HEALTH PERSPECTIVES IN PHYSIOTHERAPY PRACTICE

SHE Level 1
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M1B122674
Module Leader Elaine Coulter
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • B (January start)

Summary of Content

This module introduces and explores contemporary issues and trends relating to the practice of physiotherapy in a variety of healthcare and health promotion settings. In particular the influence of age, gender, culture and socio-economic status on health will be considered. It will introduce models of healthcare delivery whilst recognising the diversity of emerging healthcare environments (eg. NHS, acute/primary care, independent/private sector, third sector etc). The reorientation of health care practice from therapy to prevention will be emphasised. It will enable students to develop their understanding of health from a population perspective and to understand the relevance of changing patterns of health problems and longevity (this will consider both local issues and global healthcare trends). Students will be introduced to rudimentary methods of clinical evaluation to develop an understanding of the concept, dimensions and determinants of health and well-being and the problems inherent in health measurement. This module would introduce many central concepts related to health & wellbeing (eg. Health education and exercise promotion, rehabilitation & enablement, management of long term conditions, holism and client centredness, cultural diversity, the empathetic practitioner). The use of the ICF as a structure to assessment, care planning and delivery and how an asset based model could be developed by physiotherapists will also be encouraged. Factors influencing health related behaviour and the use of a range of strategies to influence health related behaviour change will be introduced (eg. Motivational interviewing). The preparation of health -related educational material for clients and families will also be addressed. The module will stress the importance of being knowledgeable with regard to current national topics, policies and strategies and how physiotherapists can utilize their knowledge and skills not only across existing healthcare environments but also in developing and establishing emergent roles for the profession.

Syllabus

Essentially this module sets out to contextualize the role of the physiotherapist within a variety of healthcare settings. The syllabus will cover the current trends in longevity and changing nature of health problems. Acknowledgement of healthcare environments will be considered in relation to age, gender, culture and socio-economic status, health at work and the management of long term conditions. This will also address key global and national health topics and policies and the management strategies which highlight the role of the physiotherapist in leading behaviour change with regards to physical activity and the promotion of health and well-being. Strategies for influencing health related behaviour change (eg. Motivational interviewing) and methods of disseminating health promotion material will be introduced. The ideology behind client-centredness and holism will feature alongside the physiotherapist's relationship towards their client, as an empathetic practitioner. The International Classification of Functioning, Disability & Health (ICF) framework will be used as a construct for the evaluation of individual health needs. Basic entrepreneurial skills will be introduced in the context of developing the profession as exercise champions and agents of change. Professionalism, professional growth and development will be covered (inc. HCPC Standards of practice and CSP code of conduct).

Learning Outcomes

On completion of the module students should be able to:1. Discuss the varying concepts and dimensions of health and appreciate changing perceptions with age, gender, culture and socio-economic status.2. Recognise models of healthcare practice their impact on physiotherapy management.3. Explain the scope of public health and health promotion and the range of issues and strategies which they encompass.4. Identify the key global and national health topics and the policies measures being used to address them.5. Identify a variety of methods with which to measure health status.6. Use the ICF framework to analyse individual health and health needs.7. Recognise the principle of holistic careand its impact on physiotherapy practice. 8. Analyse the role of relationships and communication styles in client-centred care.9. Recognise the factors influencing health related behaviour and behaviour change.10. Explain the range of skills required to work effectively within public health and health promotion.11. Outline opportunities for emerging roles in physiotherapy practice In relation to observational visits to practice sites, student should also be able to:12. Demonstrate an ability to work in partnership with others13. Communicate effectively with the client and key individuals.14. Practice high standards of personal and professional conduct15. Demonstrate an understanding of the principles of health promotion in clinical practice16. Construct SMART personal learning outcomes for the placement.17. Reflect on the learning experience using a theoretical framework.

Teaching / Learning Strategy

A variety of different strategies will be used to encourage active student engagement with the material and exploration of the complexities of health and health related behaviour. The methods used will include: inter-active tutorials to introduce students to new topic areas; task-oriented group work; student led presentation and seminar sessions; interviews with service users; the use of patient "stories", practical sessions on communication strategies. There will also be a practice based aspect to this module which will allow the student to contextualize the learning outcomes in a "live" practice setting. GCULearn will be used as a repository for teaching material by both staff and students and also as a source of useful websites and relevant government documents. Students will be provided with formative feedback throughout the module, by their peers and staff. The module will also offer an introductory exposure to practice through weekly visits to a variety of physiotherapy environments. Students will also engage in reflection within the module through written accounts whilst on placement. There will be an opportunity for formative feedback on this and through the development of a case study.

Indicative Reading

Bowling A. 2005. Measuring Health - A Review of Quality of Life Measurement Scales. 3rd edn. Open University Press. CSP 2011. Code of Members' Professional Values and Behaviour. CSP: London. Available [online] at: <http://www.csp.org.uk/publications/code-members-professional-values-behaviour> Fuller, C. 2008. A toolkit of motivational skills: encouraging and supporting change in individuals, John Wiley & Sons Ltd. (e-book). Glasgow Centre for Population Health available [online] at: <http://www.gcph.co.uk> Gottwald, M. & Goodman-Brown, J. 2012. A Guide to Practical Health Promotion, Open University Press (e-book). Graham, H. 2009. Understanding Health Inequalities, Open University Press. (e-book). HCPC 2012. Your guide to our standards for continuing professional development. HCPC: London. Available [online] at: <http://www.hpc-uk.org/registrants/cpd/> HCPC 2012. Standards of conduct, performance and ethics. HCPC: London. Available [online] at: <http://www.hpc-uk.org/aboutregistration/standards/standardsofconductperformanceandethics/> Lyon, A, 2003. The Fifth Wave. The Scottish Council Foundation: Edinburgh. Available [online] at: <http://www.davidreilly.net/HealingShift/5th_wave_files/TheFifthWave.pdf> Mason P. & Butler C., 2010. Health Behaviour Change: A Guide for Practitioners, 2nd edn., Churchill Livingstone. Marks D., Murray M., Evans B., Estacio E. 2011. Health Psychology. Theory, Research and Practice, 3rd edn., Sage. Naidoo J. and Wills J. 2011. Developing practice for public health and health promotion, 3rd edn. BailliereTindall (e-book). Rollnick S., Miller W., Butler C. 2008. Motivational Interviewing in Health Care: helping Patients Change Behaviour, Guilford Press (e-book). Scriven A. 2010. Promoting Health: A Practical Guide, 6th edn.,BailliereTindall (e-book). Scottish Public Health Observatory. Available [online] at: http://www.scotpho.org.uk/ World Health Organisation 2011. Global status report on non-communicable diseases. Available [online] at: <http://www.who.int/nmh/publications/ncd_report2010/en/index.html>

Transferrable Skills

As part of the learning process within the module, students will develop skills associated with: communication / interviewing; working as part of a group; time management; the use of contemporary literature; compiling and presenting material to groups; writing patient educational material.

Module Structure

Activity Total Hours
Independent Learning (FT) 125.00
Placement 33.00
Assessment (FT) 20.00
Tutorials (FT) 22.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 1 n/a 100.00 40% Group Project - 1,800 Words