• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

reflective practice using johns model of reflection

Extracts from this document...


Physiotherapy in contemporary practice: a critical evaluation of two different physiotherapy context, demonstrating the diversity of scope of practice. Physiotherapists can only practice to the extent that they have established, maintained and developed their ability to work safely and competently (CSP 2002). Each individual physiotherapist has their own scope of practice, within the physiotherapy scope of practice. This essay will demonstrate the diversity of scope of practice and critically evaluate the two different physiotherapy context of palliative care (hospice) and private practice (PP) (musculoskeletal). Palliative care is care given to improve the quality of life of patients who have a serious or life-threatening disease (Zimmermann 1986). Physiotherapists work in palliative care to provide treatment that relieves symptoms, such as pain, but they are not expected to cure the disease. The main purpose is to improve the patient's quality of life (Zimmermann 1986). Many physiotherapists set up in private practice in a variety of specialist areas. The aim of musculoskeletal physiotherapy is to treat muscles, bones and joints in order to restore proper functioning to the body (Refshauge and Gass 2004). Both in private practice and palliative care, physiotherapists have three core skills which include manual therapy, therapeutic exercise and the application of electrophysical modalities and it is a way in which physiotherapists can ensure they are working within their scope of practice (CSP 2002). ...read more.


The physiotherapist must be able to deal with a patient who is suffering from stress and anxiety as the majority of patients I observed had some form of anxiety. In pp, I did not observe the physiotherapist deal with any patients with anxiety or stress as the patient is paying for treatment, and time is money. Although psychological issues can also arise in pp. Going through a thorough assessment is a part of any physiotherapists practice. In PP I observed that the physiotherapist will go through a thorough assessment with the patient and work with them to design a treatment plan. In palliative care I observed that they did not go through a long thorough assessment but they did very basic movements with them and observed more functional things such as walking, sitting and getting out of bed. The reason for the difference between PP and palliative care assessments is due to the abilities of the patients (mobility) and their lack of understanding (end stages) due to the nature of the illnesses in palliative care. In addition to, the aims of their treatments are different so their assessments would be different. In pp they are trying the find the underlying pathological condition of the patient so a thorough assessment is vital. ...read more.


In terms of confidentiality in private practice, from my experiences I believe that it is not as confidential as the palliative care setting. This is due to the high number of phone calls being made and messages being left with somebody other than the patient. This breaches the confidentiality rule if consent to leave information with others is not obtained. However, in a palliative care setting, I observed that confidentiality is maintained well. The duty of the physiotherapist, as part of the scope of practice is to make sure they keep records regarding the care of their patients (CSP 2002). They types of records that are kept can vary from different physiotherapy settings. In palliative care, there are MDT folders where records are kept. The reason for this is that everyone treating the individual patient can see what is happening with the patient in terms of treatment. The physiotherapists also keep separate records for the patients they have seen. In pp, the physiotherapist keeps their own records as there is no MDT. To conclude physiotherapists in pp and palliative care have diverse scopes of practice, but both settings working within their scopes of practice. Physiotherapists in palliative care have to accept that the course of their patients is one of deterioration, rather than that of rehabilitation and improvement that is seen in pp. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Healthcare essays

  1. Marked by a teacher

    The purpose of this essay is to carry out an assessment of a patient ...

    3 star(s)

    The urinary catheter is to be checked and changed to avoid the occurrence of UTI, making sure the catheter area is clean and dry also a urinalysis is to be done to see if there is any indication of UTI.

  2. Marked by a teacher

    Unit 10 care practice and provision

    3 star(s)

    The CTPLD tries to make sure that services users with learning disabilities gets the same rights and choices as any other service user. A02 How do the services and practitioners meet individual needs? My case study Looking at Ravens Wood where I am going to be looking at a particular case study.

  1. Marked by a teacher

    Social work assessments are an art and a science.

    3 star(s)

    Other health issues include how sight declines with age and there is an increase in the prevalence of eye diseases. Mrs P is registered blind and has also previously had an eye operation. Hearing also declines with age as in evident in Mrs P.

  2. The aim of this assignment is to critically evaluate the biopsychosocial perspectives and influences ...

    Annu Rev Neurosci; 30: p123-52 ENGEL, L., 1977. The need for a new medical model: a challenge for biomedicine. Science New Series; 4286(196), 129-136. FOLKMAN, S., LAZARUS, R.S., GRUEN, R.J. and DELONGIS, A. 1986. Appraisal, coping, health status, and psychological symptoms. Journal of Personal and Social Psychology, 50: p571-579.

  1. The nature of women abuse and the effect of abuse on their quality of ...

    Hence, the purpose of this study is to explore the types of intimate partner abuse in a group of pregnant women in Hong Kong and to investigate the effect of the abuse on the women's quality of life. 34 CHAPTER 3 Methodology 1.

  2. The author has highlighted the importance of constipation and its management in palliative care

    an appropriate assessment and understanding of bowel function can help reduce or eliminate constipation. Furthermore, nurses are in a key position to help patients with constipation (Winney 1998). Although in order to optimise care, a multidisciplinary approach that includes a dietician, social worker, occupational therapist, pharmacist and medical staff is advocated.

  1. Review of Factors Influencing Successful Patient Education in a Rehab Unit for Spinal Cord ...

    An effective and efficient understanding on different factors impacting patient education will allow health care professionals to shape the design and delivery of care to spinal cord injured patients in meeting their needs (May et al., 2007). Various patients actively seek a wide range of health related information.

  2. Should an obese individual be treated by the NHS in the same manner a ...

    Yet most of these studies are based on men treated during 1980s and 1990s Obesity on the other hand may not sound as equally dangerous; however it has potential to be. Encyclopedia section of Medindia (2012) explains in brief about the symptoms of obesity.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work