answer 13

-Handles registration when finishing a university degree
-Australian Health Professional Regulation Agency
-No complaints against the practitioner themselves, making sure they are safe to practice
-Sets standards for all health professionals to meet, to ensure competent and professional practice

Question 14

What is the PBA and what do they regulate?

Answer 14

-Physiotherapy Board of Australia (Branch of AHPRA)
-Providng good care, working with patients/clients, working with other practitioners, working within the HC system, minimising risk to self and othres, maintaining professional performance, ensuring practitioner health, teaching, assessing and supervising, undertaking research
-PBA: Other functions- regulates the PT profession, develop codes, standards and guidelines, handles notifications, investigations and disciplinary hearings (all mechanisms to ensure that PTS are fit to practice)
-Looking up any and every physiotherapist and their registration number- if they arent fit to practice etc- keeps the community safe

Question 15

What is the Australian Physiotherapy Association?

Answer 15

-Represent the professional to external bodies, such as Fed GOV, state authorities etc
-Advocate for those who need access to physios in a timely manner
-Provides continuing education for physiotherapist
* Being able to prescribe medications (APA is that body- to external bodies)
* WCPT MEMBER
* APA Continuing education

Question 16

What is the Australian Physiotherapy Council?

Answer 16

Independent national body that oversees the accreditation of entry level physio courses in Australia
-Oversees the assessment program of physiotherapists trained overseas and who wish to practice in Australia
-Developed Aussie standard for PT
-Need to pass APC exams- then you become eligible to work as a physiotherapist- sets the standards for what you need to work as a physio in Australia
-Course accreditation -assessing the degree itself and if it is on par to practice in Australia

Question 17

Elements of obtaining valid consent

Answer 17

-Disclosure of information, has enough information so that they can provide consent (telling them the benefits and risk, the longevity, treatment options, exercise, possible alternative treatments, preventative measures, providing key information in a way that is accessible to the patient (don’t overcomplicate it, make it easy to understand, don’t place the physio on a pedestal)- moreso assessment procedures (range of motion test etc)- using terms like sore, or this side of your knee etc- making sure they understand your plan, and why you are going to do it
-Let me know if this hurts etc- stopping if it does
-Patient must be competent to make a decision itself- they can not be coerced or persuaded- they can stop at any time they like
-patient records- document what we have explained to the patient so that we arent considered negligent- explain that the patient has consented to our treatment
-communicating to the multidisciplinary team in general
-Discrepancy between treating team and family we would create a contract of family meeting/conference

Question 18

Important components of rolling onto the side

Answer 18

-Rotation and flexion of the neck
-Hip and knee flexion
-Flexion of shoulder and protraction of shoulder girdle
-Rotation within the trunk

Question 19

Important components of sitting up over the side of the bed

Answer 19

Lateral flexion of the neck, lateral flexion of the trunk (abdiction of the lweor arm occurs as these two components are performed), legs lowered over the side of the bed, knee and hip flexion

Question 20

Important components of sitting up from supine

Answer 20

-In rolling onto the intact side, the patient may demonstrate particular difficulty in the flexion of hip and knee in affected side
-Flexion of shoulder and protraction of shoulder girdle
-Inappropriate compensatory movements of the intact side- wiggling over

Question 21

Essential components of standing up

Answer 21

-Foot placement
-Inclination of trunk forward by flexion at hips with extended neck and spine
-Extension of hips for final standing alignment

Question 22

Essential components of sitting down

Answer 22

-Inclination of trunk forward by flexion at hips with extended neck and spine
-Flexion of knees

Question 23

Essentials of standing alignment

Answer 23

-Feet few inches apart
-Symmetrical weight bearing
-Extended hips
-Extended knees
-Hips over feet
-Shoulders over hips
-Head balanced on level shoulders
-Erect trunk

Question 24

General rule of foot placement for different patient heights (chairs)

Answer 24

-Taller patient: lower chair, feet further back
-Smaller patient: higher chait, feet further forward