Date post: | 03-Nov-2014 |
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Otago
School of PhysiotherapyCentre for Physiotherapy Research
Integrating moving and handling guidelines into practice: a case study in an educational context.
Ally Calder, Dr Hilda Mulligan & Sandy Ferdinand
Overview of Programme
• 4 year degree programme
• 1st 3 years largely theoretical & skills based learning.
• Final year = integration of theory & skills into practice.
Clinical Educator Role
Guide and support the clinical education of final year physiotherapy students in order to achieve autonomous decision making in the clinical environment.
Propositional Knowledge
Effective Clinical Decision Making
CONTEXT
Professional Craft
Knowledge
Personal Knowledge
CONCEPTS CUES
Donaghy & Morss (2000)
PLAN
DO
REFLECT
MODIFY
REFLECT
MODIFY
REFLECTIONIN
ACTION
THECLINICAL
ENCOUNTER
CONCEPTS CONTEXT CUES
The Case
What went wrong?
PLAN
DO
REFLECT
MODIFY
REFLECT
MODIFY
REFLECTIONIN
ACTION
THECLINICAL
ENCOUNTER
CONCEPTS CONTEXT CUES
Curriculum
Objectives: Safe moving & handling
•Demonstrate safe moving and handling of people taking into account safety, analysis of movement and use of equipment
•NZ ACC moving and handling guidelines
Curriculum
Objectives: Movement Analysis
•Identify critical components of movement.
•Analyse the implications for moving and handling
What went wrong?
PLAN
DO
REFLECT
MODIFY
REFLECT
MODIFY
REFLECTIONIN
ACTION
THECLINICAL
ENCOUNTER
CONCEPTS CONTEXT CUES
Strategies
Placed student in a highly supportive CONTEXTUAL environment.
Strategies
Revisited the CONCEPTS of:
• risk analysis using the LITEN UP approach
• analysis of movement
LITEN UP Approach
L
• Co-operate & follow instructions but this is variable• Unable to communicate• Small in size• Extensor muscle tone present on standing• Panic attacks
I• Understands the procedure for sit - stand• No physical limitation
T• Performed task numerous times before• Some lifting assistance may be needed depending on co-
operation level
E• Space for the transfer to occur is sufficient• Other patients moving around the room
Technique: Sit - Stand
Strategies
Video analysis
Strategies
Applied a MASTER – APPRENTICE model of learning.
Master – Apprentice Model
Modelling
Coaching
Scaffolding
Articulation
Reflection
Exploration
Collins et al (1989)
Outcome
Conclusion
The LITEN up approach, along with other strategies can be used strategically to assist physiotherapy students to move and handle people safely in an authentic contextual learning environment.
Otago
School of PhysiotherapyCentre for Physiotherapy Research
Questions?