Week One Feedback

Hi all

Congratulations on your entries this week. I am delighted that many of you have commented on communication issues including confidentiality, dealing with progressive disorders, aphasia, patient rapport, etc. Clearly, there are unique circumstances for each patient, and many of you have been perceptive to these challenges.

As Dale correctly implemented, do not disclose information (even if the patient is bargaining for it) that is the domain of others (eg. Consultant). If in doubt, it is probably best to be conservative with you disclosure. However, once the information is “public”, you may have an excellent role in further education. You will often have significant time with the patient.

I am pleased that some of you are thinking where appropriate, beyond physical problems and considering issues like potential central sensitisation and appropriate communication strategies for patient’s apparent psychological position. Remember that their mood can be quite fluid, and you may need to adapt quickly. Try to reinforce positive coping strategies and neutralise negative behaviours. Sometimes your role may to be to try and facilitate a persons readiness to change, rather than to achieve change.

I am fascinated by the “miracle” SNAGS and the number of comments clearly indicates successful experiences. I may have to try them more myself!! You are also learning additional techniques from experienced physios which is encouraged. Over time, you can select techniques that work best for you and your patients.

With your responses to original postings, please continue to offer empathetic experiences and suggested solutions.

Well done. Enjoy your week.

Regards
John