Physiotherapy in a Care Home
As our population continues to age, more and more people are residing in care homes or living in nursing homes, these patients often have a variety of conditions including mobility problems that can benefit greatly from physiotherapy. Our home visit physiotherapy service based in Lichfield and serving areas such as Sutton Coldfield, Tamowrth, Walsall, Rugeley and Cannock provides the ideal solution for patients who are currently living in a nursing home. Our physiotherapists can visit them in the care home at a convenient time and reduce the difficulty of attempting to get to a clinic which is often impossible.
We have a large amount of experience in treating patients in residential care or nursing homes and can liaise with any staff or carers including nurses and social workers. If needed our physiotherapists are able to instruct staff and carers in how to supervise and perform any exercises or mobility work. Often relatives or patients themselves are anxious about whether or not it is possible to receive physiotherapy in a care or nursing home but with our service this is not a problem and our experienced physiotherapists will be able to allay any worries.
How can ThreeSpires Physiotherapy help?
One of our physiotherapists will visit the care or nursing home at a convenient time and day. If needed we can contact the care provider in advance to discuss any requirements but usually this is not necessary and most care homes are happy to have a physiotherapist visit the patient at any reasonable time. Our physiotherapist will then conduct an initial assessment and treatment session with the patient - sometimes a relative will prefer to be there in order to facilitate communication and offer reassurance.
Due to the complexity of the problems that elderly patients face, difficulties with communication, the lengthy assessment process and the need for ongoing re-assessment as patients improve; we always recommend that extended treatment sessions of 1 hour are booked for all sessions including follow ups. It is our experience that this extended period of time allows for a much greater benefit and response to therapy and is especially beneficial for older patients who may fatigue quickly and may need longer rest periods in sessions.
The session will generally proceed as follows:
A full subjective assessment (discussion) will take place between the physiotherapist and the patient - sometimes due to communication difficulties this may take place earlier with a relative or carer and the session will instead focus on assessing function and physical abilities. This subjective history will generally cover their condition, current mobility, any goals for the future, past medical history and medication.
Physical Examination: of the patient is then completed. This will be wide ranging and include factors such as mobility, strength, balance and posture and is conducted in a way that makes it easy to follow for any patients who may be confused or possibly anxious.
Treatment options during the session may include, balance work, strengthening exercises, falls prevention, mobilising practice and gait re-education. All exercises that are likely to be prescribed will be practised so that the patient feels comfortable and understands what is required and why. At this point, if needed our physiotherapists will instruct staff or carers as to how best to supervise and ensure exercises are conducted correctly and safely.
Self management is a key part of physiotherapy and the physiotherapist will design an exercise program that will be both safe and easy to complete independently in the nursing home. This can written or typed up and left in a safe place at the home in order to facilitate recovery.