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Importance of evidence based practice to physiotherapy
Physical therapy observation essay
Physical therapy observation essay
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After attending the first years’ CAT walk, I was very impressed with the research they presented. I realized just how much research is out there for physical therapists to utilize when I walked around the classroom on Thursday. While in school, it’s easy to dismiss the idea of seeking research related to physical therapy evaluation, assessment, and intervention. Based on my personal situation, I think this is due to time constraints and feeling as though my brain couldn’t possibly hold any more information on some occasions. With this being said, I do think of Evidence Based Practice as even more of a necessity in our profession than I did before. Pulling experience from my 2016 4-week clinical, the therapists at my clinic were very repetitive
Evidence Based Practice emerged in the late 20th century, becoming widespread in the 21st century. According to Research and Practice: The Role of Evidence-Based Program Practices in the Youth Mentoring Field ( 2009) “The concept of Evidence Based Practice (EBP) actually has its roots in the medical field, where the work of Archie Cochrane (1972) and others examined the key role that the substantial body of medical research and literature could play in how doctors make decisions in patient care” (para 6); Thus, a doctor’s decision would be an “educated” decision, based on evidence gathered (patient symptoms), history of cases they have overseen, or research of previous case diagnosed by another doctor, with a related case. Evidence Based Practices are defined as “ integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve” (“Evidence Based Practice (EBP),” 1997-2014); often described as the “Best Practices”. The evidence itself is not the basis of decisions made, but it does help support the process of care given to our clients.
Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.
Imagine going up for the perfect lay-up, you make the shot but when you land you twist awkwardly and land on your knee. Laying on the ground, you feel the pain surging through your knee, the first line of defense is an athletic trainer, however if this accident happened when you fell on a wet kitchen floor you could expect much the same care from a physical therapist Athletic Trainers are the first to respond to sport related in game injuries, and provide care after injuries. In contrast physical therapist are not only there to fix accidental injuries, and treat chronic bone and joint they help with plans of care and rehabilitation for athletes and non-athletes after injuries. Physical Therapy play a important role in todays healthcare. Physical Therapy are experts of improving and storing motion , they contribute to their patients ‘ quality of life by keeping them healthy , fit , active and in medications . The first school of Modern Physical Therapy opened in Boston, MA , So Physical Therapy have been around for a long time. The Physical Therapy Association Organized by Mary McMillan. It later became the American Physical Therapy Association.World War ll brings changes to Physical Therapy was done at hospitals as patients recovered from injuries , surgeries or other ailments.
Occupational therapy was a career choice I fell into. When I first arrived to Keiser University back in 2009 I was going to apply for the physical therapy assistant program. Physical and speech therapy where the only therapeutic disciplines I had any knowledge of at that time. When I met with the admissions counselor she informed me the waiting list for the PTA program was about two years, I was floored I wasn’t going to wait that long I needed to start school ASAP. The counselor then asked me “ what is your goal?” and my response was “to work with children in the medical field without being too medically involved”. She then handed me an occupational therapy pamphlet and I just signed the paper work to start that month. I honestly
For as long as I could remember, I always knew that I wanted to pursue a career in the field of physical therapy. Everything about the human body is captivating from the way it works to its powerful ability to heal itself. To many people, the field of physical therapy involves using exercise to aid in the restoration of physical function in patients, but to me, it means so much more. One reason as to why the field of physical therapy peeked my interests is because it combines my keen curiosity for the human body and all its fascinating capabilities, physical exercise and the compassion to help others. In recent years, several events occurred that have helped inspire me to become a physical therapist.
Educational requirements, opportunities and general demands of the career are only a few of the areas to inquire about in the field of physical therapy. This career is diverse in nature, in that a therapist sees many different ailments ranging from a sprained ankle to rehabilitating someone who has had an amputation. There is a fair degree of difficulty involved in becoming a physical therapist, and due to the high competition involved in entering the various Master’s degree programs as stated earlier, high grades and a positive attitude are very important for success in an interested student’s career. Volunteering is a great way to find out if a person would or would not be interested in entering the practice of physical therapy. This is an exciting career with many opportunities for advancement. This career is also a nice choice for those who become bored with the tedious monotony of a daily routine, since each day is a new experience.
It takes a unique individual to want to become a Physical Therapist. These professionals have a lot of personal traits that are a must need to excel in the Physical Therapy field. A Physical therapist could be faced with a patient/client that might be angry, sad, or confused, so being able to relate to these individuals is a great quality all therapist must have. These personal traits are skills like being relaxed and determined, supportive, and of course knowledgeable.
The concept of evidence based practice is an ongoing guide to the bettering of practice that also contains the dreaded word change. Even though change is not always looked at as a positive thing, it is a way in which professionals continue to grow. The reality is that EBP is a life long learning process in which managers, innovators, and leaders ensure their staff are continually aiming towards professional
My journey to pursue an education in physical therapy actually originates from my early childhood. I endured a very impoverished upbringing and my family’s socioeconomic status was below the poverty line. At a very young age, money became the central issue of my life. I found myself worrying about mortgages, health bills, and grocery money. As I grew older, I vowed to myself that I would not endure my family’s financial burdens into my adulthood. I knew the best way to accomplish this was by obtaining a college degree and having a professional career. However, I was unsure what career I wanted to pursue. I experimented with many different career ideas, but during my sophomore, I discovered my passion and skill for physical medicine. For my
The Consensus on Evidence Based Practice The idea behind conforming to evidenced based practices is that research is the most likely tool to improve patient treatment outcomes. [2] Duly, care provider organizations are aligning policies and procedures with evidenced based practices to improve service quality. Public health advocates hope that this movement will standardize
...doing so appear to be putting the insurance company’s bottom line money concerns above the well being of the client? Some would feel evidence-based practice turns therapy into a moneymaking business rather than a healing process for clients, which is the ultimate goal of therapy. Health insurance companies could potentially use evidence-based practice research in order to minimize payment for a client’s treatment. Another ethical concern that needs to be addressed is the actual validity and reliability of evidence-based practices. As such, people are not static creatures; we are constantly changing and evolving, whereas evidence-based practices do not account for the constant changes that happen within a human being.
Evidence-based medicine (EBM) has been described as “the conscientious, explicit, and judicious use of current best evidence in making decision about the care of individual patients” . Evidence-Based Practice is a thoughtful integration of the best available evidence, coupled with clinical expertise. It enables one to address healthcare questions with an evaluative and qualitative approach. It is about applying the best available research evidence in provision of health, behavior and education services to enhance outcomes. Evidence-Based practice is about performing the best possible practice in order to provide the best possible care .
Evidence is a clear indication. The definition of evidence-based medicine is “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.” (Sackett et al. 1996) It allows us to demonstrate and gives approval to the truth. It exists to inform and guide practice. The practice of evidence-based medicine suggests incorporating different clinical knowledge with the best external clinical evidence from systematic research. Physiotherapists and undergraduate should strive to use research evidence in a systematic way, in conjunction with clinical judgement to make clinical decisions.
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
The internship that I acquired during the summer of 2010 at the Greenwood Sports and Industrial Rehabilitation Center (GSIRC), allowed me to gain an immeasurable amount of experience during my tenure at this facility. Within this period, the exposure to new concepts within the physical therapy industry allowed me to observe and work hands on with patients of all ages and disabilities that exposed me to various treatment plans and programs to restore client’s mobility. The essential Physical Education and Exercise Science (PEES) courses taken at Lander University were beneficial to my academic knowledgebase, which prepared me and developed me for the opportunity within the physical therapy discipline. Working as an intern taught me the responsibility of time management and working within a lean schedule that allow me to further develop my skill set. This reflection paper will illustrate my classroom experience, internship experience, and learning experience.