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Category Archives: Physiotherapy

When to refer for cardio respiratory Physiotherapy

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CARDIO RESPIRATORY PHYSIOTHERAPY banner image

Physiotherapists play an important role in managing pulmonary conditions through cardio respiratory Physiotherapy

According to the Lung Foundation, lung disease and cancers are Australia’s second leading cause of death and 1 in 3 Australians will be impacted by a serious lung condition in their lifetime.

Our Physios can help with cardio respiratory Physiotherapy. 

Colder weather and covid infections, especially for older people or those with existing conditions, brings signs of sick lungs which can include;
• Chronic cough  (eight weeks or longer for adults)
• Shortness of breath
• Difficulty breathing
• Increased mucus production
• Pain or tightness in the chest when breathing

If you notice any of these symptoms refer to our Physios who can help with a process driven assess management approach
• Assess chest and lung function: auscultation, resp rate, resp quality, oxygenation, chest configuration and general health
• Manage acute and chronic conditions
• Provide hands on chest physiotherapy when needed
• Aid return to work and function
• Improve endurance, oxygenation and quality of life
• Assist with managing fatigue
• Develop strategies for living with lung disease, including domiciliary oxygen
• Maintain physical conditioning, balance and strength
• Educate clients, carers and family members about lifestyle modification to improve vitality.

Respiratory Physiotherapy treatments are designed to remove secretions and improve airway clearance and make breathing and functioning easier with aims to;
– Remove secretions
– Decrease work of breathing
– Promote lung expansion.
– Prevent lung collapse.
– Improve respiratory function
– Improve quality of life

Mother nature knows what she is doing by clearing airways and secretions with a good old fashioned cough BUT we can help the cough to be effective or assist when a cough is too weak to clear the chest through;
– ACBT and AD: breathwork combined with positioning.
– Positioning alone for oxygenation and best possible lung function
– Pulmonary Rehab after infection
– Strength and cardiovascular fitness
– Pain management
Physiotherapy aims to holistically improve all the function that our clients have lost through the infection itself, but also from the sequalae of prolonged convalescence and recovery.
Get in touch if you think you or the person you care for would benefit from Respiratory Physiotherapy.

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A Physiotherapists top tips for keeping active this Winter

The benefits of Hydrotherapy

A Physiotherapists top tips for keeping active this Winter

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As the cold and wet months set in, follow these top tips for keeping active this winter.

Staying active in winter requires a bit more planning but it is vital to avoid losing all the fitness and conditioning you may have gained during the warmer months.

Why is exercising in winter so important?

Consistent activity, especially in the fresh air and sunshine, is a powerful immune boosting way to stave off winter bugs. Keeping our cardiovascular system functioning at its best means we are more able to fight off illness and recover from injuries that are a normal part of life. Lastly, exercising keeps you warmer than a blanket by raising your basal metabolic rate, warming you up from the inside and lasting long after you have stopped moving.

 

Tips for Enjoyable Winter Workouts

  • Adapt, don’t stop

Perhaps your warm weather, early morning walk with a friend seems impossible when mornings are dark and wet or the idea of a water aerobics class or swim is less appealing when the wind is blowing. Winter may present a great opportunity to shake things up by trying a new exercise class or a different routine. Most important is that you schedule time to prioritise your health and try to have a backup plan if you need to exchange an outdoor walk for an indoor option.

  • “No such thing as bad weather, only the wrong clothes” Billy Connolly

Winter is the perfect time to invest in a good pair of shoes with non-slip grip and the right amount of foot and ankle support. Depending on the latitude, a good quality jacket can make even the coldest days, outside days. Whatever the climate, don’t let the weather hold you hostage. Dressing for the weather makes exercising more enjoyable all year round.

  • Variety is the spice to keep you warm

Have a variety of options, if you prefer to stay indoors on colder days, having a few exercise programs that can be done indoors will help to keep you motivated. Having inside and outdoor options will make exercising possible no matter the weather.

  • Don’t waste a sunny day

When the sun shines, try to get outside. Activity in the sunshine is linked to improved vitamin D levels and helps to reduce low mood linked to the winter months.

  • Warm ups and cool downs

It’s never more important to take your time warming up before and cooling down after exercise than it is when it is cold. Be gentle with your body and take the time to adjust to activity and rest, as quick transitions increase the likelihood of injury.

  • Honourable mention: Some people prefer exercising in winter

For those of us who dislike the warm or have certain heat sensitive health conditions, winter may be the best time to reach those health and fitness goals. Remember that exercise is powerful but slow medicine and increase your activity levels slowly, by about 10% per week. Listen to your body, giving rest and recovery when you feel sore or fatigued.

  • Lastly, be kind to yourself

Some days just don’t work out- be it a matter of the weather, a winter virus or a complete lack of motivation. That’s OK! As long as it doesn’t become a habit, its totally fine to take a break, have a rest or shake things up.

If you or someone you care for is struggling to get moving due to injury, a health condition, age or lifestyle circumstances a physiotherapy assessment may be the doorway to a healthier, stronger life. Physios can design programs and recommend exercises that take the uniqueness of the individual into account, setting realistic and rewarding goals that matter, at any time of the year.

 

 

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An innovative approach to delivering Allied Healthcare to remote WA

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Kojonup: An innovative approach to delivering Allied Healthcare to remote WA

Working together as an integrated team, Empower Healthcare clinicians and Residential Aged Care Facility Springhaven relished the opportunity of in-person collaboration to care for residents despite their remote location.

Kojonup is a town situated 250km Southeast of Perth with a population of little over 1000. Therefore it’s not surprising that the town’s only aged care facility struggles to procure Allied Health locally in order to meet compliance and care standards.

In total WA has only 22 Speech Pathologists per 100,000 of population, and nationally and only 17 per 100,000 in remote regions.

With demand far outstripping the number of allied health clinicians in remote and metropolitan WA areas, Springhaven Lodge in Kojonup was one such facility.

Springhaven Lodge contacted Empower Healthcare West Perth office for Dietetic, Speech Pathology and Occupational Therapy services. The challenge of providing these services in the most cost-effective, efficient and sustainable way fell to the team of our Perth based clinicians who understood that an innovative approach to service delivery would be needed.

Empowers interdisciplinary team of Speech Pathologist, Dietitian and OT’s set about developing an understanding of the unique requirements of the facility. They brainstormed the best method of delivering high quality healthcare and the best possible outcomes for the residents and staff. In collaboration with the facility manager, it was decided that a combination of telehealth and in-person assessment, intervention and training was the best approach.

A well planned and outcomes-based trip was organised for the team, who understood that efficiency and efficacy were key when time is limited. During their first day at Springhaven, the clinicians conducted menu audits, individual and process assessments, IDDSI training and implementation and staff training.

 

Working together as an integrated team, Empower and Springhaven staff relished the opportunity of in-person collaborative care for residents and implementing sustainable interventions and care plans. With ongoing bespoke telehealth and onsite support, Springhaven residents are now receiving the high-quality care they deserve.

We look forward to a building relationship with Springhaven and its residents and bringing this approach to other remote Residential Aged Care facilities in the future.

 

 

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In Profile with Physio/Osteo Team Leader Nick

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Meet Empower Physio/Osteo Team Leader Nick

Nick has been with Empower for 3 years, supporting clients and staff through the most difficult period of the pandemic as a Team Leader in Residential Aged Care (RAC) and as Regional Manager of Aged Care services. Nick now brings his extensive knowledge and experience to a new role as Home Care Team Leader.

Nick began his physiotherapy career in New Zealand, graduating from the University of Otago in 2012. Within a year, he had moved to central Queensland to work as a physiotherapist in a RAC facility, delivering and managing physiotherapy services. Nick honed his leadership skills during Tropical Cyclone Marcia as a member of the Emergency Response Team, where he was responsible for emergency planning and the care and management of residents requiring complex care during evacuation.

After moving to Melbourne in 2016, Nick worked in RAC and Home Care, before joining Empower in 2020. Nick is deeply committed to the well-being of the clients and the clinicians he supports, facilitating and demonstrating high quality healthcare delivery and the best outcomes possible.

Of his work, Nick says,

As physiotherapists who work with people in their homes, we are in the privileged position of getting to know our clients at a personal level which allows us to treat them holistically. I want to ensure that sessions are effective in helping clients achieve their goals, but also enjoyable and something my clients look forward to.

In his spare time, Nick enjoys spending time with his precious baby daughter and wife.

 

Our Values

 

 

 

 

 

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Our Physiotherapy retention rates benefit everyone

Physio retention rates

Retaining talented employees is crucial for any business, but it’s especially important in the healthcare industry where high-quality care depends on experienced and dedicated clinicians.

Empower Healthcare has achieved a remarkable Physiotherapy retention rate of nearly 80%!

This impressive statistic is a testament to our commitment to creating a positive work environment and providing our employees with the support they need to thrive in their careers.

At Empower we strive to provide opportunities for professional development and a positive and supportive work culture. Our physiotherapists report feeling valued, fulfilled, and empowered in their roles, which has led to a high level of job satisfaction. In fact, our anonymous 2022 staff engagement survey found that 93% of our people would recommend Empower Healthcare as a good place to work.

 

In addition to benefiting the employees themselves, this high retention rate also translates to better care for patients. With experienced physiotherapists staying on the job, patients can expect consistent and effective treatment, with therapists they know and trust.

The company’s leadership is thrilled with this news, and are already looking ahead to the future.

People and Culture Manager Lilian Ghanem says

“The 80% physiotherapist retention rate is a true success story for our company, and we look forward to delivering the best outcomes for our clients and clinicians in 2023”!

We are set to expand leadership opportunities and roles for clinicians and increase the number of in-person professional development and training sessions, while continuing to provide a supportive environment that encourages growth and development for all employees.

 

 

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Our Values

 

 

 

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Staying healthy and injury free this festive season – TOP TIPS

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Stay healthy and injury free this summer by following some simple tips from our clinicians

Stay Active

No need for gyms and studios – going for walks, bike rides or swims are all great ways to stay active for the whole family.

Top Tip: Try to get moving early in the day, before the heat and festivities reach a fever pitch.

Take care of your back

Lifting boxes of gifts, preparing big meals and decorating are all part of many people’s plans but put our bodies in positions and under strains that we may not be used to. Avoid back aches and pains ruining your holiday by taking care of your posture and spine.

Top Tip: Carry heavy loads close to your body and lift them by bending your knees, not your back.

Avoid falls

Many emergency rooms see an uptick in injuries in early January after December mishaps. Changes in routine and unfamiliar surroundings increase the risk of trips and falls. Limiting alcohol consumption, keeping living areas clutter free and asking for help when feeling unsteady can help to reduce the chances of a fall.

Top Tip: Choosing well-fitted and supportive footwear can help to prevent trips and slips.

Indulge in moderation

Sharing great food is a big part of most Australian Christmas celebrations. From pavlovas and prawns to choccies and cheeses, many of us will be indulging in delicious treats over the next few weeks. Make sure that you are still getting enough nutrients by getting 5 serves of vegetables and fruit a day.

Top Tip: Have a healthy snack before heading out for meals.

Stay hydrated

As the weather warms up, it is important to keep hydrated by increasing your water intake. Listening to your body’s thirst cues is the best way to ensure you are drinking enough.

Top Tip: Always make sure you have water with you when exercising, especially in warmer weather.

Medication management

Don’t let changes in routine mean missing important medication. Fill scripts before going away or before public holidays to avoid running out. If you are unsure, contact your Home Care nurse, GP or pharmacy to help you plan for the weeks ahead.

Top Tip: Set an alarm to help you stick to your routine.

Whether you are planning a trip, celebrating with family or having a quiet time at home, Empower Healthcare is here for you throughout December and January. Get 2024 off to a healthy start by contacting our helpful Community Support team today or make a referral via the links.

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Living at home longer…and better

Living at home long WEB

Living at home longer

Living at home longer…and better. How Physiotherapy can help your clients live as independently and actively as possible.

More Australians are opting to stay in their homes in later life, needing the support of Home Care packages to assist them to live in the place most familiar to them.

The Royal Commission into Aged Care found that Australians of all ages want to be assisted to live independently in their own home during their retirement years rather than having to go to an aged care facility. In fact, only 25% of older people would prefer to live in a facility should they need care.

only 25% of older people would prefer to live in a facility should they need care

So why do older people move into residential facilities?

Moving into a residential aged care (RAC) facility is often a complicated and an emotive decision that usually has more than one deciding factor. However, studies indicate that there are some common reasons that result in a move into residential facilities.

• History of a recent fall
• Recent hospitalisation for illness
• Dependence on others for activities of daily living
• Cognitive impairment
• Age older than 85
• Bereavement and loneliness
• Malnutrition
• Polypharmacy

How can Physio help your clients live independently for longer?

Physiotherapists assess and directly manage some of the risk factors that would otherwise result in people being admitted to RAC facilities. Using evidence backed interventions, physios can improve the function, safety and quality of life of clients who want to stay at home by providing:

• Falls Prevention programs and strategies
• Education for clients and care givers
• Risk reduction
• Functional exercise therapy
• Walking programs
• Rehabilitation after injury and hospitilasation
• Mobility aid prescription
• Referral to other health care clinicians when necessary.

There are less obvious ways that high-quality physiotherapy helps mitigate the causes of loss of independence at home, like:

• Exercise improves appetite (and reduces constipation)
• Activity can improve cognition
• Addressing the causes of pain means less reliance on pain medication
• Functional exercise therapy can directly target and improve ADL performance
• Care giver and family education and support
• Reducing the incidence of back pain for caregivers through demonstrating good manual handling techniques.
• Improving confidence to participate in social activities

Who else can help?

  • Occupational Therapists for home adaptions, assistive device prescription and functional therapeutic interventions.
  • Podiatrists for foot care and shoe fittings and recommendations, both of which are vital for safe mobility.
  • Nurses ensure good medication management, wound care and health monitoring.
  • Dieticians preventing and managing malnutrition in older people.
  • Massage therapists assist with pain management and therapeutic touch.
  • Allied Health assistants provide cost-effective care, supported by clinicians.
  • Osteopaths work with clients to manage pain and injury to holistically improve the health and vitality of older people at home.

Evidence shows that home and community-based Physiotherapy led exercise programs improve function in older adults living in the community, including those with cognitive impairment.

The best home based Physiotherapy places the needs and goals of the client at the core. With holistic, functional interventions that enable our clients to maximise well-being, safety and vitality while living life on their own terms.

 

Read more about The Benefits of Hydrotherapy

Read more about Why Exercise Matters

 

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The benefits of Hydrotherapy

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pool

What is hydrotherapy?

Hydrotherapy is a type of Physiotherapy exercise that is conducted in water but does not require swimming ability. The warm water helps to reduce pain, improve mobility and provide gentle resistance to strengthen while a physiotherapist is in the water providing personalised instruction and facilitation.

How is hydrotherapy different to other aquatic exercises?

During a hydrotherapy session, a person receives one-on-one attention from a physiotherapist who tailors exercises to meet the individual needs of the client. The goals of treatment are specific and designed to improve function and quality of life outside of the water in a way that is meaningful and has long term benefits.

What are the benefits of hydrotherapy?

Hydrotherapy uses the water as a supportive tool to reduce stress on muscles and joints during treatment.

Performing exercises in warm water:
• Relaxes muscles, improving range of motion.
• Can significantly reduce chronic pain.
• Supports weight, allowing for movements that may otherwise not be possible.
• Increases muscle strength.
• Improves balance and reduces fall risk.
• Increases cardiovascular fitness and function.
• Changes blood flow which aids in decreasing joint stiffness, inflammation and swelling.
• Can assist in improving movement patterns.

Who can benefit from hydrotherapy?

It is not an exaggeration to say that almost anyone can benefit from this type of exercise. The strongest research evidence supports offering hydrotherapy to people who have the following conditions:
• Arthritis.
• Chronic pain, including back pain.
• Neurological conditions including stroke, cerebral palsy, spinal cord injuries and MS.
• People recovering from surgery, especially joint and bone surgeries.
• Circulation disorders.
• Soft tissue and muscle injuries.
• Conditions causing balance difficulties and falls.
• Cardiorespiratory disorders.

How to get started:

As with all Physiotherapy treatments, clients should be fully assessed by their Physio on land before entering the pool.
Hydrotherapy is designed to be inclusive and safe for people, even if they have never been in a pool before.

Empower Physiotherapists offer Hydrotherapy services for suitable clients who want to experience the benefits. Contact our knowledgeable Support Team to find out more.

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The evidence is in – exercise matters

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Exercise Mat

Why exercise matters? Considering the evidence

A review of: Exercise comes of age; The Journals of Gerontology

We all have the intuition that exercise is good for us and most of us recognise that we feel better when we are regularly doing physical activity that we enjoy. Why, then, do we not talk about how exercise benefits us most as we age?

As this article discusses, many GPs and gerontology specialists stop short of exercise prescription for older adults, which is as shame, as the evidence is in and it indicates that exercise has a significant role to play as we get older.

The article we reviewed identified 4 key areas that are important when thinking about aging and exercise.
• Regular physical activity contributes to health and well-being, minimising the changes associated with aging and a sedentary lifestyle.
• Participating in regular exercise increases longevity and decreases the risk of many chronic diseases like cardiovascular disease, stroke, type 2 diabetes, obesity, hypertension, osteoarthritis, depression, and osteoporosis.
• Exercise can be used alongside medical treatments for chronic health conditions and improve health outcomes as well as counteract the negative side effects of some medical treatments.
• Regular participation in physical activity or exercise may assist in the prevention and treatment of disability.

The researchers advise that

exercise recommendations should be made by clinicians who have the skills to do so and should be specific to the needs of individuals with support systems and monitoring for progress.

Physiotherapists, Allied Health Assistants, Osteopaths, Nurses and Occupational Therapists can all have a role in promoting evidence-based exercise therapy for clients at home or in residential facilities. For a healthier tomorrow, help your clients start living an active life today.

To learn more, follow the link below:

Exercise comes of age; The Journals of Gerontology: Series A, Volume 57, Issue 5, 1 May 2002   https://academic.oup.com/biomedgerontology/article/57/5/M262/620575?login=false

 

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Our Multidisciplinary Team Approach To Mobility Assessments

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We can help you take the guesswork and uncertainty out of whether your client would benefit from the success of physiotherapy, an exercise program or assistive equipment to improve their mobility when movement is challenging.

Our multidisciplinary team understand that mobility inside the home, within the community and beyond is a requirement for independence and a cornerstone of quality of life at all ages.

To assess mobility, our team may:

  • Perform a thorough subjective assessment to ascertain what aspects of movement a client is finding challenging and what effect that has on their lives.
  • Analyse gait on a variety of surfaces.
  • Evaluate a person’s ability to move in bed, sit and stand up.
  • Assess stair or step climbing, if appropriate.
  • Determine the need for mobility aids.
  • Assess strength, endurance, and balance to understand the causes of loss of mobility.

Once a thorough assessment has been performed, we will work with clients to create goals of treatment and individualised interventions that can help them to reach those objectives.

Here’s five signs that a person may need a mobility assessment:

  • Reduced ability to manage activities of daily living due to problems with walking, standing up or stair climbing.
  • Loss of confidence in leaving the house.
  • Family members or caregivers reporting an increased need to assist with standing-up and walking.
  • A history of falling or fear of falling.
  • Anyone returning home after a period of prolonged hospitalisation due to injury or illness who is experiencing a reduction in function.

With our multidisciplinary and holistic wellbeing approach, Empower’s assessment reports provide clarity and direction to equip you with the knowledge to determine the best care plan going forward.

Go to our online referral to get started.  https://www.empowerhealthcare.com.au/referrals/

The Empower Difference

Changing Lives Through Exceptional Care

We pride ourselves in the delivery of innovative, high-quality, allied health solutions that constantly evolve to exceed the needs of your clients and their communities. Our service model integrates five service commitments that empower you to help your clients improve their sense of self-identity, quality of life, and ability to live safely in their environment.

  1. Extensive service offerings
  2. Care provided by highly skilled clinicians
  3. A team approach to delivering continuity of care
  4. User friendly referral process
  5. Superior reports providing clarity on future care needs.

Click on your relevant health care industry sector below to learn more.

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