NORZULAIKA BINTI ALIAS

PENGAJAR JURUPULIH PERUBATAN ANGGOTA

MANAGEMENT IN PHYSIOTHERAPY

WHAT IS MANAGEMENT

Management is an art of getting things done through and with the people in formally organized groups. It is an art of creating an environment in which people can perform and individuals and can co-operate towards attainment of groups goals.

Comprise planning,organizing,staffing,leading or directing and controlling an organization (a group of one or more people or entities) or effort for purpose of accomplishing a goal.

WHAT IS PHYSIOTHERAPY

Physiotherapy is a clinical health science and profession that aims to rehabilitate and improve people with movement disorders by using evidence-based, natural methods such as exercise, motivation, adapted equipment, education and advice

REHABILITATION

Primary objective of rehabilitation involves restoration(to maximum degree possible) either of function (physical or mental) or of role(within the family, social network or workforce)

Rehabilitation will usually require a mixture of clinical,therapeutic and social intervention that also address issues relevant to a person physical and social environment.

REHABILLITATION…. The process of rehabilitation has been describe as

continuous and multifactorial…which is dependent on multiple input

(Squires, 1994)

And a mixture of clinical, therapeutic and social intervention.

(King's Fund, 1998)

The way in which these inputs are linked, through those concerned with the patient’s management and support working closely together and sharing knowledge and skills, is essential for rehabilitation to be effective, efficient and acceptable to the patient.

(Margaret B. Hastings)

PHYSIOTHERAPIST INVOLVE IN…

1)Patient’s management

2)Multidisciplinary team management

3)Administrative management

4)Self development management

PATIENT’S MANAGEMENT

Patient/carer

Physiotherapist

Support group

Patient’s management

COMPREHENSIVE INDIVIDUAL PATIENT’S MANAGEMENT INVOLVE

Proper Assessme

nt

Encourage Of Home

Exs Programm

e And Patient

Education

How you manage your patients would determine patient adherence to your treatment plan

Therapist fails to manage patient properly would effect:

1) obtain poor outcome of treatment progression

2) target or goals will not achieved

3) patient refuse to cooperate and compliance

4) problem to other therapist

2. MULTIDISCIPLINARY TEAM MANAGEMENT

TEAM WORKEAM MANAGEMENT

BASIC STRUCTURE OF REHABILITATION

Work together toward command goals with each patient or client

Involve and educate the patient and family

Have relevant knowledge and skills

Can help patients resolve most of the command problems

MULTIDISCPLINARY TEAM

A group composed of members with varied but complimentary experience,qualifications and skills that contribute to the achievement of the organization’s specific objectives

Multidiscplinary team consist of staff from several different professional background who have different areas of expertise

These teams are able to respond to clients of more than one kind of professional

Multidisciplinary team are often discussed in the same context as joint working, interagency work and partnership working

TEAM WORK

Team work is valuable when members have to work together with a common purpose to achieve a consistence quality of service

A well manage team will work effectively and efficiently

All team work involves trust, knowledge and effective communication skills

There will be transfer and sharing of skills to ensure patient’s need are met service user time is not waste

THE PURPOSE OF MULTIDISCPLINARY TEAM

To provide a high quality rehabilitation service to the patient

To help team member resolve difficult cases

Provide “check and balance "mechanism to ensure that the interests and rights of all concerned parties are addressed

Identify service gap and breakdowns in coordination or communication between disciplines or individual

Enhance the professional skills and knowledge of individual team members by providing a forum for learning more about the strategies, resources and approaches used by various disciplines.

Especially between Physiotherapist(PT) and

Occupational Therapsit(OT)

TEAM WORK CAN AVOID OVERLAPPING TASK AND ACHIEVE

THE GOAL IN REHABILITATION

EXAMPLES

ROM & STRENGTH

PT OT

•Insert range of motion at the effected joint•Strengthen muscle•Increase mobility•Correct gait pattern

•Use the improve range of motion and muscle strength to improve performance of self-care,ADL and etc.

SELF CARE IN BED

Nurse PT OT

•Assist patient to ADL

•Bed mobility training,bridging and maintain ROM

•Train patient to do ADL.Example:wear trouser and shirt

ADL AT HOME

OT Patient/Carer

Instruct patient and carer on proper transfer and how to encourage patient to do as much as they can in washing and dressing themselves

Provided a return demonstration of what OT had taught

BALANCE AND COORDINATION

PT OT

Train balance and coordination as physical function of human movement

Use of balance and coordination to perform self care,ADL,work and leisure pursuit

TRANSFER

PT OT

To maintain ROM,strengthening,balance training and coordination to perform transfer and mobility

Transfer as one component of a task for self care,ADL and leisure pursuit

3.ADMINISTRATIVE MANAGEMENT

It is about how you administer your department or unit in any activity related to your service

As a therapist, everyone is responsible to the unit at department

Get involve in any administrative activities to make sure the unit or department would accomplish good reputation and achievement

Efficient management determine effective treatment to the patient

Functions of Managers

PLAN

ORGANIZE

COMMAND

COORDINATE

CONTROL

4.SELF MANAGEMENT

Everyone is a leader

You is a leader for yourself

It is about:

1)Self management(inter/intra personal skill)

2)Time management