OS746_CW1_21702272 by https://padlet.com/21702272/90rg53q3f912m1dp en-us 2022-03-01 15:08:02 UTC 2023-06-04 03:57:43 UTC hello@padlet.com https://padlet-uploads.storage.googleapis.com/290383155/47de6fb92667fb75c99df3af5df1e4e3/drawing_2022_03_01_15_18.png A1- You must listen to patients and respect their individuality, concerns and preferences. You must be polite and considerate with patients are treated with dignity and courtesy. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199950513 Seeing this patient has a new they had been a previous patient at the clinic before and had received a variety of different treatments in which they found a cranial approach to be most suitable for them. They had received structural approaches before but never got the results that they wanted. The patient informed me about their preferences to the type of treatment they received and as a practitioner I ensured that I listened to their wishes and took on their preferences. I have never treated a patient using a more Functional approach so for this particular patient I decided to ask my tutor to come in and help me with treatment. Upon follow-up appointment with this patient she had received a significant relief from the pain and symptoms as she was experiencing.]]> 2022-05-25 21:56:06 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199950513 A2 - You must work in partnership with your patients, adapting your communication approach to take into account their particular needs and supporting patients in expressing to you what is important to them. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199956608 I was presented with a 13-year-old patient who came into the clinic with his mother presenting with lower back pain, the patient also discussed to me how he has been struggling with his mental health especially with stress from school as well as having a low self-esteem. In the initial two appointments I finally spoke to his mother as the patient was very quiet and tend to just sit there and listen to what his mother said until one day decided to ask Mother to take a step back and allow me to just talk to the patient one and one. Doing this the patient expressed to me that he wasn’t too concerned about his low back pain and instead needed to talk to someone regarding his mental health and was wondering if there’s anything we could do at the clinic to help him deal with the stress. From this point on I spoke to the patient and gave him the opportunity to talk about what treatment he wanted for the day as we would combined either cranial based techniques to help him with his stress which he found very relieving or if he wanted a more structural based treatment to help him with his low back pain, As well as this sometimes the patient enjoy just talking to somebody and letting out any of the stress he may been feeling from school. The patient shows a significant improvement from his treatments once he was able to take over and control the form of treatment he wanted.]]> 2022-05-25 22:06:58 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199956608 A3 - You must give patients the information they want or need to know in a way they can understand 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199981660 In my first year of being at clinic I had a middle-aged woman as a patient presenting with a lower back pain I briefly spoke her through the treatment that she would receive and continued with the treatment without insuring that she understood the benefits and risks of the treatment. I returned into the clinic the following week in which I was handed the patient’s notes from the reception with a note explaining that the patient had called up two days post treatment experiencing more discomfort than she originally came in for. The next time I saw the patient we did not actually get into any treatment as it was more of a discussion explaining what happened in the treatment And the patient then told me that this will likely be her last session with me as she did not feel like she got the information that she needed. After this session I then had a discussion with my tutor where we went through the process of what happened with this patient and her experience and how it’s needed to be changed in the future and made me realise the importance of discussing adverse effects and risks of treatment and that instant relief is not always provided and coming back take a few days to resolve.]]> 2022-05-25 22:47:42 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199981660 A4 - You must receive valid consent for all aspects of examination and treatment and record this as appropriate. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199985307 Consent is a major aspect of being a safe practitioner as it allows the patient to provide with the information that they needed so they have the opportunity to decide whether they want to pursue examination treatment. In the Eso clinic we have the opportunity on all case history forms to note where and when consent is given and what form of consent has been provided. Each patient i ensure that I sit down with them and explain the procedure in which we follow at the clinic and note down when this has been received.]]> 2022-05-25 22:53:23 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199985307 A4 - evidence b 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199988763 Clinical exam where i was graded above average for my consent and shared decision making]]> 2022-05-25 22:58:46 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199988763 A5 - You must support patients in caring for themselves to improve and maintain their own health and well-being 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199998304 2022-05-25 23:15:16 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199998304 A5 - Evidence B 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199999959 2022-05-25 23:17:51 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2199999959 A6 - You must respect your patients dignity and modesty. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200004298 As student practitioners we tend to have the variety of observers when seeing patients To help boost and improve student learning. I have seen a range of patients in which are comfortable with observers and a range a patients who did not feel as comfortable with observers .I recently had a patient a middle-aged lady coming to clinic presenting with shoulder pain are we then sat down and discussed the process of examination at the clinic which involves getting on dressed so that we are able to see the symptomatic area and assess any structures which may also have an influence on this problem. Before the patient came in I made her aware of the observers in the brain in which she was happy to have them but at the same time did not want to take her trousers off only had T-shirt as she felt that was all that was necessary, I respected my patients wish and allowed her to keep the items of clothing on that she wanted and gave her the opportunity to let me know if at any point she wanted the observers to leave. Throughout the examination I sure that the patient felt comfortable and also offered her to have her T-shirt cover her chest area when lying on her side to feel more comfortable and less exposed. At the end of the treatment the patient enclosed that she felt very comfortable in the room and did not feel like she was overexposed At any point.]]> 2022-05-25 23:24:25 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200004298 B1 - You must have and be able to apply sufficient and appropriate knowledge and skills to support your work as an osteopath. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200006043 2022-05-25 23:27:00 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200006043 B2 - You must recognise and work within the limits of your training and competence. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200011233 I one treated a 13-year-old boy who enclosed to me his worries and stress regarding his mental health and how school has had a major impact on his mental health and stress. At this point I knew that there was only so much I could do to help this patient mentally so I decided to have a chat with my tutor to see what they believed would be the most efficient outcome for this patient. After Mine and my tutors discussion we then went back to the patient and his mother where we spoke through a variety of different numbers and websites that the patient could use to get in touch with to discuss his mental health and get the appropriate Treatment and advice needed that as an osteopath I was not qualified to do. At the end of the session I made a list of these websites and numbers for the patient to take home to give him a opportunity to read through the website and see what he believed would be most effective for him. I realise quite late into the treatment of my capabilities with this patient and it’s something that I will be more aware of in the future and will hopefully know when further action is needed  again.]]> 2022-05-25 23:32:43 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200011233 B3 - You must keep your professional knowledge and skills up-to-date. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200014598 2022-05-25 23:37:43 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200014598 B3 - evidence B 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200018406 As an osteopath it is essential to ensure that our knowledge and skills are up-to-date and that we are continuously learning and developing new skills as often as possible. Being a student we are provided with the opportunity to receive external speakers and specialist clinics to help us develop these skills. Another thing that we are given the opportunity to do is to carry out further courses within our training to help Expand our information and knowledge which is why I have signed up to carry out two further courses for the end of my fourth year for acupuncture and sports massage.]]> 2022-05-25 23:43:01 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200018406 B4 - You must be able to analyse and reflect upon information related to your practice in order to enhance patient care. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200026876 I was once presented with a patient who came in with bilateral carpal tunnel That I could not find the cause for. After having a discussion with my tutor about the condition we then discovered that the patient had hypothyroidism and that there is in fact a link between the two which I did not understand. The patient also disclosed to me that she was experiencing many personal issues at home as the treatments went on which she believes may be affecting the progression of her treatment. In clinic I tend to carry a small notebook around to make notes of findings and cases I thought interesting to do further research on to help improve my knowledge as well as my patient care.]]> 2022-05-25 23:50:59 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200026876 B4 - evidence B 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200028488 2022-05-25 23:52:59 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2200028488 C1 - You must be able to conduct an osteopathic patient evaluation and deliver safe, competent and appropriate osteopathic care to your patients. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2201205888 Being and Eso student means that we are consistently evaluated and assessed on our patient skills and how eligible we are to treat, this is carried out by having frequent exams where we are observed in clinic by our tutors and marked depending on different categories revolving around of patient care. One of the categories that I am currently on target for and in some aspects above is my case history taking and Osteopathic evaluation. In the image above this was the results from my last CEX Whereas my first ever’s exam I only was graded borderline for my patient case history taking and osteopathic evaluation.]]> 2022-05-26 18:04:26 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2201205888 C2 - You must ensure that your patient records are comprehensive, accurate, legible and completed promptly. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2201207544 During my first few weeks of clinic I’ve struggled to ensure that my patient notes were legible and easy to readAs I was still progressing my skills of listening and notetaking at the same time. As time went on I began to improve this skill and was able to annotate my patients presenting complaints more effectively in a way that other practitioners could understand. In Eso clinic we are provided with clinic handbook to help us with our progression throughout the two years that we have in clinic, and on one of these pages we have been provided with a list of symbols andIn Eso clinic we are provided with clinic handbook to help us with our progression throughout the two years that we have in clinic, and on one of these pages we have been provided with a list of symbols, abbreviations and acronyms That can be recognised throughout. I have began to use the symbols more commonly in my case history and notes so that I am able to note down the more important information in a way that others can read and understand.]]> 2022-05-26 18:06:11 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2201207544 D4 - You must have a policy in place to manage patient complaints, and respond quickly and appropriately to any that arise. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2203666298 At the ESO clinic there is a procedure for patients to follow if they feel a complaint is necessary and will be assisted through this by the receptionists. During my time at the clinic I have been fortunate enough to not have to have followed this procedure through with a patient of my own or from another practitioner.
The complaint procedure is something I will ensure is clear in future practise for patients to follow.
]]> 2022-05-29 18:59:01 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2203666298 D1 - You must act with honesty and integrity in your professional practise 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2203707996 In the clinic when I see a patient for the first time I always ensure that i speak to the patient about their options with treatment and if they’re happy to continue. In this discussion i give my opinion on prognosis and how many treatments the patient needs based on previous experience and research. I began following this procedure after haring patients tell me stories about practitioners they have seen in the past who made them spend more money than they needed by having too many treatments. Another reason I follow this is because of the previous cases that have reported through GOSC.]]> 2022-05-29 20:19:22 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2203707996 D2 - You must establish and maintain clear professional boundaries with patients, and must not abuse your professional standing and the position of trust which you have as an osteopath. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2203752148 Ensuring having a professional patient practitioner relationship is something that at the beginning of being a practitioner I struggled with as I have worked in pubs and bars for the past seven years so the relationship gained was a lot different what I’m typically used to. One of my patients who I saw on a regular basis enclosed a lot of personal information to me as she felt like she needed somebody to talk to but as time went on she started becoming very open to a point where I was being invited to her house for tea. I had a conversation with my tutor about this patient where we discussed that it was beginning to push outside professional boundaries so from this point on I ensured that I reminded my patient of my role as a practitioner and ensured that any information I was giving back to her it was nothing personal where she may have got the wrong impression. ]]> 2022-05-29 21:56:44 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2203752148 C3 - You must respond effectively and appropriately to request for the production of written material and data. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204133440 After lockdown in clinic we noticed a higher rate of referrals being carried out due to an increased demand of GP services. Because of this patients were coming to see us osteopaths with any health issues they found concerning. My time in the Eso I have seen a variety of different patients with different medical conditions some of what I needed referrals for further investigations. One Patient I saw came into the clinic presenting with low back pain which we was unable to reproduce symptoms which had insidious onset as well as the patient having a history of Ovarian cancer, Due to the patient’s significant history I thought it was essential to have this patient referred on for further investigations in which I had to write a letter to her GP explaining my concern as well as reporting the patients symptoms and history as affective as possible to get the patient the best care they could possibly receive.

]]> 2022-05-30 05:15:57 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204133440 C4 - You must take action to keep patients from harm 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204155574 Before starting my clinical journey I carried out a female genital mutilation course to educate myself on the issue. During this course I was educated on what FGM is and how to spot if I believe a child or young female is risk and how to deal with this scenario in an affective way to ensure the child is safe.]]> 2022-05-30 05:36:16 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204155574 C4 - evidence B 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204158478 Another thing I done before starting my clinical journey was ensuring that I had first aid training so that I was prepared to deal with any situations that may arise where a patient is in danger of injuring themselves further.]]> 2022-05-30 05:39:23 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204158478 C5 - You must ensure that your practice is safe, clean and hygienic, and complies with health and safety legislation. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204165666 Joining my clinical experience just after the Covid pandemic meant that many changes were made in the routine of cleaning and maintaining hygiene in the clinic. On clinic induction we were provided with a step-by-step tutorial from the head of clinic who educated us on the government rules and regulations when it came to cleaning treatment rooms. This training included how to correctly dispose of PPE, how to effectively take off PPE to prevent further cross contamination, and finally how to clean the room in a way that the virus can no longer be further spread which involved airing the room for 10 minutes between patients.]]> 2022-05-30 05:46:42 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204165666 C6 - You must be aware of your wider role as a healthcare professional to contribute to enhancing the health and well-being of your patient. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204193294 Being an osteopath is more than just treating people musculoskeletally,We need to put our patient’s best interests at heart and consider other health aspects Which may be affecting and risk in the patient’s health. I had one patient in clinic who came in presenting with a low back pain which we helped ease and manage the pain through manual treatment but the pain continuously returned, this patient was and endomorph meaning he was slightly obese which was something we had to take into account with his management plan. I one-day decided to sit down with the gentleman and have a conversation with him regarding his weight as well as providing him with information on how that may be affecting his lower back pain And advised him to get in touch with another specialist who can help him manage his weight and diet in a more effective way as I’m not qualified to do so. After not seeing the patient for a couple of months he was provided with an exercise plan from a personal trainer as well as dietary changes which he noticed a significant difference in his lower back pain as well as other aches and pains that he never realised were an issue.]]> 2022-05-30 06:10:27 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204193294 D3 - You must be open and honest with patients, filling your duty of candour. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204242044 One patient I saw in clinic was a larger male who I treated for approximately five treatments where the patient was not experiencing any relief or reduction pain or symptoms. The tutor in which I had at the time did not seem to share my concerns in the patient’s treatment and opted that I continued the techniques and treatment that was already being provided despite my opinions on how to change the treatment so the patient receive better care. One day I decided to pass the patient on to another colleague as I believed he would be more effective in treating this patient As I was not getting the results that I wanted. Before handing the patient over I explained why he was being transferred to another colleague As I noticed he was beginning to become frustrated in the fact that he wasn’t getting the relief he wanted, and i apologised about my treatment as I believe he needed a stronger practitioner to help maintain and improve his symptoms. ]]> 2022-05-30 06:48:32 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204242044 D5 - You must respect your patients’ rights to privacy and confidentiality, I maintain and protect patient information effectively. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204251869 This particular experience is something that I did not personally experience but witnessed in which a patient overheard a second year observer discuss and make comments about the patient’s personal issues and physical appearances. The patient voiced her opinion on the matter to the tutors and receptionist after the initial consultation and felt that they lost trust within the clinic and never returned. The students involved in this case were dealt with through the head of the clinic in which they were warned on their actions And made aware of the consequences.]]> 2022-05-30 06:55:53 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204251869 D6 - You must treat patients valley and recognise diversity and individual values. You must comply with equality and anti discrimination law. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204276012 Being brought up in an area which was extremely multi diverse in both religion and ethnicity give me the opportunity to learn about different cultures and religions. Being in practice however identified a weakness in my treating abilities for patients who presented with different religious backgrounds. I once had a patient Who followed the Islamic faith who presented with lower back pain with neurological symptoms travelling down the left leg in which I initially struggled to observe and examine this patient due to respecting the patients beliefs in not getting undressed. I initially started the consultation by making the patient aware that I had a male tutor who may be entering the room and gave her the opportunity to swap tutors to a female if necessary. The tutor I had provided me with a variety of different methods to help examine the patient in an affective way which did not discriminate or disregard her values and beliefs as well as doing further research in how to manage patients with cultural differences to myself.]]> 2022-05-30 07:13:02 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204276012 D7 - You must uphold the reputation of the professional at all times for your conduct, in and out of the workplace. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204292588 Being an osteopathic student I am aware of my responsibilities as a healthcare professional practitioner in and out of the clinic and uphold My reputation by following and acting within the law at all times. One way I can assure that I have not been convicted to any criminal offences is by providing the ESO and GOSC with DBS checks to maintain and uphold my reputation.]]> 2022-05-30 07:24:20 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204292588 D7 - evidence B 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204294707 Another way I have upheld my reputation of the profession is ensuring that all of my social media accounts are on private so that patients are unable to gain access to my social media and no personal information, photos and videos are accessible to the general public.]]> 2022-05-30 07:25:52 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204294707 D8 - You must be honest and trustworthy in your professional and personal financial dealings. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204299664 The Eso clinic receptionist handles the financial side of the clinic In which as a student I do not get involved with, my only responsibility in this setting is ensuring that the patient returns to the reception at the end of every treatment and pays accordingly. One way I follow this OPS Is talking patients through further equipment that I believe would be a beneficial purchase in maintaining their health and ensure that if patients are unable to buy these products that alternative options can be put In place To support them financially, this involves things such as at home exercises and stretches.]]> 2022-05-30 07:29:22 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204299664 D10 - You must consider the contributions of other health and care professionals, to optimise patient care. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204349552 During my time I’m working at the clinic in children and maternity clinic we are referred many babies from other healthcare professionals such as midwives to help treat and manage babies and their presenting symptoms. As an osteopath it is important for me to understand my contribution in healthcare when working alongside other healthcare professionals in improving patient care. One of the common conditions which I have seen in many of my patience is an anterior tongue tie in which midwifes and other paediatric specialist advise patients parents to send them to a osteopath to see if osteopathic manual treatment is as an alternative to getting the lingual frenulum snipped. If osteopathy is not effective for the patient it is important for me to recommend the patients parents to go back to their midwife to have the procedure carried out.]]> 2022-05-30 08:07:54 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204349552 D11 - You must ensure that any problems with your own health do not affect your patients. You must not rely on your own assessment of the risk to patients 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204369500 During the COVID pandemic period I was unfortunate enough to catch Covid two times during my studies. Every time I was exposed to somebody else with Covid or started displaying symptoms of Covid I continuously took tests every day to reduce the risk of preventing the virus to spread onto my patients and my colleagues. When I tested positive both times for Covid I informed the clinic about my current health problems and updated them continuously on whether I was fit to practice at that time and ensured that I followed the government guidelines on how to quarantine and when it is safe for me to return back to clinic.]]> 2022-05-30 08:25:17 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204369500 D11 - evidence B 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204372088 2022-05-30 08:27:35 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204372088 D12 - You must inform the GoSC as soon as is practicable of any significant information regarding your conduct and competence, cooperate with any requests for information or investigation and comply with all regulatory requirements. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204389655 At this moment in time I am fortunate enough to not have been involved in any investigations where my  professionalism is being questioned. Due to the nature of being an osteopath I have been well educated in learning how to comply to GoSC and have had the osteopathic practice standards engraved into my knowledge to ensure that I comply with all the rules and keep my standards up to date and as professionals as possible.]]> 2022-05-30 08:43:01 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204389655 D9 - You must support colleagues and cooperate with them to enhance patient care. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204392995 Towards The end of my first year in clinic we start to take over the year above is patients as they are soon to graduate meaning that we are provided with a takeover form provided by the Eso clinic in which relevant information around the patients needs and health conditions are noted as well as any additional information which may affect patient care.As I am now coming towards the end of my student clinical experience it is now my responsibility and duty as a healthcare professional to handover my patients to other students who can then take over and continue the care provided for my patients and ensure that they receive the most eligible practitioner possible for their needs.]]> 2022-05-30 08:45:58 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204392995 A7 - Just make sure your beliefs and values to not prejudice your patients care. 21702272 https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204408399 2022-05-30 08:59:21 UTC https://padlet.com/21702272/90rg53q3f912m1dp/wish/2204408399