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Self-Reflection Worksheet for Physiotherapy

The document provides instructions for a self-reflection worksheet on physiotherapy practice in Canada. It includes general tips on self-reflection, such as reflecting on one's thoughts and feelings based on experience. It then poses a series of questions asking the reader to reflect on how support personnel and supervision responsibilities differ between Canada and their home country. The questions also address any challenges of working under supervision to become credentialed in Canada.
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0% found this document useful (0 votes)
169 views5 pages

Self-Reflection Worksheet for Physiotherapy

The document provides instructions for a self-reflection worksheet on physiotherapy practice in Canada. It includes general tips on self-reflection, such as reflecting on one's thoughts and feelings based on experience. It then poses a series of questions asking the reader to reflect on how support personnel and supervision responsibilities differ between Canada and their home country. The questions also address any challenges of working under supervision to become credentialed in Canada.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Introduction and Instructions
  • Use of Support Personnel
  • Working Under Supervision
  • Patient Care Communication
  • SBAR Tool Usage Decision

Physiotherapy Practice in Canada

Module 5 - Self-Reflection Worksheet

First Name: Arshdeep

Last Name: Kaur

Date: 17 january,2023

Instructions:
● Provide your own reflections to the following questions.
● Remember there are no right or wrong answers.
● Please be genuine in submitting what you think or believe.

General Tips on Self-Reflection:


● "Reflection is a thinking process that occurs before, during and/or after situations with
the purpose of developing greater understanding of oneself and events so that future
encounters can be improved.” (University of Alberta course INT410 worksheet)

● A self-reflection is about YOUR thoughts and feelings. It is YOUR perspective and


reflection based on YOUR previous experience and knowledge. This is a skill you should
be developing for lifelong learning.

● Here is a link to a short video to help you get started:


[Link]

● If a question asks you what YOU think, then your response should be worded in the first
person. This means your response will include words like 'I will...' or 'I think...' If your
responses are in the third person ('physiotherapists should...') I will be asking you to
re-do your assignment.

● Many of the self-reflections ask you to compare the Canadian physiotherapy practice
with where you are now. For those of you who are currently in Canada, compare with
the country that you did your training in or where you worked outside of Canada.
Physiotherapy Practice in Canada Module 5 - Self-Reflection Worksheet

How does the use of support personnel differ to that in your own country? How does the
physiotherapist’s responsibilities when assigning care differ to that in your own country?

In my country there is not any physiotherapy assistants specifically, as there is no such available course in my
[Link] is generaly one head of department in physiotherapy settings, who is responsible for carrying out
physiotherapy responsibilities be it assessment, diagnosis or anything related to physiotherapy work. Sometimes
physiotherapy interns or fresh graduates work under head of department and are given duties of assisting head
physiotherapists in delivering treatment to patient like, applications of modalities or sometimes strecthings of muscles,
but these are done under the close watch of experienced physiotherapist. Work of physiotherapy aides is similar in my
country as wel,l that is to clean the equipments, setting the equipment ready to be used by phyiotherapist. They are
trained during their service for these works.
Responibities of physiotherapists while assigning care in my country are;
1, In some colleges of physiotherapy in my country, practical knowledge is not given to emerging physiotherapists.
Therefore, before assigning any duty to them experienced physiotherapist should make sure that they have full
knowledge about that topic. For example, before giving periarthritic shoulder patient to support person, physiotherapist
should check their knowledge about mobilisation technique, so that patient can get best treatment.
2. Physiotherapists make sure all human rights are taken into account while delivering treatment.
3. Physiotherapist make sure that all guidelines given by a main physiotherapist are being followed by support person
while treating patient.
4. Physiotherapists takes feedback from patient about the work of support parson from time to time.

2
Physiotherapy Practice in Canada Module 5 - Self-Reflection Worksheet

If successful in becoming credentialed to work in Canada you will likely need to work under
supervision of a licensed physiotherapist until you can complete the Physiotherapy
Competency Exam. Now that you understand more about the supervision requirements of
physiotherapists, how do you feel about being supervised and what do you think may be
the biggest challenges to working under supervision?

If i would become credentialed and get the chance of doing work under the superevision of canadian liscenced
physiotherapist then i would certainly not feel bad because by this i would get the knowledge of the guidelines which
are being folllowed in the Canada by a licensed physiotherapist. As there are some rules which arenot used in my
nation like, doing work collaboratively with support person as support person cannot take any decision regarding the
treatment of the patient in my nation and many other rules which are followed in Canada but not in my country. One
good thing which i personally like about to do work under supervision is that a person always remain attentive in their
work. So, i will feel motivated if i ever work under the supervision of licensed physiotherapist.
Athough, there would be some challenges which i would face during this period. The most challenging part would be
to have the same level of competence as of a licensed physiotherapist. This is because, they would have more
experience and knowledge about different techniques and procedures which would benefit the patient. Therefore, to
achieve that level of competence would be according to me the biggest challenge for me.

3
Physiotherapy Practice in Canada Module 5 - Self-Reflection Worksheet

Describe a recent patient care situation where you had to communicate or address an issue
with another health care provider. Describe how you would restate your communication
using the SBAR tool.

Recently, when i was working in the physiotherapy department with Mr. Shiv Sharma who came to me without the
reference of any physician for the treatment of knee problem as he is suffering from knee osteoarthritis from 15 days
and he has been getting physiotherapy treatment from me since 3 days. Patient has a history of seizures back in
2020 after he met with RTA and got head injury but hasnot gotten any episode from 2 months but he is still under
medication.
When he came to me on his third visit, as usual i was giving him treatment, but he started doing jerky movements of
body and then he fell down suddenly and become unconsious and his whole body started shaking badly.I was getting
concern that patient is again having an attack of seizures.
Then i decided to contact a neurologist about the condition of patient.
As before i was not aware of SBAR tool so, i told the neurologist that there is a patient in physiotherapy department
who came to have physiotherapy treatment for knee osteoarthritis but suddenly in the middle of session he fell down
and his body start shaking and i am not sure if something is going on. What should i do ?
But now, i know about SBAR so, i will restate my communication like this;
According to SBAR, i will first tell about:
Situation-Hi, this is Arshdeep kaur from physiotherapy. I am calling you to tell you about the condition of my patient,
Mr Shiv sharma. He came to me 3 days ago as he is suffering from knee osteoarthritis . So, in order to seek treatment
for it , he came to me. But, today in the middle of session, he started doing jerky movements and then suddenly he fell
down and become unconsious and his body is shaking badly. Before this he was just doing his routine exercises so,
its not seems to be related to physical stress.
Background- He told me in history that in 2020 he met with RTA and got head injury, because of this he started
having frequent episodes of seisures and is constantly under medication since then, but since 2 months he has not
gotten any episode of seizure,but he is still taking the medicine.
Assessment- i am not certain but it seems that he is again getting attack of seizures.
Recommendation- I will continue to monitor him, but i need you to come immediately to the physiothetrapy
department. Are you going to come or should i just call in an emergency code?

4
Physiotherapy Practice in Canada Module 5 - Self-Reflection Worksheet

Would you consider using the SBAR tool. If yes, why? If no, why not?

I would definitely use SBAR tool to reduce communication error. The concept of this tool is taken from aviation
industry like the way they control air traffic, similarly this tool prevents communication problem among healthcare
practioners. As communication error seems to be very common while handling the patient. Because of this problem,
sometimes patient donot get treatment on time or sometimes it leads to malhandling of the patient which may
become the cause of death of a patient as [Link] reduce this communication error from one health care proivider to
another, SBAR tool plays the major role. This is becuse it helps in conveying complete description of the condition of
patient from its present situation to what a healthcare provider want from another to cure patient's condition. By using
this tool, there would be very less chances of malcommunication among different healthcare providers. The other
person gets the idea that either it is an emergency or not and how they need to act in this situation. This tool is valid
on urgent or non-urgent conditions so both the conditions are addressed effectively. This tool also helps in reducing
misunderstangs among different health care providers which may sometimes happen while explaing the condition of
patient. So, because of these reasons, i would use this tool.

Common questions

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The SBAR tool improves patient care by standardizing communication among healthcare providers, reducing errors that can lead to mismanagement or delays in treatment. It provides a structured method to convey a patient's condition, history, and necessary actions, making it clear if a situation is urgent and what steps are recommended. This reduces misunderstandings and ensures timely and appropriate responses, thus enhancing overall patient safety and care quality .

In a scenario where a patient with a history of seizures suddenly exhibits seizure-like symptoms during therapy, using the SBAR tool allows the physiotherapist to communicate effectively with a neurologist. By clearly stating the situation, patient's background, assessment, and needed recommendation, the physiotherapist ensures the neurologist understands the urgency and context, facilitating timely intervention that might prevent worsening of the patient's condition or an inappropriate treatment decision .

Practical training is crucial in preparing physiotherapists for ethical and competent practice as it provides hands-on experience and understanding of treatment modalities, patient communication, and ethical decision-making. Globally, the emphasis on practical training can vary, with some countries offering extensive hands-on learning opportunities, while others may have limited practical exposure before assigning responsibilities. This difference affects how newly qualified physiotherapists adapt to professional environments like that in Canada, where comprehensive practical experience is valued .

Communication errors in healthcare can lead to delayed treatment, patient harm, or even death due to misdiagnosis or improper management. These errors can be mitigated by implementing structured communication tools like SBAR, which reduce miscommunication by providing a clear, concise, and standardized format for exchanging vital patient information, ensuring all healthcare providers are informed and actions are appropriately coordinated .

In the participant's home country, there are no specialized physiotherapy assistants as there are no available courses for such positions. Instead, physiotherapy interns or fresh graduates may assist the head of the department under close supervision. Their tasks can include applying modalities or performing muscle stretches, supervised by experienced physiotherapists. In contrast, Canadian practice involves support personnel who work more collaboratively under guidelines set by licensed physiotherapists, with clear roles defined for both the physiotherapist and the support staff .

Ethical considerations include ensuring that support personnel are adequately trained and competent to perform assigned tasks, safeguarding patient safety and treatment quality. Physiotherapists must consider the scope of practice and supervise appropriately to prevent unauthorized decision-making by support staff. Maintaining patient confidentiality and respecting human rights during treatment are also essential ethical responsibilities .

International physiotherapists need to develop competencies in collaborative practice, understanding and adhering to Canadian healthcare guidelines, and effective communication using tools like SBAR. Additionally, they must adapt to working under supervision until they complete Canadian credentialing exams, which involves learning new legal, ethical, and professional standards distinct from their home countries .

Self-reflection aids lifelong learning by enabling healthcare practitioners, including physiotherapists, to develop a deeper understanding of their practice and personal growth. It encourages examining experiences critically to improve future practices and decisions. This process helps practitioners remain attentive and adaptive to evolving guidelines and standards, thus maintaining competence and enhancing professional satisfaction .

Cultural differences can significantly impact the implementation of physiotherapy practices as they influence how healthcare roles and responsibilities are structured. For instance, in some countries, the lack of formal training programs for support personnel results in different utilization of these staff compared to places like Canada, where structured guidelines and collaboration with support personnel are emphasized. Cultural expectations and healthcare systems also determine how responsibilities like patient management and inter-professional collaboration are handled .

The main challenge for a newly credentialed physiotherapist transitioning to work under supervision in Canada is achieving the same level of competence as licensed physiotherapists who possess more experience and knowledge of various techniques and procedures that benefit patients. Working collaboratively with support personnel is another adjustment as, in the participant's home country, support staff cannot make treatment decisions independently .

Physiotherapy Practice in Canada 
Module 5 - Self-Reflection Worksheet 
 
First Name: 
 
Last Name: 
 
Date: 
 
 
Instructi
Physiotherapy Practice in Canada                                                             Module 5 - Self-Reflection Wo
Physiotherapy Practice in Canada                                                             Module 5 - Self-Reflection Wo
Physiotherapy Practice in Canada                                                             Module 5 - Self-Reflection Wo
Physiotherapy Practice in Canada                                                             Module 5 - Self-Reflection Wo

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