Domicilary Physiotherapist

What was the issue you were addressing or working on?

A lady with poor mobility with pain on standing/walking, reduced confidence in walking, difficulty with activities of daily living including bathing & stairs (only one banister) and problems related to chest infections. Financial worries and concerns related to her disease progression.


What you did?

64 year old female referred by GP to community physiotherapy with hip pain and poor mobility. She was currently receiving chemotherapy for breast cancer and had previous surgery for lung cancer.  Bothered by repeated chest infections, previous pelvic fracture and swallowing difficulties.

Full assessment & shared goal setting took place.  Referred to Occupational Therapy (OT) for full assessment and supply of equipment – visited within 1 week.  Referred to Speech & Language Therapy for swallowing assessment.  Referred to McMillan Cancer Support for information and financial support. Gave advice on pacing to help manage shortness of breath and hip/pelvic pain, taught chest clearance techniques, postural correction, balance and leg strengthening exercises. Supplied appropriate walking aid and gait re-education.

Change fund funding enabled prompt initial visit (within 2 working days of referral) and the lengthy period of support and re-ablement.

Physiotherapy input over 5 months enabled return to independent mobility over short distances, easier management of day to day activities and improved exercise tolerance.  Referral to other relevant services enabled comprehensive case management and overall re-ablement.

 


What were the outcomes - benefits or otherwise?

Prompt OT & speech therapy involvement following liaison with staff.  Installation of extra banister & physiotherapy enabled easier/safer use of stairs. Physiotherapy rehab over 5 months achieved greater general physical strength and mobility.  McMillan Cancer Support offered local support for patient and her husband.


Contacts - to find out more

Jennifer Robertson,   Jennifer.robertson@aaaht.scot.nhs.uk  01563575405