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A student clinic presents an environment where borders might fluctuate between the already clear set and the very blurr. OPS D1, D2

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The advertising campaign put in place must reflect the nature of the clinic or the practitioners. It must also be compliant with the local advertising policy. OPS D1, D3

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How to answer a question about personal life?

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How to answer a question about personal life?

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To establish a good patient-practitioner relationship, the trust must be both ways. OPS D2, D7

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When our patients change practitionner it is important they are supported in the choice of the practitioner that best suit to them. OPS D2, D5, D9

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How to respond patient's disappointment:

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How to respond patient's disappointment:

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It is part of the experience that some patients will express disappointment, if it is the case the practitioner should not panic and express his/her apologies and reasons instead. OPS A1, D3, D4

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With a bit of delay as in everythihng, I recognize how beneficial for my development would have been to go through reviews and exchange of honestnopinions with my peers and tutors about clinical encounters. I also discovered that ask patients for feedback is extremily constructive. The patients need to understand that the demand of a feedback comes from an humble soul and the feedback need to be the most honest as possible, even if it raises negative points. OPS B4, D3

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It is important for the development of the clinic to have a policy that allows patients to give a feedback or to complaint and a structured way to act in front of such a case. OPS C2, D4

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Consent for research purposes and privacy:

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Consent for research purposes and privacy:

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For the clinical report exam I had to write about a patient, I made sure the patient gave the consent for the data to be used to research purposes and that all identifiable information were not available in my essay. OPS D5

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How to take and store notes during a consultation?

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How to take and store notes during a consultation?

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Today I was thinking about how I would take notes about my patients and how I would store the information. I do prefer write and read on paper, however it takes place, it weights and perhaps it’s less ecological than electricity? Taking notes on a laptop would turn me crazy by the end of the day, it would do take less space and be easily transferable. Both way the information may go lost and even disclosed by someone who should not have access to them. OPS D5

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Manual Therapist Management Site

MTMS - Software Osteopati Fisioterapisti

Scegli subito la soluzione che più si adatta alle tue esigenze

MTSM è disponibile in 3 versioni in modo da soddisfare tutte le esigenze degli operatori del settore. Diamo la possibilità di provare gratuitamente per un mese tutto il software gestionale in ogni sua parte e poi decidere se continuare ad utilizzarlo. Per l'acquisto puoi scegliere tra 2 soluzioni: pagamento mensile e pagamento annuale. Scegliendo il pagamento mensile potrai decidere tu quando e se rinnovare l'utilizzo del software e dei relativi servizi - strumenti. Con il mancato pagamento non sarà possibile utilizzare il software e dei relativi servizi – strumenti. Scegliendo come tipologia di pagamento quello annuale andrai a risparmiare il tempo, che ogni mese devi dedicare al rinnovo, ma soprattutto andai a risparmiare soldi nell'acquisto del servizio in quanto viene scontato più del 26%.

Sarà possibile effettuare il pagamento in modo sicuro attraverso il servizio Pay Pal o bonifico bancario. Utilizzando il servizio Pay Pal sarà possibile utilizzare il software - gestionale non appena il sistema riceve la conferma del corretto pagamento. Solitamente la conferma è immediata.
Scegliendo come metodo di pagamento il bonifico bancario, sarà possibile utilizzare il software - gestionale non appena l'amministrazione riceve il pagamento da parte dell'istituto bancario. Il tempo di attesa per la ricezione del pagamento dipende dall'istituto bancario utilizzato. È possibile ridurre i tempi di attesa se viene inviato all'indirizzoinfo@doc-click.com la distinta di pagamento. Ci riserviamo il diritto di sospendere il servizio attivato anticipatamente alla ricezione della distinta se, dopo attente verifiche, si dovesse riscontrare il mancato ricevimento del pagamento.

Questo sito utilizza la tecnologia 'cookies' per favorire la consultazione dei contenuti e l'erogazione dei servizi proposti dal sito. Per prestare il consenso all'uso dei cookies su questo sito cliccare il bottone "OK". Info OK

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Vendita software per osteopata e fisioterapista. MTMS Doc-click.com

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Manual Therapist Management Site MTSM è disponibile in 3 versioni in modo da soddisfare tutte le esigenze degli operatori del settore. Diamo la possibilità di provare gratuitamente per un mese tutto il software gestionale in ogni sua parte e poi decidere se continuare ad utilizzarlo.

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The rest of the bullet points of OPS D5 cover situation I never encountered, I focussed my attention on the following points:

- evaluate if the situation requires to break privacy policy

- seeking for legal support in case a practitioner need to disclose patients’ information without let them know or without them giving the consent. OPS C4, D5

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A first consultation cannot be refused to anyone, however the patient can be re addressed, where possible, it we don’t feel as we could provide him the best treatment. OPS A6, A7, D6

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Osteopathy reputation withing the healthcare system:

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Osteopathy reputation withing the healthcare system:

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Osteopathy is a health discipline, nevertheless not every country considers it in the same way. When practising as an osteopath it is important to keep high standards and clear competences limits to enable the discipline to be more and more accepted and recognised in the health care system. OPS C6, D7, D10

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Prices must be available to the patients, taxes declared and all deductible products listed. OPS D3, D8

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Whether an osteopath has his or her own clinic and starts hiring employees, all rights and responsabilities as an employer apply to him or her. OPS D9

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Contract types and employer responsibilities

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Employers' responsibilities for different contract types: full-time, part-time, fixed term, agency workers, consultants, zero hours, family members, volunteers and young workers

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When an osteopath is employed by someone else, he or she can benefit the employees' rights as far as his or her contract states. OPS D9

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Your basic rights including pay, contracts, holiday and sick pay, agency workers' rights, flexible working and parental rights.

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For the best of my patients I did refer two of my patients to another health profession in order to make sure they are safe to treat. OPS B2, C7, D10

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As a practitioner if my own health is altered I should apply to myself the same principles I would suggest to my patients. OPS B4, D11

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The one of Nicholas Handoll is an exemple of GOsC intervention, I hope I will never ever being called to deal with any of their actions. OPS D12

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A friend borrowed me this book, I'm finding it helpful to have a clear 3D visualisation of the vascular and neurological systems anatomy. OPS B1, C1

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From the knowledge of the anatomy and the patient's presentation we can easily have a list of differential diagnosis appropriate to the area of pain or discomfort. OPS B1, C1

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Each system has a physiology and can show functional or pathological abnormalities. Many are the processes and following you can see the amount of work I've done on it. OPS B1, B2, C1

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The principles of biomechanics need to be adapted to each patient, what do they do in their everyday life? What do they need to be functional for? OPS B1, C1

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Communication and identification of flags:

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Communication and identification of flags:

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To identify the different flags in primary care we can rely on both verbal and non-verbal communication as they will give hints on how the patient is feeling and what to investigate more and what to leave alone. OPS B1, B2, C1

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Be safe and interpret clinical findings:

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Be safe and interpret clinical findings:

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I got it: clear all red flags at the case history and perform a medical screening in first instance during the assessment. Only once and if the patient is safe to treat: accomodate the osteopathic assessment. OPS B1, B2, C1

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I climbed some challenging routes, I started playing ukulele and adapted some guitars' tabs for it and I got into chess. Maybe one day I will be good in problem-solving in clinic as well. OPS B1, B4

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The Secrets of Problem Solving | Sarah Shamsipasha | TEDxSafirSchool

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Due to my recent injury I had to make the choice to stop my beloved activities to achieve an effective and durable healing. Starting slowly these activities again I need to adapt my choices to not disrupt the healing. OPS B1, B4, D11

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The lack of quality time spent together bring me to hesitancy in asking to take time for feedback to my colleagues. OPS B1, B4

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Be aware of our competences but there are some basics knowledges that we still can share even without a certificate in it, due to the nature of our course – do adequate research on the topics we are interested in is very important to give us evidences and material for reflection, critical appraisal and development  OPS B2, B3, B4

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Among several talks and conference I listened to, here the ones I received a CPD certificate for:
Fibromyalgia, fatigue and long COVID-19 by Dr. Philip Bull.
OPS B3, C6, D10

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Dr.Philip Bull_Fibromyalgia, Fatigue and Long COVID19_Margherita Bertolio - Certificate of Attendance

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Headache, ddx and management by Dr. Timothy Ham - interest raised by the headache clinic B3, C6, D10

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Winter school 2021: Fascial Anatomy by Università di Padova - to support the observation of the body as an unique system formed by many differentiated structures in continuity one with the others. Five days of full time trainig and dissections, incredibly interesting and motivating. OPS B1, B3, C1

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Long COVID-19 by the Institute of Osteopathy - covering symptoms of long COVID and their explanations, where known. As stated by the invitation message: OPS A3, A4, B1, B3, B4, C1

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Analyse and reflection upon own practice:

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Analyse and reflection upon own practice:

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To fulfil OPS B4 a good insight of your own practice and approach is needed. Development of a constructive critical appraisal is very important to achieve an objective reflection on oneself own skills. As well as overcome the fear of judgement in asking others to give us their opinion. OPS B4, C7

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I finally understood that I have to clear out all potential red flags before looking for any other information during the case history. OPS B2, C1 , C4, D10

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Differential diagnosis and clinical assessment:

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Differential diagnosis and clinical assessment:

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Videos, looking for updated articles and repeated training are the best options I have to improve my differential reasoning and clinical assessment interpretation. I found this book concise and easy to understand but it is 30 years old and new evidences about functional understanding have been published since then. OPS C1, C4

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Osteopathic assessment and treatment plan:

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Osteopathic assessment and treatment plan:

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I feel more confident going through an osteopathic assessment and a treatment by my own and to support my beliefs about the application of osteopathy. I definitely feel as I lost a lot since I joined the ESO osteopathic reasoning and palpatory skills wise. OPS B4, C1, C7

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Since the pandemic many things needed to be adapted: PPE, case history, gap between patients, even the rebooking procedure and the access to the waiting room. OPS C2

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Good memory is the best tool to remember the history about each patient, otherwise we can still record some of the topics of discussions with them. OPS C2, C3

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Reading the file of another student I felt onto the following acronym: BARN - for benefits, alternative, risks and do nothing. I had a look on the net to find out where the practitioner took this acronym from and the closest thing I found was the use of the acronym BRAIN - including intuition within the list -  in the fields of pregnancy and birth. OPS A3, C2

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In the healthcare field the storage of patient's documentation is very important as some information might be useful to access even after long time since the event. Following the regulations put in place by the NHS. OPS C2, C3

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Here at the clinic we have access to the C-POMS system to report vulnerable subjects to the head of the clinic. Once on our own it will be good habits to have a list of institutions to contact in case we are concerned about any of our patient. OPS C4

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Everyone has the right to live in safety, free from abuse and neglect.

Abuse and neglect can occur anywhere: in your own home or a public place, while you're in hospital or attending a day centre, or in a college or care home.

You may be living alone or with others. The person causing the harm may be a stranger but, more often than not, you'll know and feel safe with them. They're usually in a position of trust and power, such as a health or care professional, relative or neighbour.

Different forms of abuse and neglect

There are many forms of abuse and neglect.

Sexual abuse

This includes:

indecent exposure

sexual harassment

inappropriate looking or touching

sexual teasing or innuendo

sexual photography

being forced to watch pornography or sexual acts

being forced or pressured to take part in sexual acts

rape

Physical abuse

This includes:

being hit, slapped, pushed or restrained

being denied food or water

not being helped to go to the bathroom when you need to

misuse of your medicines

Psychological abuse

This includes:

emotional abuse

threats to hurt or abandon you

stopping you from seeing people

humiliating, blaming, controlling, intimidating or harassing you

verbal abuse

cyberbullying and isolation

an unreasonable and unjustified withdrawal of services or support networks

Domestic abuse

This is typically an incident or pattern of incidents of controlling, coercive or threatening behaviour, violence or abuse by someone who is, or has been, an intimate partner or family member.

Discriminatory abuse

This includes some forms of harassment, slurs or unfair treatment because of:

race

sex

gender and gender identity

age

disability

sexual orientation

religion

being married or in a civil partnership

being pregnant or on maternity leave

Financial abuse

This could be someone stealing money or other valuables from you. Or it might be that someone appointed to look after your money on your behalf is using it inappropriately or coercing you to spend it in a way you're not happy with.

Internet scams and doorstep crime are also common forms of financial abuse.

Neglect

Neglect includes not being provided with enough food or with the right kind of food, or not being taken proper care of.

Leaving you without help to wash or change dirty or wet clothes, not getting you to a doctor when you need one or not making sure you have the right medicines all count as neglect.

Abuse in your home

You're more at risk of abuse at home if:

you're isolated and do not have much contact with friends, family or neighbours

you have memory problems or difficulty communicating

you become dependent on your carer

you do not get on with your carer

your carer is addicted to drugs or alcohol

your carer relies on you for a home, or financial or emotional support

Find out more about abuse, domestic violence and sexual assault
I think I am being abused or neglected. What can I do?

There are many people you can talk to. If you feel you are being abused or neglected:

do not worry about making a fuss - tell someone you trust as soon as possible

speak to friends or care workers who may have an understanding of the situation and be able to take steps quickly to improve the situation

talk to professionals such as a GP or social worker about your concerns, or ask to speak to your local council's adult safeguarding team or co-ordinator

if you believe a crime is being, or has been, committed - whether it's physical abuse or financial - talk to the police or ask someone you trust to do so on your behalf

Older people can also call the free, confidential Hourglass helpline on 0808 808 8141 for advice.

Spotting signs of abuse in older people: advice for carers

It's not always easy to spot the signs of abuse. Someone being abused may make excuses for why they're bruised, may not want to go out or talk to people, or may be short of money.

It's important to know the signs of abuse and, where they're identified, gently share your concerns with the person you think may be being abused.

If you wait, hoping the person will tell you what's been happening to them, it could delay matters and allow the abuse to continue.

Behavioural signs of abuse in an older person include:

becoming quiet and withdrawn

being aggressive or angry for no obvious reason

looking unkempt, dirty or thinner than usual

sudden changes in their character, such as appearing helpless, depressed or tearful

physical signs - such as bruises, wounds, fractures or other untreated injuries

the same injuries happening more than once

not wanting to be left by themselves or alone with particular people

being unusually lighthearted and insisting there's nothing wrong

Also, their home may be cold or unusually dirty or untidy, or you might notice things missing.

Other signs include a sudden change in their finances, such as not having as much money as usual to pay for shopping or regular outings, or getting into debt.

Watch out for any official or financial documents that seem unusual, and for documents relating to their finances that suddenly go missing.

If you feel someone you know is showing signs of being abused, talk to them to see if there's anything you can do to help.

If they're being abused, they may not want to talk about it straight away, especially if they've become used to making excuses for their injuries or changes in personality.

Do not ignore your concerns, though. Doing so could allow any abuse to carry on or escalate.

I'm worried about someone who may be experiencing abuse or neglect. What should I do?

Start by talking to the person in private, if you feel able to do so. Mention some of the things that concern you - for instance, that they've become depressed and withdrawn, have been losing weight or seem to be short of money.

Let them talk as much as they want to. But be mindful that if they've been abused, they may be reluctant to talk about it because they are afraid of making the situation worse, do not want to cause trouble, or may be experiencing coercion or threats.

It's best not to promise the person that you will not tell anyone what's been said. If an adult is being abused or neglected, it's important to find help for them and stop the harm.

Stay calm while the person is talking, even if you're upset by what you hear, otherwise they may become more upset themselves and stop telling you what's been going on.

It can be very difficult for an abused or neglected person to talk about what's been happening to them. Unless you're concerned for their immediate health and safety and feel it's vital to act straight away, give them time to think about what they'd like to do.

If you're right and the person has been abused or neglected, ask them what they'd like you to do. Let them know who can help them, and tell them you can seek help on their behalf if they want or if it's difficult for them to do so themselves.

It's important to listen to what they say and not charge into action if this is not what they want.

Who to contact if an older person is being abused

If an adult has told you about their situation, you might want to talk to other people who know them to find out if they have similar concerns.

There are also professionals you can contact. You can pass on your concerns to the person's GP and social worker.

Local authorities have social workers who deal specifically with cases of abuse and neglect. Call the person's local council and ask for the adult safeguarding co-ordinator.

You can also speak to the police about the situation. Some forms of abuse are crimes, so the police will be interested.

If the person is in danger or needs medical attention, call their GP (if known) or emergency services if immediate assistance is required.

You can also call the free, confidential Hourglass helpline on 0808 808 8141.

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Abuse and neglect of vulnerable adults (safeguarding) - Social care and support guide

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Find out what to do if you or someone you know is being abused or neglected.

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When concerned about whether report a colleague or not it is important to achieve an objective overview and do not let personal insights take over the decision. Discussion with other peers and profesisonals is a good way to formulate a final decision. OPS C4, D12

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Risks must be considered in the wide context that is the culture and the nationality of the patients. These are factors often influencing the patients' perception and personal risks. OPS B4, C4, D6

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Until my graduation the university is in charge for me to be insured in the clinical setting. As soon as I will be graduated I will be required to be insured and registered under GOsC to call myself an osteopath. OPS C5

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In order to practise osteopathy lawfully in the UK, osteopaths must acquire professional indemnity insurance with a minimum cover of £5 million.

You should seek advice from an insurance intermediary to obtain insurance that is suitable for your needs and complies with The General Osteopathic Council (Indemnity Arrangements) Rules Order of Council 2015. There is a list of some insurance intermediaries at the bottom of this page.

It is your responsibility to ensure that you hold continuous professional indemnity insurance cover at all times that meets the General Osteopathic Council (Indemnity Arrangements) Rules Order of Council 2015.

If your practising status changes, for example to non-practising, practising overseas or if you are intending to return to practice, you must contact the General Osteopathic Council so that your registration status can be updated on the Register.

You should also contact your insurance provider immediately to advise them of any change in your registration status so that they can arrange run-off cover insurance if you become non-practising or if you are going overseas, or to reinstate full insurance cover when you return to practice in the UK.

Note that you also need to ensure that the place you work is covered by adequate Public Liability Insurance - see the Osteopathic Practice Standards, Theme C: Safety and quality in practice, C5.3.

Issues to consider when taking out an insurance policy

Before taking out a new policy, or renewing an existing policy, you may wish to consider the following:

You should ensure that your policy has an indemnity level appropriate to the level of risk associated with your practice. The minimum indemnity cover is £5 million, to cover the risks set out in The General Osteopathic Council (Indemnity Arrangements) Rules Order of Council 2015.

You should ensure that you are happy that the provision(s) for run-off cover in your chosen policy are sufficient for your requirements. Run-off cover means that, if a claim is made retrospectively, you are still covered by insurance.

You should ensure that you are comfortable with any exclusions stated in your chosen policy, and speak to your insurer if you think any exclusion sits uncomfortably with your practice as an osteopath.

You should ensure that you understand the definitions of terms contained in your chosen policy, and speak to your insurer if you are unsure about a particular definition.

You should ensure that your chosen policy has adequate cover for legal liability attributed to partners, co-directors, and associates or agents who work with or for you.

If you are supplying products or are involved in the manufacture of products to individuals or companies either in the UK or abroad, you should bring this to your insurer's attention, to ensure that your policy has adequate provision and/or you are aware of any product liability thresholds above which cover is not provided.

If you are registered with another healthcare regulatory body, your insurance cover for that particular profession may cover your practice as an osteopath. You should ensure that your insurance or indemnity provides you with suitable cover.

You also need to ensure that the place/s that you work are covered by public liability insurance (whether or not you are yourself the policy holder).

Insurance intermediaries

Insurance intermediaries who provide insurance for osteopaths include the companies listed below:

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In order to practise osteopathy lawfully in the UK, osteopaths must acquire professional indemnity insurance with a minimum cover of £5 million. You should seek advice from an insurance intermediary to obtain insurance that is suitable for your needs and complies with The General Osteopathic Council (Indemnity Arrangements) Rules Order of Council 2015.

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In all healthcare clinics measures to put in place in case of infectious disease must be present and accessible. With the spread of COVID this became a must for all environments. OPS C5

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To enhance patient's health and wellbeing a multidisciplinary approach can be helpful when possible and appropriate. OPS C6, D10

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Communication and patient management process:

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Communication and patient management process:

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Since last year many are the things that I've learnt, improved and/or changed. OPS A1, A2, A5

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It is important we adapt our communication to the patients so that they understand what we try to explain them and for us to be able to expose them certain topics without offend them. OPS A2, A3

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In England and other countries the patients might go to the osteopath in first place, which means that they might not have consulted anyone else before and not received options or alternatives yet. OPS A2, A3

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I recently assisted a third year with a new patient who spoke French only. I'm glad my extra-osteopathic competences are helpful. OPS A2, A3, B2

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For some patient we are their first osteopathic experience and, as said previously, sometimes also the first advice they take concerning their complaint. OPS A3, A4, A6

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We planned an internal techniques course: written consent is required by the participant and before perform any of these. According to me, patients presenting altered cognition and lower than the legal age for consent should not be proposed these techniques, the risk for misunderstanding and misinterpretation is too high. OPS A4, A6

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Consent form for treatment of sensible area

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My notes are getting tidier and I manage to focus my attention on the most significant information. I still struggle to take the time and write down findings during the assessment though. This can be easily managed by explaining the patient that I need to write down the findings to not get confused and take the time to do it properly. OPS A3, A4, C2

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Effective consultation and history taking

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The clinical report exam covered a section about the patient's feedback, to do that I had to contact my patient and explained her the reason I was contacting her. This included explain her that I was using her daughter's information for my exam, although the mother gave and signed the consent for the data to be use in research purposes I took the occasion to double check it with her and let her know that she still had the option to withdrawn the permission. OPS A4

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Recognise own competences and limitations is helpful for personal development and to provide the best patient's care. As in the following article manual therapies often rely on empiric knowledges not provable by scientific trials. OPS A5, B2, C6, D10

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The benefits and limitations of evidence based practice in osteopathy

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The clinic policy expects us to gain consent for each step of the consultation, therefore the case history form has two different sections just for it to be recorded. OPS A4, A6, C2

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Abstract

Background

Consent is an ethical and legal requirement for any therapeutic process. It is the responsibility of healthcare practitioners to respect patients' rights of autonomy and to receive their consent. The United Kingdom law currently states that all relevant risks, which a reasonable patient would want to know, must be told to them. Consequently the General Osteopathic Council's (GOsC) "Code of Practice" includes specific expectations in this area. As a result risk disclosure and informed consent has become of increasing importance within osteopathy, particular in today's increasingly litigious society. Osteopathy is a patient centred approach to healthcare; as such research to determine patients' expectations and preferences is needed.

Objective

To explore and describe patients' preferences of consent procedures in a sample of UK osteopathic patients.

Methods

A cross sectional survey using a new questionnaire was performed incorporating paper and web-based versions of the instruments. 500 copies were made available, ( n = 200) to patients attending the British School of Osteopathy (BSO) clinic, and ( n = 300) for patients attending 30 randomly sampled osteopaths in practice. Quantitative data were analysed descriptively to assess patient preferences; non-parametric analyses were performed to test for preference difference between patients using demographic characteristics.

Results

124 completed questionnaires were returned from the BSO sample representing a 41% response rate. None were received from patients attending practices outside of the BSO clinic.

The majority (98%) of patient respondents thought that having information about rare yet potentially severe risks of treatment was important. Patients' preferred to have this information presented during the initial consultation (72%); communication method favoured was verbal (90%). 99% would like the opportunity to ask questions about risks, and all respondents (100%) consider being informed about their current diagnosis as important.

Conclusion

Patients endorse the importance of information exchange as part of the consent process. Verbal communication is very important and is the favoured method for both receiving information and giving consent. Further research is required to test the validity of these results in practice samples.

View full text

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Consent in osteopathy: A cross sectional survey of patients' information and process preferences

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Consent is an ethical and legal requirement for any therapeutic process. It is the responsibility of healthcare practitioners to respect patients' rights of autonomy and to receive their consent. The United Kingdom law currently states that all relevant risks, which a reasonable patient would want to know, must be told to them.

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Following the OPS osteopaths are supposed to leave the room to leave the patient the time to undress and get dressed again, it is interesting how safery measures differ from country to country. OPS A4, A6, C2

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Internal techniques, modesty and consent:

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Internal techniques, modesty and consent:

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To make a choice sometimes the patients might prefer to have some time to think about it and get some more information by their surrounding. OPS A4, A6, C2

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In the document the patients sign before get into their first consultation the opportunity to have a chaperone is given. However if we think the patients may lack of capacity or are under 16 years old the presence of a chaperone is mandatory. In case the patients accepted for an examination and treatment of intimate area or I do a home-visit the possibility to have a chaperone must ordinarily be given again. Keep all choices recorded into the patients’ file. OPS A3, A6, C2

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To me each patient is a new experience and a new opportunity to learn. OPS A7, C1, D4, D6

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