Physiotherapists' knowledge of their clients' medications: A survey of practising physiotherapists in New South Wales, Australia

Abstract

Physiotherapy clients are frequently also under the care of a physician and are often taking prescription or other medications. Some of these medications, such as hypertensive drugs, may have an effect on physiotherapy care. Therefore, it is important for physiotherapists to acknowledge other treatments that clients may be taking to improve their health status. No study has previously been undertaken to ascertain physiotherapists' knowledge of their clients' medications. A self-administered questionnaire was mailed to a random sample of 25% of the clinical physiotherapists registered in NSW (N = 660). Although the majority do ask new clients about medications, most do not follow this up on subsequent consultations and many record only those medications they regard as being relevant to their treatment. Only about 50% of respondents consider their clients' prescription medication most of the time when planning a treatment regime. Many are unsure of the side effects and contraindications of medications and feel inadequately trained about medications most of the time. Although the most important source of information is from MIMS (Monthly Index of Medical Specialities, a nationally recognised compendium of approved medications) a substantial number do not have access to it. Self-reported knowledge about the effectiveness of prescription medication was not associated with years of experience, but those working in cities and private practice reported a higher level of knowledge. The results suggest that inadequate training in medications may be causing lax practices such as not keeping comprehensive records or only making occasional enquiries about medication.