World Confederation For Physical Therapy Research Articles

Role of Physiotherapyin Respiratory Rehabilitation and Managing COVID-19 Patients in All Stages of the Disease

Background:Physiotherapists play a crucial role in the management of corona virus disease (COVID-19) patients in all stages for better health (physical and social) outcomes. This document outlines and summarizes the updated official guidelines on roles and recommendations for physiotherapists in the management of all COVID-19 stages in acute hospital settings issued by World Confederation for physical therapy, World Health Organization and Associations of Physical Therapy in various countries. Methods:An introductory literature search was conducted by using keywords including “COVID-19”, “respiratory rehabilitation”, “physical therapy”, and others in the database of the Associations of Physical Therapy. Results:Using coronavirus disease-2019 rehabilitation-related articles data was summarized on various guidelines and recommendations involving respiratory rehabilitation and general physiotherapy evaluation; treatment; indications; contraindications; and termination indicators for patients in different stages (acute, stable and recovery) of (COVID-19)Conclusion:Respiratory and physical therapy (PT) for patients with coronavirus disease should be conducted according to the stage of the disease and condition of the patient. This article is intended for use by physiotherapy personnel and other relevant health personnel in the acute care setting caring for patients with confirmed COVID-19 highlighting their roles regarding patient assessment, management strategies, indications, contraindications and termination of physical therapy.

Preventing indoor contamination in private physiotherapy practices

International Journal of Therapy and RehabilitationVol. 28, No. 7 EditorialPreventing indoor contamination in private physiotherapy practicesMassimiliano Polastri, Esra PehlivanMassimiliano PolastriCorrespondence to: Massimiliano Polastri; E-mail Address: [email protected]Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, St Orsola University Hospital, Bologna, ItalySearch for more papers by this author, Esra PehlivanDepartment of Physical Therapy and Rehabilitation, University of Health Sciences Turkey, School of Health Sciences, Istanbul, TurkeySearch for more papers by this authorMassimiliano Polastri; Esra PehlivanPublished Online:2 Aug 2021https://doi.org/10.12968/ijtr.2021.0118AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Allen JG, Ibrahim AM. Indoor air changes and potential implications for SARS-CoV-2 transmission. JAMA. 2021;325(20):2112–2113. https://doi.org/10.1001/jama.2021.5053 Crossref, Google ScholarBromley J. Burnout: really, really tired of COVID. Int J Ther Rehabil. 2020;27(10):1–3. https://doi.org/10.12968/ijtr.2020.0142 Link, Google ScholarCasas RS, Cooper JL, Hempel EV. COVID-19 risk triage: engaging residents in telephonic screening. Med Educ. 2020;54(7):670. https://doi.org/10.1111/medu.14211 Crossref, Google ScholarCorrêa TQ, Blanco KC, Vollet Filho JD et al.. Efficiency of air circulation decontamination device for microorganisms using ultraviolet radiation. J Hosp Infect. 2021;115:32–43. https://doi.org/10.1016/j.jhin.2021.06.002 Crossref, Google ScholarCosta MF. Health belief model for coronavirus infection risk determinants. Rev Saude Publica. 2020;54:47. https://doi.org/10.11606/s1518-8787.2020054002494 Crossref, Google Scholarde Cássia Artuni Rossi M, Corrêa TQ, Blanco KC, Bagnato VS, Salvio AG. Physiotherapy elastic band disinfection by UV-C irradiation in an intensive care unit. Photodiagnosis Photodyn Ther. 2021;34:102262. https://doi.org/10.1016/j.pdpdt.2021.102262 Crossref, Google ScholarDumont-Leblond N, Veillette M, Mubareka S et al.. Low incidence of airborne SARS-CoV-2 in acute care hospital rooms with optimized ventilation. Emerg Microbes Infect. 2020;9(1):2597–2605. https://doi.org/10.1080/22221751.2020.1850184 Crossref, Google ScholarDumont-Leblond N, Veillette M, Bhérer L et al.. Positive no-touch surfaces and undetectable SARS-CoV-2 aerosols in long-term care facilities: an attempt to understand the contributing factors and the importance of timing in air sampling campaigns. Am J Infect Control. 2021;49(6):701–706. https://doi.org/10.1016/j.ajic.2021.02.004 Crossref, Google ScholarDyer ED, Peterson DE. How far do bacteria travel from the exhalation valve of IPPB equipment? Anesth Analg. 1972;51(4):516–519 Crossref, Google ScholarEuropean Center for Disease Control and Prevention. COVID-19 situation update worldwide, as of week 25, updated 1 July 2021. 2021. https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncov-cases (accessed 1 July 2021) Google ScholarJácome C, Seixas A, Serrão C, Teixeira A, Castro L, Duarte I. Burnout in Portuguese physiotherapists during COVID-19 pandemic. Physiother Res Int. 2021. https://doi.org/10.1002/pri.1915 Crossref, Google ScholarKing KG, Delclos GL, Brown EL, Emery ST, Yamal JM, Emery RJ. An assessment of outpatient clinic room ventilation systems and possible relationship to disease transmission. Am J Infect Control. 2021;49(6):808–812. https://doi.org/10.1016/j.ajic.2021.01.011 Crossref, Google ScholarMorawska L, Milton DK. It is time to address airborne transmission of coronavirus disease 2019 (COVID-19). Clin Infect Dis. 2020;71(9):2311–2313. https://doi.org/10.1093/cid/ciaa939 Google ScholarNava S, Tonelli R, Clini EM. An Italian sacrifice to the COVID-19 epidemic. Eur Respir J. 2020;55(6):2001445. https://doi.org/10.1183/13993003.01445-2020 Crossref, Google ScholarSong Y, Ren C, Liu P, Tao L, Zhao W, Gao W. Effect of smartphone-based telemonitored exercise rehabilitation among patients with coronary heart disease. J Cardiovasc Transl Res. 2020;13(4):659–667. https://doi.org/10.1007/s12265-019-09938-6 Crossref, Google ScholarTsutsui M, Gerayeli F, Sin DD. Pulmonary rehabilitation in a post-COVID-19 world: telerehabilitation as a new standard in patients with COPD. Int J Chron Obstruct Pulmon Dis. 2021;16:379–391. https://doi.org/10.2147/COPD.S263031 Crossref, Google ScholarWorld Health Organization. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. WHO Guidelines. 2014. https://www.who.int/publications/i/item/infection-prevention-and-control-of-epidemic-and-pandemic-prone-acute-respiratory-infections-in-health-care (accessed 1 July 2021) Google ScholarZemouri C, de Soet H, Crielaard W, Laheij A. A scoping review on bio-aerosols in healthcare and the dental environment. PLoS One. 2017;12(5):e0178007. https://doi.org/10.1371/journal.pone.0178007 Crossref, Google ScholarZhu Y, Wang Z, Zhou Y et al.. Summary of respiratory rehabilitation and physical therapy guidelines for patients with COVID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy. J Phys Ther Sci. 2020;32(8):545–549. https://doi.org/10.1589/jpts.32.545 Crossref, Google Scholar FiguresReferencesRelatedDetailsCited byCOVID-19 bubbles inside wards: a viable option?Massimiliano Polastri27 July 2022 | International Journal of Therapy and Rehabilitation, Vol. 29, No. 7 2 July 2021Volume 28Issue 7ISSN (online): 1759-779X Metrics History Published online 2 August 2021 Published in print 2 July 2021 Information© MA Healthcare LimitedPDF download

Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework

Coronavirus disease (COVID-19) is a serious acute respiratory syndrome that has been recognized as a pandemic disease caused by Coronavirus 2 (SARS-CoV-2). The complications related to coronavirus itself, physically inactive period due to symptoms of disease and lockdown may also influence the functional capacities of COVID-19 survivors negatively. It may lead to obstructions in engaging with previous activities of daily living. As a physiotherapy intervention, exercise treatment is one of the novel approaches to support these individuals after the COVID-19 treatment. However, there is limited access to physiotherapy and rehabilitation services during pandemic conditions because of lockdown, especially for infected patients. For increasing accessibility to physiotherapy and rehabilitation care, the World Confederation of Physical Therapy has published a report advising the home-based exercise interventions via Telerehabilitation. Up to date, there is no published framework for structured exercise programs for this population, yet. Since the individual differences in functional levels and possible differences in the severity of coronavirus infection, the physiotherapy, and rehabilitation exercise program should be structured individually for COVID-19 survivors. This document suggests a framework for physical therapists to put into practice an exercise training via telerehabilitation in COVID-19 survivors. The proposed framework has consisted of determination of eligible and risky COVID-19 patients for intervention, physiotherapy assessment tools, 6-week exercise prescription based on FIIT-VP principle (frequency, intensity, time, type, volume, and progression) and criteria for ending exercise.

Professional competences of the physiotherapists in the field of mental health in Portugal: a questionnaire based survey

Introduction In 2001 the World Health Organisation made the following statement: "the Mental Health – neglected for far too long – is crucial to the overall well-being of individuals, societies and countries" [1]. In Portugal, the focus on this issue arose in 2017 when a national program for Mental Health was created stating that "people are living more years, but with disabilities on the area of Mental Health, which implies an overload for society" [2]. Currently, the importance of the role that Physiotherapy has in this field is demonstrated by the World Physiotherapy Day 2018 campaign held by World Confederation of Physical Therapy, which was centred on the theme "Physiotherapy and Mental Health" [3]. The role of the Physiotherapist in Mental Health aims to promote the welfare and autonomy of people with physical dysfunctions associated with mental diseases and use physical stimuli to influence Mental Health [4]. The purpose of this study is to characterise the professional profile of the Physiotherapists working in Portugal in the field of Mental Health. Materials and methods This is questionnaire online-based survey. An online questionnaire was sent to institutions, hospitals, centres where official records showed physiotherapists working in the field of Mental Health. The questionnaire was divided in 2 parts: socio-demographic information and questions related to Mental Health practice and training. The questionnaire was answered by 18 physiotherapists, which had an average age of 38 years (±10.4) and 94% were female (n = 17). All the participants gave their informed consent. Results All the respondents have at least 3 years of continuous work in Mental Health field and 50% (n = 9) of them have experience for more than 5 years. Physiotherapists intervene daily with a minimum of 3 patients and 56% (n = 10) of them work within a multi-professional team. Concerning education, 78% (n = 14) of the physiotherapists stated that the theme of Mental Health was insufficiently addresses during the bachelor degree. More than 70% (n = 12) of the physiotherapists declared that have none or a little support to their clinical practice concerning training, guidelines. Discussion and conclusions Training in mental health during bachelor is insufficient and coincident with the information provided by the coordinators of the 19 physiotherapy degrees in Portugal. The recommendations collected in the questionnaire, highlight the main aspects that should be addressed within the mental health theme in the basic training of physiotherapists. Moreover, the physiotherapists working in the field report urgent needs of formation.

Physiotherapy in Mental Health Facing the Covid-19 Pandemic

According to the International Organization of Physical Therapy in Mental Health (IOPTMH), physiotherapy in mental health is a recognized specialty of physical therapy, with a subgroup representing physiotherapists from around the world before the World Confederation of Physical Therapy (WCPT)

Acceptance of the \u2018Assessment of Physiotherapy Practice (Chinese)\u2019 as a standardised evaluation of professional competency in Chinese physiotherapy students: an observational study

BackgroundDevelopment of an entry-level physiotherapy curriculum in China currently follows the World Confederation for Physical Therapy (WCPT) guidelines, however there is no standard, validated, assessment tool for physiotherapy practice in use in China. This article reports the process of translation of the “Assessment of Physiotherapy Practice” (APP), a validated assessment instrument adopted by all universities in Australia and New Zealand, into Chinese (APP-Chinese) and its implementation by Chinese physiotherapy clinical educators (CEs) and students during clinical placements.MethodsThe process of forward and backward translation of the APP was undertaken by a team of academics from universities in Shanghai, Hong Kong, United States and Australia. An APP-Chinese version was produced and used for assessment of the clinical performance of 4th year students at a university in Shanghai. Feedback on the implementation of the APP-Chinese was solicited from students and CEs using the same two questionnaires employed to assess implementation of the original APP.ResultsAll CEs agreed that the rules used to score the APP-Chinese were helpful in assessing student performance. Over 90% of the CEs considered the APP-Chinese was pragmatic for use in the clinical environment in China. All students agreed with the rating of their performance on the APP-Chinese marked by their educators, and that the performance indicators were useful in guiding their expected performance behaviour.ConclusionThe APP-Chinese is the first standardised assessment tool for evaluation of clinical performance of physiotherapy students in China and was shown to be well accepted by both students and CEs in the clinical education unit and university involved in this study.

Summary of respiratory rehabilitation and physical therapy guidelines for patients with COVID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy.

[Purpose] To summarize the existing official guidelines issued by the World Confederation for Physical Therapy and Associations of Physical Therapy in various countries and to clarify the recommended methods of respiratory rehabilitation and physiotherapy for patients in different stages of the coronavirus disease of 2019 (COVID-19). [Methods] An introductory literature search was conducted using the keywords “COVID-19”, “respiratory rehabilitation”, “physical therapy”, and others in the database of the Association of Physical Therapy. [Results] Using 12 coronavirus disease-2019 rehabilitation-related articles, we summarized data on physical therapy (PT) evaluation; treatment; indications; contraindications; and termination indicators for patients in acute, stable, and post-discharge stages. [Conclusion] PT for COVID-19 patients with coronavirus disease 2019 should be formulated according to the stage of the disease and condition of the patients.

Training of students of physiotherapy, an antique look and postmodernist

With this article is to describe in general terms the areas least performed by physiotherapists and in the workplace; where a series of situations from developing their skills, either through ignorance and/or perform insecurity occur. In addition, it is important to raise awareness among universities, associations and bodies representing us at the government level, since their experiences contribute to unification of curricula, which are the backbone of every profession. Why different studies found that supports the curriculum of several universities pensums by major regions and departments could be observed in the same inequality and disadvantages that later are going to be facing the future graduates by the lack of skills in different areas of performance of the race. As consistent with the above, will result in an inequity in the competency framework, which in future will be an obstacle to compete scientifically with other races in the area of ​​health, such as medicine, therapy, dentistry and nursing. Finally, the process identity is emphasized at national and global level as described in our international representative World Confederation for Physical Therapy (WCPT) in terms of art, science and technique of physical therapy. And just to show that we are much more than a "massage" as we currently perceive and demonstrate the skills learned in the university cloister really promotion and prevention.

Fizioterapija u savremenom visokom strukovnom obrazovanju

In the last fifty years there has been a dramatic development and changes in all segments of the biomedical sciences which contributed to the development of expertise in the field of physiotherapy. While the aim of the first higher education cycle is training for basic skills required for independent practice, second education cycle should provide training in planning processes, projects, decision making, development of leadership skills, with the assessment process, as well as special physiotherapy knowledge and skills in selected areas and technologies. The formation and organization of joint master study programs related to the physiotherapy can be very interesting organizational model. This can be achieved by a greater degree of flexibility and adaptability of programs that stimulates the horizontal mobility of students within the European higher education area. The development of the physiotherapy profession was marked by a significant increase in the volume of knowledge and skills, so the World Confederation for Physical Therapy and its European region, developed a strategy according to which are necessary all three cycles of higher education.

Physical therapy musculoskeletal imaging authority: A survey of the World Confederation for Physical Therapy Nations.

Medical evidence largely supports PTs in expanded roles, however, healthcare policy within the United States (USA) typically restricts PTs from ordering musculoskeletal (MSK) imaging. It is unknown how MSK imaging policy in the USA compares to other World Confederation for Physical Therapy (WCPT) member nations. The primary objective of our study was to investigate the authority of PTs to order MSK imaging. A secondary objective was to identify factors associated with the authority for PTs to order MSK imaging. 111 WCPT member nations were surveyed over a 2-month period on the authority of PTs ordering MSK imaging within their nation. A secondary analysis utilizing a step-wise binary regression compared member nation demographic statistics to MSK imaging authority. 81 member nations responded to the survey. 31 (38.3%) of member nations reported having some level of PT MSK imaging authority while 50 (61.7%) did not. Member nations with lower per capita healthcare costs were significantly more likely to allow PTs to order MSK imaging (p = 0.02). Those with direct access authority were 7.4 times more likely to authorize PTs to order MSK imaging (p < 0.01). Entry-level clinical degree and years of entry-level collegiate credit were not associated with imaging authority. This is the first study to report MSK imaging policy within the WCPT member nations. While many nations within the WCPT allow PTs to order MSK imaging, the majority of nations still restrict PTs from such practice. Lower per capita healthcare costs and direct access authority were significant predictors of MSK imaging authority, however, causation cannot be established within the confines of this study. Future studies should consider issues such as restrictive policy origin (i.e. governmental vs. institutional), insurance reimbursement (i.e. private vs. public sector policy), and limitations on imaging modality.

An interdisciplinary statement of scientific societies for the advancement of delirium care across Europe (EDA, EANS, EUGMS, COTEC, IPTOP/WCPT)

BackgroundDelirium is a geriatric syndrome that presents in 1 out of 5 hospitalized older patients. It is also common in the community, in hospices, and in nursing homes. Delirium prevalence varies according to clinical setting, with rates of under 5% in minor elective surgery but up to 80% in intensive care unit patients. Delirium has severe adverse consequences, but despite this and its high prevalence, it remains undetected in the majority of cases. Optimal delirium care requires an interdisciplinary, multi-dimensional diagnostic and therapeutic approach involving doctors, nurses, physiotherapists, and occupational therapists. However, there are still important gaps in the knowledge and management of this syndrome.Main bodyThe objective of this paper is to promote the interdisciplinary approach in the prevention and management of delirium as endorsed by a delirium society (European Delirium Association, EDA), a geriatrics society (European Geriatric Medicine Society, EuGMS), a nursing society (European Academy of Nursing Science, EANS), an occupational therapy society (Council of Occupational Therapists for European Countries, COTEC), and a physiotherapy society (International Association of Physical Therapists working with Older People of the World Confederation for Physical Therapy, IPTOP/WCPT).Short conclusionIn this paper we have strongly promoted and supported interdisciplinary collaboration underlying the necessity of increasing communication among scientific societies. We have also provided suggestions on how to fill the current gaps via improvements in undergraduate and postgraduate delirium education among European Countries.

Health Competency Standards in Physical Therapist Practice.

Although the physical therapist profession is the leading established, largely nonpharmacological health profession in the world and is committed to health promotion and noncommunicable disease (NCD) prevention, these have yet to be designated as core physical therapist competencies. Based on findings of 3 Physical Therapy Summits on Global Health, addressing NCDs (heart disease, cancer, hypertension, stroke, diabetes, obesity, and chronic lung disease) has been declared an urgent professional priority. The Third Summit established the status of health competencies in physical therapist practice across the 5 World Confederation for Physical Therapy (WCPT) regions with a view to establish health competency standards, this article's focus. Three general principles related to health-focused practice emerged, along with 3 recommendations for its inclusion. Participants acknowledged that specific competencies are needed to ensure that health promotion and NCD prevention are practiced consistently by physical therapists within and across WCPT regions (ie, effective counseling for smoking cessation, basic nutrition, weight control, and reduced sitting and increased activity/exercise in patients and clients, irrespective of their presenting complaints/diagnoses). Minimum accreditable health competency standards within the profession, including use of the WCPT-supported Health Improvement Card, were recommended for inclusion into practice, entry-to-practice education, and research. Such standards are highly consistent with the mission of the WCPT and the World Health Organization. The physical therapist profession needs to assume a leadership role vis-à-vis eliminating the gap between what we know unequivocally about the causes of and contributors to NCDs and the long-term benefits of effective, sustained, nonpharmacological lifestyle behavior change, which no drug nor many surgical procedures have been reported to match.

Physiotherapy and Mental Health

Physiotherapy in mental health care and psychiatry is recognized by the World Confederation for Physical Therapy (WCPT) as a specialty within physiotherapy. Physiotherapy in mental health offers a wide range of interventions in regard of body functions, physical activity, exercises, sensory, body and movement awareness, stress and tense regulation and pain management, based on clinical and scientific evidence-based literature. Additionally, the promotion of a healthy lifestyle and “physio-education” (i.e. the process of providing education and information regarding specific physiotherapy related topics to patients and their family members) should be a responsibility of the physiotherapist. This paper gives a short overview of the interventions in the field of mental health to offer appropriate care to a specific vulnerable but growing group in our society.

Large variability found in musculoskeletal physiotherapy scope of practice throughout WCPT and IFOMPT affiliated countries: An international survey

BackgroundAdvanced practice physiotherapy (APP) rights are part of the evolution of the Physical Therapy profession. To date, no study has investigated musculoskeletal APP rights within the World Confederation for Physical Therapy (WCPT). ObjectiveTo investigate musculoskeletal APP rights for physical therapists worldwide and examine the relationship between level of education (entry and post-professional) and direct access for countries that are vs. are not members of the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT). DesignCross-sectional study with descriptive and exploratory online surveys. MethodsAn electronic survey-based descriptive and exploratory investigation was conducted. We assessed variability between WCPT member organizations descriptively and the strength of the relationships among the number and types of APP rights with: (1) country affiliation to IFOMPT; (2) entry-level professional degree; (3) post-professional training; and (4) direct access. ResultsSome countries reported having the right to practice all 20 APP rights while others reported no APP rights. Countries with IFOMPT member organization countries displayed fair correlation (rs = .48, p < .03) between entry-level physical therapy degrees and number of APP rights. IFOMPT member organization countries were less likely to require post-professional training for direct access and manipulation. ConclusionAPP rights for countries with direct access were significantly higher than for countries without direct access. IFOMPT member organizations demonstrated higher APP rights prevalence and were less likely to require post-professional training to obtain the right to direct access and perform manipulation.

The Current Status of Physical Therapy in China

The current health system in China has evolved by embracing both traditional Chinese medicine and Western medicine. China is the only country in the world where the number of doctors is larger than the number of nurses but education programmes for other health professions like physical therapy have been slow to develop. In the case of physical therapy it was not until China won the bid for the Olympic Games that permission to establish the first physical therapy programme was granted. Since then China has undergone a period of rapid economic growth enabling many people to have a higher standard of living and improved health, but at the same time the country is faced with massive urbanization, industrialization, increasing environmental health threats, increased health disparities and an aging population. With the support of the Chinese Association of Rehabilitation Medicine, an increased investment by the Government in public health and rehabilitation and engagement of international education experts, entry-level education programmes for physical therapy have started to develop and there are now nine which are modeled, at least to some extent, on the World Confederation for Physical Therapy's international guidelines. The paper explores the development of physical therapy education in China and discusses possible options for the way forward so that as the demand for physical therapy to service 1.4 billion people grows, the profession is prepared and the standards expected of the entry-level physical therapist will not be compromised. 中图分类号：R493 文献标识码：A 文章编号：1001-1242(2013)-06-0493-11

WCPT (世界理学療法連盟) ICPCサブグループの組織編制に向けて

WCPT (世界理学療法連盟) ICPCサブグループの組織編制に向けて

Physical Function ICU test – scored (PFIT-s)

Advanced practice physiotherapy (APP) rights are part of the evolution of the Physical Therapy profession. To date, no study has investigated musculoskeletal APP rights within the World Confederation for Physical Therapy (WCPT).To investigate musculoskeletal APP rights for physical therapists worldwide and examine the relationship between level of education (entry and post-professional) and direct access for countries that are vs. are not members of the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT).Cross-sectional study with descriptive and exploratory online surveys.An electronic survey-based descriptive and exploratory investigation was conducted. We assessed variability between WCPT member organizations descriptively and the strength of the relationships among the number and types of APP rights with: (1) country affiliation to IFOMPT; (2) entry-level professional degree; (3) post-professional training; and (4) direct access.Some countries reported having the right to practice all 20 APP rights while others reported no APP rights. Countries with IFOMPT member organization countries displayed fair correlation (rs = .48, p < .03) between entry-level physical therapy degrees and number of APP rights. IFOMPT member organization countries were less likely to require post-professional training for direct access and manipulation.APP rights for countries with direct access were significantly higher than for countries without direct access. IFOMPT member organizations demonstrated higher APP rights prevalence and were less likely to require post-professional training to obtain the right to direct access and perform manipulation.

ES 03.03 Allied Health: The Missing Link in Comprehensive Cancer Care

ES 03.03 Allied Health: The Missing Link in Comprehensive Cancer Care

Prescription medication by physiotherapists: a Brazilian view of the United Kingdom, Canada, Australia and New Zealand.

Many health systems (HS) have adopted novel models of care which have included non-medical prescription (NMP) by physiotherapists. The aim of this study was to verify in the literature the existence of this practice and its possible benefits. A literature review was carried out through search on Science Direct, PubMed, SciELO, Lilacs and Google Scholar, and in the World Confederation for Physical Therapy and Chartered Society of Physiotherapy websites. In recent decades the United Kingdom adopted the NMP for health professionals, followed by Canada. In Australia and New Zealand physiotherapists have acted in the prescription and administration of medications under medical orders, which is the first step into independent prescription. Brazilian physiotherapists cannot prescribe any medication, despite of high demands from patients in the Brazilian HS, shortage of physicians in many regions and bureaucracy in accessing health services. The adoption of NMP by physiotherapists may play an important role in the HS, and it seems to be an inevitable achievement in the next years in Australia and New Zealand. The main benefits include decreasing bureaucracy for assistance, population demands for medication as well as major professional refinement.

La Gestion D'une Patiente Ayant Hypertension Pulmonaire Thromboembolique Chronique

The profession of Physiotherapy has been defined by the "World Confederation for Physical Therapy" (WCPT) as the services provided to individuals and populations to develop, maintain or restore an optimal functioning throughout the life. This includes services facing all the circumstances which may take place and which are caused by the age, musculoskeletal disorders, pain, diseases, disorders, environmental conditions and many other situations. The physiotherapists are thus called upon to identify and maximize the quality of life of individuals by focusing on the promotion of health, the prevention, treatment, intervention and the adaptation or even the rehabilitation. For this, in the clinical environment, the physiotherapist is confronted by a variety of clinical cases which can be very simple or having a level of complexity increased. This project presents a case that can be considered rare but requires the implementation and the integration of multiple skills to be able to manage it. It is a case of pulmonary hypertension chronic thromboembolic which has gone unnoticed for several years and which is complicated by the existence of a sociocultural component which adds to this case an additional challenge when it is supported. The success in the management of this case relies on of the establishment of a good communication with the patient and on the establishment of a relationship of trust which requires of the physiotherapist to detach from social prejudice and to present themselves as an impartial person in dealing with the individuals.