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Self-Reflection Worksheet for Physiotherapy

Ethics of physiotherapy practice in canada
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0% found this document useful (0 votes)
18 views5 pages

Self-Reflection Worksheet for Physiotherapy

Ethics of physiotherapy practice 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

Physiotherapy Practice in Canada

Module 5 - Self-Reflection Worksheet

First Name: AESHA


Last Name: NAYAK
Date: 21 NOVEMBER, 2022

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?

1) There are no physical treatment assistants or aides in India. The majority of


physiotherapists who have nished their education or are enrolled in a
master's programme work with their juniors and are in charge of supervising
them when they interact with clients. However, the duties of the quali ed
students or interns who assist the physiotherapist are to provide safe care to
the patients (know how to use the modalities, exercises, and stretching), must
know how to communicate and know proper cueing, and participate in the
treatment plan, but some things di erently in the responsibilities between India
and Canada, such as equipment cleaning, purchasing, maintaining inventory,
documenting a client's progress, and getting permission to get medical
information.

2)When it comes to the duties of a physiotherapist when delegating care to a


physiotherapy sta member in India, a physiotherapist doesn't need to
evaluate a student's or intern's competency while delegating the care of a
client, the physiotherapist is not required to get the patient's consent before
the involvement of the physiotherapy sta , supervision is not performed in all
cases aside from the most serious ones, and a physiotherapist is not required
to report to the hospital. Contrarily, in Canada, it is the responsibility of the
physiotherapist to assign care, taking into account elements like the
supervision strategy, evaluation criteria, patient factors, environmental factors,
support sta factors, physiotherapy treatment factors, and physiotherapy
considerations.

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?

New, internationally trained physiotherapists are typically anticipated to


experience anxiety when being observed. I would undoubtedly feel anxious
and watchful knowing that I am being watched. Little strain is created by the
pressure to do well and the knowledge that my physiotherapist must be
pleased with my e orts. Questions like, "Will they enjoy my work?"
How would the comments about whether or not I met the requirements for this
position? This could add a little pressure, but it also produces positive results.
I'll make mistakes, but I'll learn from them or get assistance.
The di culties would be:
• Using a di erent method or approach for a certain condition (e.q. Traction
and oscillation techniques for mobilizations)
• There are exercises which are named di erently back home, so while
working with Clients need to use proper terms.
• Di erent ideas of treatment plan and progression
• Understanding the environment at work and what is expected.
• Being careful with the paper work and consent

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.

Hi, this is AESHA, from XYZ physiotherapy clinic. We have a mutual client; her
name is serene shah and she is 32 years old. I was wondering if I could talk to
you about her. I am concerned about her injury. She is having di culty
and severe pain in her right upper extremity. Just to give you a quick
background on her case, she is perfectly healthy with no history of any
conditions or underlining causes. Recently she had a motor vehicle accident,
she had a whiplash injury and her neck was hurt. She just started her treatment
session and I noticed while exercising for the upper body, I asked her to lie
down on the table she had severe pain in her right-side chest while going
down to sleep, getting up and doing activities like exion, abduction and
horizontal abduction. However, there is no issue with the range of motion. I
was wondering if her ribs on the right have a hairline fracture, we should run
some ×-rays to have better clarity on what is going on. I am guessing it's
because the seat belt and rapid forward movement of her chest might have
caused internal injury during the accident.

SBAR Tool:
Situation: Hi this is AESHA, from XYZ physiotherapy clinic. We have a mutual
client; her name is serene shah and she is 32 years old. I was wondering if I
could talk to you about her. I am concerned about her injury. She is having
di culty and severe pain in her right upper extremity.

Background: Just to give you a quick background on her case, she is perfectly
healthy with no history of any conditions or underlining causes. Recently she
had a motor vehicle accident, she had a whiplash injury and her neck was hurt.

Assessment: She just started her treatment session and I noticed while
exercising for her upper body, I asked her to lie down on the table, she had
severe pain in her right-side chest while going down to sleep, getting up and
activities like exion, abduction and horizontal abduction. There is no issue
with the range.

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

Recommendation: I was wondering if her ribs on the right have a hairline


fracture, we should run some ×-rays to have better clarity on what is going on.
I am guessing it's because the seat belt and rapid forward movement of her
chest might have caused internal injury during the treatment.

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

I strongly consider the SBAR tool to be useful.


The SBAR tool ensures that everyone participating in solving problems does
so with the least amount of e ort and stress possible. Confusion and
miscommunication are avoided by having one person o er all of the relevant
information at the same time. It also allows us to ask inquiries if you require
additional information.

Common questions

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In India, physiotherapists often delegate care without evaluating the competency of students or interns and are not required to obtain patient consent before their involvement, leading to less stringent supervision . In Canada, however, physiotherapists must consider supervision strategies, evaluate competency, and obtain consent when delegating care, ensuring a higher standard of accountability and patient-centered care . These differences imply that Indian physiotherapy might rely more on informal supervision, which can increase risks in patient care but also offers more practical experience for trainees, whereas Canadian practices might lead to more consistent and safe patient outcomes due to formal oversight.

New physiotherapists can benefit from mentorship programs, actively engaging in self-reflection practices consistent with Canadian training, and utilizing structured communication tools like SBAR to enhance interaction with other healthcare professionals . Additionally, they should familiarize themselves with local protocols, language, and cultural nuances to effectively integrate into the Canadian healthcare system.

The SBAR tool comprises four components: Situation, Background, Assessment, and Recommendation. It is preferred in healthcare since it facilitates clear and structured communication between healthcare providers, minimizing confusion and miscommunication by ensuring accurate transmission of critical information in a structured format . This enhances collaborative decision-making and improves patient outcomes.

Internally trained physiotherapists may experience anxiety due to pressure to perform and be evaluated positively by their supervising physiotherapists . While this supervision can be stressful, it also offers learning opportunities, helping practitioners to improve their practice through feedback and adjustments. This can be both challenging and beneficial, fostering professional development in a new healthcare environment.

In Canada, obtaining patient consent before involving support personnel ensures that patients are informed and comfortable with their care, respecting their autonomy and legal rights . This practice minimizes risks of miscommunication and enhances trust in the healthcare system. In India, absence of a formal requirement for consent could lead to less patient involvement in care decisions, impacting the perceived quality and accountability of care.

The integration of international physiotherapists into Canadian healthcare can bring diverse perspectives and approaches to patient care, enhancing innovation and cultural competency. However, it requires careful management of supervisory challenges and adaptation to local standards to maintain high-quality care . Successful integration can foster a more dynamic and inclusive healthcare environment, benefiting both practitioners and patients.

Language differences can cause confusion if exercise names and treatment techniques are labeled differently in the practitioner's home country compared to Canada, necessitating adaptation to Canadian terminology. Miscommunication can lead to errors in the execution of treatment plans and affect professional interactions . Adapting to the correct terminology ensures clarity and consistency in patient treatment and professional collaboration.

Canadian physiotherapy education emphasizes self-reflection as a critical process before, during, and after clinical situations to enhance self-awareness and professional growth . In contrast, other countries might not systematically incorporate reflective practices in their curriculum, focusing more on technical skills and less on self-reflection. The Canadian approach helps practitioners become more mindful, adaptive, and better at resolving clinical challenges, leading to improved patient care and personal development.

In India, the lack of official support personnel requires physiotherapists to directly oversee tasks typically handled by aides, potentially leading to stretched resources and inconsistent quality . In contrast, Canada utilizes support personnel under strict supervision, which can enhance service efficiency and enable higher focus on complex patient cases by physiotherapists. The Indian system offers practical on-ground training, while the Canadian approach ensures consistent patient care and efficient task delegation.

Reflective practices enable healthcare professionals to critically analyze their experiences, promoting greater self-awareness and understanding of their clinical encounters . This continuous process helps professionals identify knowledge gaps, refine skills, adapt to new situations, and internalize learning, ensuring personal and professional growth throughout their careers. It also fosters adaptability in evolving healthcare landscapes.

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