IMPROVING AWARENESS OF SPONDYLOARTHRITIS (SPA) AMONGST RHEUMATOLOGY & MSK THERAPISTS Susimala Gaikwad Rheumatology Specialist Physiotherapist Photo by _US_Navy_100723-N -7214P-020_M achinist's_M ate_Fireman_Georg e_F._Avinger_practices_cone_drills_during_ physical_therapy_in_ the_Comprehensive_Combat_ and_Complex_Cas ualty_Car e_facility_at_Naval_Medical_Center_San_Diego.jpg: U.S. Navy photo by Mass Commun ication Specialist 1st Class Anastasia Puscian _US_Navy_090508-F-7885G-021_ Staff_Sgt._Hugo _Reiner,_a_physical_therapy_craftsman_ abo ard_the_Military_Sealift_Command_hos pital_ship_ USNS_Com fort_ (T-AH_20),_makes_a_wrist_brace_for_Teresa_De_la_ Pena_ during_ a_ Continuing_ Pro mise_200.jpg: U.S. Air Force photo b y Airman 1st Class Danielle Grannan US_Navy_070917-N-8704K-072_ Lt._Gwen_Smith,_attached_ to_ Military_Sealift_Command_ ho spital_ ship_ USNS_Co mfort_ (T-AH_ 20),_performs_physical_therapy_for_M arcus_ Pryce_at_the_Arima_Health_ Facility.jpg: U.S. Navy photo by Mass Communication Specialist 2nd Class Joshua Karsten _US_Navy_070706-N-8704K-101_Lt._Gwen_ Smith,_attached_to _M ilitary_Sealift_Command_hospital_ship_USNS_Comfo rt_(T-AH_20),_ performs_physical_therapy_with_the_help_ of_tr anslato r_Zo ela_Armstro ng_ at_ the_Paul_ Brown_Arena .jpg: U.S. Navy photo by Mass Comm unication Specialist 2nd Class Joshua Karsten _US_Navy_081610-A-6522B-002_ Physical_therapist_Lt._Cm dr._ Mitchel_Ideue,_Officer_in_Charge_of_ Inpatient_Services_at_Landstuhl_Regional_M edical_Center,_in_Landstuhl,_Germany,_gives_Army_Sgt._Charlie_McCall_a_ physical_therapy_trea.jpg: U.S. Navy photo _US_Navy_091003-N-8960W-011_Gunner's_Mate_2nd_Class_Patrick_Cornwell_undergoes_a n_ exam_by_Lt._Cristi_Zo hlen_ to_ do cument_ his_s ho u lder_pain_ in_ the_physical_therapy_clinic_abo ard_ the_aircraft_carrier_USS_Nimitz_(CVN_ 68).jpg: U.S. Navy photo by Mass Co mmunication Specialist Seaman Apprentice Robert Winn _US_Navy_020128-N-6077T- 008_CVN_ 74_crew_m ember_receives_medical_treatment_aboard_ship.jpg: U.S. Navy photo by Pho tog rapher’s Mat e 1st Class Kevin H. Tierney derivative work: Jnyles (talk) / Public domain
• Background • History CONTENTS • Task • Outcome and Feedback • Conclusion
PHYSIC AL THERAPIST – COLLABORATIVE RELATIONSHIP 01 02 In the last decade, many health authorities It is imperative that these therapists in the UK have integrated specialist improve their awareness and knowledge in rheumatology physiotherapy posts into Rheumatological conditions. This will the musculoskeletal field. enable collaborate and refer appropriate patients to the Rheumatology Consultant for diagnosis and ongoing management.
SPONDYLOARTHRITIS EDUCATION NASS, AStretch and Between 2012 and 2014 Back in Focus hold regular BRITSPA members have seminars and satellite educational meetings and been campaigning and meetings throughout the have produced online presenting educational UK reached 2000 potential modules on recognition and seminars on diagnostic referrers. diagnostic awareness. awareness for several years.
Increased awareness N I C E G U I D E L I N E S O N S P A M A N A G E M E N T N G 6 5 F E B R U A R Y 2 0 1 7 Prompted managers to measure standards against the new guidelines
Facilitated group We agreed on discussions local targets to for We discussed amongst NG65 compliance: clinical practices in Management and LOCAL coordinating care the Multi- and providing disciplinary team INITIATIVES information and members with support to regards to the patients with SpA. Standardise requirement of Improve awareness assessment and knowledge and and diagnostic management skills experience. skills. across clinical sites.
Therapy teams in house training July/ August 2017 Therapy management team METHODS approached by Abbvie to Review its effectiveness. explore the use of Back in Focus online materials Delivery of the online modules to peers working with people who have Axial Spondyloarthritis (AxSpA) and Ankylosing Spondylitis (AS)
Training in September /October 2017 Review of SpA and NICE NG65 Back in focus online modules 1 and DELIVERY 2 Support offered to complete and pass these modules Feedback collected in regard to the participants’ completion and understanding
• Before the training: participants generally felt apprehensive and not competent in identifying, assessing and RESULTS 1 managing patients with SpA.
• After the training: participants felt well informed and more RESULTS 2 confident in recognition and appropriate referral of this group of patients.
INSERVICE TRAINING 01 02 Overall participants felt the The clinician presented well, information and knowledge demonstrated good shared was excellent, background knowledge, interesting and educative. thorough and fast paced
Participants felt the online modules were: Evidenced based Easy to navigate ON LINE MODULES Improved clinical reasoning and knowledge Enjoyed working and learning through both the case studies and passing the 2 modules No negative responses were received
Participants appeared to have improved their clinical reasoning by working through the case studies. CONCLUSION They felt online modules were beneficial to their learning in identifying, assessing and managing patients with SpA and integrated their knowledge into their daily clinical practice.
Modules with case studies should be incorporated into informative training and such informative modules should be considered as mandatory training for professionals working with patients Who have Spondyloarthritis. RECOMENDATIONS A follow up audit to discover numbers, sources and suitability of future referrals to Rheumatology should show if the above statements proves to be correct.
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