Physiotherapeutic Reflection in Parkinson Disease-Free-Samples

Question: Discuss about the Physiotherapeutic Reflection in Parkinsons Disease. Answer: Patients affected with Parkinsons disease gradually develops certain level of physical disability, despite of having proper medical and surgical interventions. In such situation, it is the role of physiotherapists to make such patients able to maintain the maximum level of activity and mobility (Leroi et al., 2012). This assignment will provide a reflective idea upon the assessment process carried out in an aged care facility while measuring the outcome for medical interventions in Parkinsons affected patients. Further, it will describe the way this measurement process affirmed the practice and helped in learning experience. According to the physiotherapeutic standards, measuring outcome generally involves comparing two different scales or measuring instruments so that evaluation of change in the patients health status becomes easy (Hanchard et al., 2012). It helps to determine that the chosen intervention by the clinician is helpful in enabling mobility in the patients affected with Parkinsons disease. I was to assess outcome measurement of six patients having Parkinsons disease in an aged care facility. I was Confident that I will be able to measure and compare the differences between expected outcome and current state of the patients. For this assessment, I chose Unified Parkinsons disease rating scale and Lindop Parkinsons assessment scale and compared the reliability and validity of these two against each other. The unified Parkinsons disease rating scale is a 50-question assessment of motor and non-motor symptoms related to this disease (Martinez-Martin et al., 2013). On the other hand, the Lindop scale involves a gait and bed section, which incorporates total 10 tasks, completion of which determines success of interventions (Skelly, Lindop Johnson, 2012). For the measurement, I made all the patients aware of the process and after their consent I commenced the process. I started with unified Parkinsons disease rating scale and started with evaluation of their behavior and mood. For this purpose, I used a questionnaire having 10 questions. Further, another questionnaire for their self-evaluation about their activity such as speech, swallowing, handwriting, walking, hygiene, falling dressing and so on. Furthermore, I carried out processes complications of therapy, Hoehn and Yahr severity staging and Schwab and England ADL scale (Martinez-Martin et al., 2013). The assessment using this scale took less time as the patients were to fill up a questionnaire of 50 questions. After this, the patients were introduced to the Lindop Parkinsons assessment scale, which was incorporated to understand the physical changes in their body. I described the patients about the assessment scale and informed them that the gait section will measure their abili ties such as sit to stand, timed unsupported stand, timed up and go, walking through the doorway and 180 degree right and left turn. Furthermore, the bed section will measure their ability from Sit to Lie, Lie to Sit, and Rolling to their right and left (Skelly, Lindop Johnson, 2012). All the patients tool part in the assessment and completed the activities within estimated time. This assessment process made me learn the importance of outcome measurements. All these patients were under clinicians intervention for last 6 months and this outcome measurement showed that applied intervention did not improved each patients disability. A 67-year-old patient was not being able to complete the Lindop assessment process, as he was not been able to move his lower section of the body. He also scored low in the unified assessment scale. On the other hand, 59-year-old woman, who scored low in the previous outcome measurement process, was able to complete the entire assessment without any hurdle and score highest in the unified assessment scale. Therefore, I learned that clinician intervention does not fulfill individual requirement to improve their condition. Hence, clinicians should apply interventions according to the need of each patient so that their health condition can be improved (DiCenso, Guyatt Ciliska, 2014). This outcome measurement process of Parkinsons affected patients influenced my practice. While carrying out the process, I saw that despite of the disability, patients were keen to take part in the process, as they wanted to improve their condition. Their motivation and spirit pushed me to carry out the process with conviction and I was able to provide the clinician with an authentic result. Further, I understood that providing prior description to the patients about the process helps in completion of the process without any complication as patients provide compete support to the physiotherapist. This way, the outcome measurement influenced my further practice References DiCenso, A., Guyatt, G., Ciliska, D. (2014).Evidence-Based Nursing-E-Book: A Guide to Clinical Practice, 1st Edn, pp. 381-388, Elsevier Health Sciences. https://books.google.co.in/books?hl=enlr=id=bHqjBQAAQBAJoi=fndpg=PR29dq=interventions+should+be+based+on+every+patients+difficultiesots=M3GrHfDjUJsig=Ie6c6CmUqyrKigkWKjl8Zl89gmA#v=onepageq=interventions%20should%20be%20based%20on%20every%20patients%20difficultiesf=false Hanchard, N. C., Goodchild, L., Thompson, J., OBrien, T., Davison, D., Richardson, C. (2012). Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder: quick reference summary.Physiotherapy,98(2), 117-120. Leroi, I., McDonald, K., Pantula, H., Harbishettar, V. (2012). Cognitive impairment in Parkinson disease: impact on quality of life, disability, and caregiver burden.Journal of geriatric psychiatry and neurology,25(4), 208-214. Martinez-Martin, P., Rodriguez-Blazquez, C., Alvarez-Sanchez, M., Arakaki, T., Bergareche-Yarza, A., Chade, A., ... Mendoza-Rodriguez, A. (2013). Expanded and independent validation of the Movement Disorder SocietyUnified Parkinsons Disease Rating Scale (MDS-UPDRS).Journal of neurology,260(1), 228-236. Skelly, R., Lindop, F., Johnson, C. (2012). Multidisciplinary care of patients with Parkinson's disease.Progress in Neurology and Psychiatry,16(2), 10-14.