ESO 2021-2025 stud nr 21030 by ESO 2021-2025 Stud nr 21030

Pediatrics

sofi_jansson — 2024-09-14 14:20:06 UTC

Baby need to be born in 25 hours after water broke. Important bacteria from the mother during birth.

during birth the head got a natural cv4 when the occiput pushes to the pubic bone.

Vomiting -pyloric stenose - cry after throwing up can be in pain because of accid irritated

colic 3 hours 3 days 3 weeks

23/1 baby course

always treat the membrane as primary bones are secondary. referens the teatcher Kok Weng Lim

Reflux baby better lying on the left side resolve after as sphincter is to open to often

could help they sleep on the stomach

first thing to look for with baby with bad sleep is to look at the gut.

At 6 month WHOs guideline, start with solid food because of the risk of allergi.

Headache - baby that arch back and crying always exclude headache and colic.

A1. You must listen to patients and respect their individuality, concerns and preferences. You must be polite and considerate with patients and treat them with dignity and courtesy.

sofi_jansson — 2024-09-15 09:28:51 UTC

Reflection: I always put the patient in the center try to be open minded and don't ask closed questions, I try to not interrupt but always do a sum-up in the end to be sure I understand everything correct. If I feel a need more information in one subject, I try to get deeper into that but still with an open question so they can decide how much they want to share. I always explain why I ask some question, so they feel they have a better understanding, and it makes sense to them, I also say if they don't want to answer it's totally fine. I find it easier for patient to answer specific question if I in the beginning explain why I ask them. I also inform them that everything is confidential and wont be shared with others without their approval.

Referens:

https://journals.sagepub.com/doi/abs/10.1177/147322970100500303

A2. You must work in partnership with patients, adapting your communication approach to take into account their particular needs and supporting patients in expressing to you what is important to them.

sofi_jansson — 2024-09-15 09:35:54 UTC

Reflection Kolbs model: I had a very mad patient she started the consultation saying that she didn't want me to inform her that insurance didn’t cover all her treatment cost, and she screamed to me that I just wanted money and so on. Then when I started the case history, she said she wanted treatment right now not talking about it. I tried to explain that I have to take case history for safety reason and to narrowing done the examination. During the examination she couldn't answer my question about better worse pain, she got mad at me for asking. Then after the treatment she was made at me because it was to short consultation, and she did not want to pay. I was shocked over her behavior, but I learnt to not take it personal and that I’m not going to change my way of examination and do a full case history. I know I didn’t do anything wrong during that consultation. I maybe just must be better to explain for some patient why is important to do it even do I think I explained it quite clear to her. I also learn that you can’t help all patient, obviously behaving like her have nothing to do with me but all to do with her, she must have some other issues in her life when she is acting like this.

Referens https://pmc.ncbi.nlm.nih.gov/articles/PMC1488682/

A3. You must give patients the information they want or need to know in a way they can understand.

sofi_jansson — 2024-09-15 10:43:51 UTC

I meet the patient after their state of mind , level of education, age , other condition involving , language barrier. I read the patient and try to give information that is necessary for the patient to now if they ask for more or deeper explaination I will explain more and develop the information.

Referens

https://journals.sagepub.com/doi/abs/10.1177/147322970100500303

A4 You must receive valid consent for all aspect of examination and treatment and record this as appropriate

sofi_jansson — 2024-10-30 07:12:27 UTC

As showed above in the feedback from my exam year I do ask for consent and have a god communication with the patient throw through the whole assessment. In my daily practice I always explain to the patient Im going to take a case history and then I will do an examination and ask them for consent if will asses any private areas and/or a special technique for example hvt. I always write in the journal that the patient gave consent for treatment.

Reflection:

I have colleague in the clinic that had som complains about his treatment and therefor we have talked about it even more how important that is to ask for consent and to document it, so now we have a standard line in the journal so we always remember to ask about it.

https://www.nhs.uk/conditions/consent-to-treatment/

A5. You must support patients in caring for themselvs to improve and maintain their own health and wellbeing.

sofi_jansson — 2024-10-30 07:14:29 UTC

Reflection: My goal is to always involve the patient in the treatment and explain to them that the problem/dysfunction will come back if they don't for example change their lifestyle. However it can be to much for a patient that maybe need to lose weight, exercise, reduce work hours and stop smoking. So after my experience I will give them one thing to start with for example drink water instead of soda, try to take a walk 15 min a day or try to go to sleep one hour earlier. And when they have succes with one task they are more willing to take new advice. Let the patient feel that they are in control and have a postive effect that will lead to more.

Referens: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1369-7625.2010.00593.x

A6. you must respect the patients dignity and modesty

sofi_jansson — 2024-10-30 07:18:21 UTC

Reflection: I always ask the patient if it's ok to take the clothes off, so I give them the change to make the decision. I don't discuss religion with the patient. I don't force the patient to take all clothes of if they don't want to or can't according to a religion. I ask the patient if they want the curtains down in the treatment room. When the patient is undressing, I turn to my computer and write something, so I don’t look at them. It the patient is lying prone, and I must pull the underwear a little bit down to assess the sacrum I always ask them if its ok first. I think it’s even more important to tell them everything I do when we can’t have eye contact to establish a secure environment for the them and I feeling that they are in control.

Referens:

https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2702.2008.02365.x

A7 you must make sure your beliefs and values do not prejudice your patients care

sofi_jansson — 2024-10-30 07:19:31 UTC

Reflection: I always meet a new patient with an opened mind and not discuss any of my own beliefs. The patients are very different from each other, and I live different from most of them with a lot of fitness and healthy lifestyle, a way of living that I know most of them won't be able to follow. I don't give any advice about food if they don't ask. I describe the osteopathic way of think about the role of the artery and the lymphatic drainage and the benefit of moving for the circulation and the healing process. I learned from experience with friends and family that you can’t force them to start training or eat better. But when you just do your thing and get result that they also want they will come to you for advice and then I will help them.

Referens:

https://link.springer.com/article/10.1186/1747-5341-5-11

B1. you must have and be able to apply sufficient and appropriate knowledge and skills to support your work as an osteopath.

sofi_jansson — 2024-10-30 07:30:40 UTC

reflection: The first year of osteopath school I did not really understand how to combine al the techniques we learn to an holistic and effect treatment to the patient without over treat. I did so many test and wasn't god to narrow done differential diagnoses and just do a couple of test. Now I develop better knowledge about red flags and special test so I can test the most important and be sure that the patient is safe to treat. I feel more secure in my as an osteopath and I also. I do think even when you feel more experience you do have to stay humble and with an opened mind all the time to ensure safe patient care. I also try to take some time to do some self reflection and we ofte discus cases in the clinic.

https://www.sciencedirect.com/science/article/abs/pii/S1746068919300136

B2.You must recognize and work within the limits of your training and competence.

sofi_jansson — 2024-10-30 07:32:01 UTC

Reflection Kolbs model: I had a patient that tension around the pelvic area and bladder that lead to back pain and SI dysfunction, after the examination I found it relevant to treat the SI joint, the sacrum and the ligament around the bladder, the problem went better but she still has some pain left. I thought she may be needed internal treatment and referral her to my colleague and after one treatment with her she was totally fine. So, I learned that I could treat what I can manage and it's better to have another osteopath to also look at the problem than just say to the patient that this pain that’s left is what you must live with. And to remember that you are a student and still learning and always will, so don’t be afraid to ask for help or refer the patient to a colleague.

https://onlinelibrary.wiley.com/doi/abs/10.1111/scs.12136

B3. You must keep your professional knowledge and skills up to date.

sofi_jansson — 2024-10-30 07:32:58 UTC

Reflection: I think that when I started the process of my master I wasn't so sure how to find the newest research and how to critically analyse it. But after I finished my master I have implemented that in my every day practice, Every day I write down on paper what I would like to look in to more and then I have 2 extra hours on Wednesday for search for new research or new guidelines or what's relevant for me at that time. That keeps me up to date.

Referens:

https://books.google.dk/books?hl=sv&lr=&id=jDe_9iriaAwC&oi=fnd&pg=PA180&dq=keep+your+knowledge+up+to+date+when+working+with+patients&ots=rFjKqt4OQA&sig=93UGTazs4LJXuiIk1BnrwN5-zUU&redir_esc=y#v=onepage&q=keep%20your%20knowledge%20up%20to%20date%20when%20working%20with%20patients&f=false

B4. You must be able to analyse and reflect upon information related to your practice in order to enhance patients care

sofi_jansson — 2024-10-30 07:34:32 UTC

Reflection: When I started with my master I did learn how to find god articles and learn how to search in databases. I learn to be critical to studies even it they have a high score on PEDro they can possible be miss calculated I discuss one article in my master as seen in the evidence above. So now I use PubMed and google scholar a lot to search for new research in relation to my patients problem. I also become much more critical to what a read and understand that a god quality article can have error. So I don't believe what I hear until I read it myself and critically appraise the information.

https://www.sciencedirect.com/science/article/abs/pii/S1746068919300136

C1. you must to conduct an osteopathic patient evaluation and deliver safe, competent and appropriate osteopathic care to your patient

sofi_jansson — 2024-10-30 07:36:52 UTC

Reflection: I think that during the last 3 years I develop a better skil to take patients case history and during the case history I start to think of differential diagnoses that will lead to a better and relevant examination rutine for the patient. In the beginning I did a lot of testing that maybe wasn't that relevant and in the end of the consultation I didn't have much time to treat the patient. I think I wanted to be 100% sure that a covered everything but now I m more relaxed and I have time to treat the patient. I learn that its ok if you didn't test everything the first time as long as you did the safety test that were relevant. The patient safety is the first priority so If Im not sure about something I will consult with a colleague and if there is something that Im not trained in I will refer the patient to someone more experienced. When that happens I always try to observe that treatment to learn and develop my self.

Referens: https://pmc.ncbi.nlm.nih.gov/articles/PMC6900193/

C2. you must ensure that your patients records are comprehensive, accurate, legible and completet promptly.

sofi_jansson — 2024-10-30 07:38:54 UTC

The importants of a complete journal for your patient and your self. Reflection Kolbs model: When I started at this Osteopathic clinic, I had a new consultation every 30 minutes and that become a problem to have time enough to write everything done. Sometimes when the patient came back, I haven’t written everything done and that put me in a stressful situation. So now I always set time in after 3 patients to update journal and be sure I have written everything done. It is also important if I need to send the patient to the doctor that I have a complete journal or if there is a complain later. One of my colleagues have a patient complaining of the treatment and that involved lawyers and insurance companies. He could argue that he hasn’t done anything wrong, and all the necessary safety test was written in the journal. When I heard that I become even more accurate about always be sure to complete the journals and also write al safety test down even if it’s not positive.

Referens: https://pmc.ncbi.nlm.nih.gov/articles/PMC5707430/

C3. you must respond effectively and appropriately for the production of written material and data.

sofi_jansson — 2024-10-30 07:42:35 UTC

Reflection: In our clinic we have a two factors login system to the journals så We have to Identify our self to login. When we send the bill to patient its with a safe link so they have to login in with there MITID to access the bill, its like an identity card online. So I believe We have a good an secure system both to excess the journals and to send the bills to patient. We don't store anything with name or cpr number on paper everything is in a looked system.

https://www.sciencedirect.com/science/article/pii/S2213076417300209

C5. you must ensure that your practice is safe, hygienic and clean and complies with health and safety legislation

sofi_jansson — 2024-10-30 07:48:48 UTC

In my clinic we use one-time sheets for every patient and cleaning the treatment bricks after every treatment. We have hand sanitizer in every room. We don't go to work if we are sick, we don't charge patient for late cancellation if they are sick. We have first aid course every 2 years. We are always to persons at work, so you don’t have to stand alone if something happens.

Referens:

https://pmc.ncbi.nlm.nih.gov/articles/PMC4675257/

C6. you must be aware of your wider role as a healthcare professional to contribute to enhancing the health and wellbeing of your patients.

sofi_jansson — 2024-10-30 07:50:42 UTC

Reflection : I think that if you are overweight or if you are smoking you know that's not good for you so its not my role as an osteopath to tell them that. The patient are not stupid and they can feel that you talk down to them by telling them things they already now and haven't asked for. If the problem is related to a better outcome for the osteopathic treatment for example obesity and knee pain I will try to tell the patient that loosing weight can reduce the load on your knee and reduce the pain that he/she experience.

It the patient ask me or tell me that he/she been trying to stop smoking or loose weight I can give them some advice or recommend them where to get help with that. I think you have to read the patient between the lines if they are interested in help or not, but of course tell them when is necessary for the problem they are here for.

Referens: https://www.sciencedirect.com/science/article/abs/pii/S0091743504000167

Womens health

sofi_jansson — 2024-11-15 12:42:33 UTC

lector about female cycle .

Periteneum surrender the uterus.

broad ligament attach to pelvic walls.

Douglas potch its lowest so its more liquid inflammation endometriosis often in Douglas potch.

removing appendix fluid can go to Douglas potch and give inflammation.

puboviscecal ligament between pubis and bladder

referens:

seminar 15-17 november 2024 lecture Anja Engel-Schulmeyer

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.

sofi_jansson — 2025-01-26 08:32:56 UTC

Reflection Kolbs model: I had a patient that wanted to know private things in a sexual way about me that I of course wanted to talk or should talk with him about. The first time he asked something private I just didn’t answer and talked about something else. I talked to my colleagues about it, and they asked If I wanted to refer the patient to them, I thought about it and decided that I will treat him again and if I ask something I will tell him to stop. The next time he did ask things again and I explained to him this is in a professional setting and I don't want to talk about private things with my patients, I tried to say it in a nice way but aware of that he can feel insulted and maybe stop coming to me for treatment. He accepted it and did not talk about it anymore. So, I learn that it is ok to say no the first time a patient step over your personal boundaries.

Referens https://jamanetwork.com/journals/jama/article-abstract/388355

D3. You must be open and honest with patients, fulfilling your duty of candour.

sofi_jansson — 2025-01-26 08:33:26 UTC

I always try to be honest with all my patient, but there is a difficulty on this topic. If I suspect something dangerous during my examination of the patient and the patient is not concerned at all. Should I tell the patient what I think and make them nervous without even giving them a correct answer or should I tell them this is not matching my understanding of this working diagnose and refer them to the doctor. Usually if the patient asks me if somethings is wrong, I tell them what I found during examination and that it could be different explanation to that and then refer them to the doctor. For example, if the blood pressure is very high according to standards, I will tell them because I have that fact, if it’s more a diffuse finding I rather not talk so much about it with the patient because I don't feel that I know enough to have the discussion with them and answer their questions. I try to stay calm and don’t make them nervous but also, they have the right to know and should be referred when necessary.

Referens https://pmc.ncbi.nlm.nih.gov/articles/PMC6422557/

D4. You must have a policy in place to manage patient complaints, and respond quickly and appropriately to any that arise.

sofi_jansson — 2025-01-26 08:33:55 UTC

Reflection Kolbs model: When I have a patient that wants to complain I talked to them and try to explain the situation and hear what they have to say often there is a miss communication or I miss understanding. I stay calm, apologies and I then give them the mail to the clinic. For example, I had a patient that booked only 30 minutes on the website through an insurance company. She was very angry because it says on our website the first time is 45 minutes, but the insurance had booked her in acute in a time slot at 30 minutes. I told her that was a mistake from the insurance they should have told her it was only 30 minutes. She complained to the clinic and got a new free 45 minutes appointment. We contacted the insurance to inform them in the future they must explain if they book a new patient not to use the time slot for acute patient (30 min) min to avoid this happens again. We also send a confirmations mail about the appointment and time but she hasn’t seen that.

Referens: https://www.tandfonline.com/doi/full/10.1080/16549716.2018.1458938

D5. You must respect your patients’ rights to privacy and confidentiality, and maintain and protect patient information effectively.

sofi_jansson — 2025-01-26 08:34:56 UTC

Reflection ERA model: I had a patient that came to me because his girlfriend recommended me. When I treated the girl friend, she asked about how it progressed with her boyfriend, and I didn't really know what to say because in this case they live together she obviously know how its going with him and I am sure he doesn't care if I told her. But I told her I can't talk about other patient. After the treatment I reflect on that and talked with my colleges about it and we agreed that I shouldn't say anything, just polite answer that we are not allowed to talk about the other patient we are treating.

Referens

https://jme.bmj.com/content/31/9/531.short

https://www.ncbi.nlm.nih.gov/books/NBK538279/

D6. You must treat patients fairly and recognise diversity and individual values. You must comply with equality and anti-discrimination law.

sofi_jansson — 2025-01-26 08:36:16 UTC

Reflection : To be honest I haven't experience any situation where I don't act professional or treat patient fairly, Of course I have patients that I can feel we don't have the best chemistry but I always treat them with the same respect. I always think it's good practice for me to handle patient that I think have a complicated way of being because I train me in situation that's not that comfortable.

referens: https://www.magonlinelibrary.com/doi/abs/10.12968/bjcn.2010.15.3.46901

D7. You must uphold the reputation of the profession at all times through your conduct, in and out of the workplace.

sofi_jansson — 2025-01-26 08:36:34 UTC

Reflection: My private lifestyle is very healthy, a lot of training, real food, no alcohol, a lot of sleep, no stress and cutting of bad relationship. So, for me it’s not a problem that I will says something outside my work that’s does not align with the osteopathic principles and way of living.

Reflection ERA Model : In the beginning of my first year in osteopath school I did have and open profile on social media and hade a patient that wrote to me and checked my stories, and even if I don’t post anything inappropriate or not suitable for an osteopath, I didn’t feel comfortable with that, so I did make all my social media private. As an osteopath we work with the whole body and mind and to give the best treatment I think that you as an Osteopath also have done some work within yourself. I do believe if you want to be a good osteopath you must live like you learn and that will also give a signal to your patients and maybe unconsciously give more respect and a better treatment outcome. Personally, I wouldn’t have the same trust in an overweight tired osteopath that should give me advice on how to live, eat or train.

Referens:

https://www.sciencedirect.com/science/article/abs/pii/S1931720410001868

D8. You must be honest and trustworthy in your professional and personal financial dealings.

sofi_jansson — 2025-01-26 08:36:49 UTC

Reflection Kolb’s model: This is a common issue as an osteopath. I have met a lot a patient that didn’t need osteopathy for example they needed exercise, surgery or they had many mental problems that needs to be work with before any osteopathic treatment will influence them.

This problem wouldn't emerge if we didn’t work as self-employed, because in a hospital for example we could just send them home and still have our salary, but in our own practice we are missing a one-hour income if we just send them home. So, after what I been through with a lot of patients, I do see them and charge them for the first consultation, talk and/or treat them the first time, often I give them advice where to seek help or to give them exercise and I don’t rebook them to follow-up treatment even if is a business. I know some people will say there is always something to treat but I don’t agree on that, sometimes the patient can treat them self and have the best outcome. I want my patient to feel that they don’t waste there many and that I’m honest with them, I also don’t want passive patients. It’s important to me that I can guide them, treat a lot of problem but they have to be an active part in the healing process.

We also try to be specific on the website what we can help with to avoid this problem. My way of thinking is that if I’m honest they will respect me talk to their friends and in the long run I will build up I good reputation and respective clinic.

Referens: https://www.cmaj.ca/content/170/12/1817.short

D10. You must consider the contributions of other health and care professionals, to optimise patient care.

sofi_jansson — 2025-01-26 08:37:31 UTC

Reflection Kolbs model: I always refer patient back to the doctor if I think there is something that needs to be follow-up or if they need other examination. For example I had a patient with headache and he had been to the doctor and the doctor explained that there was the muscle in the neck that was tense, but when I checked the blood pressure it was 158/89 and the patient was 33 years old normal weight no other disease. In that case the patient was a little bit irritated because I sent him back again, but the doctor didn’t check the blood pressure. So, I explained that I want him to be safe to treat and to first find the cause to the high blood pressure. So, it’s important not just to ask if they went to the doctor but also ask what the doctor did check. And it’s Important to always have the patient’s best interest in mind an involve other healthcare professional when is necessary.

Referens https://www.sciencedirect.com/science/article/abs/pii/S1322769617300422

https://pmc.ncbi.nlm.nih.gov/articles/PMC4949805/

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.

sofi_jansson — 2025-01-26 08:37:48 UTC

I will never put my patients in a risk to get an infection from me. I won't go to work if I feel sick in a way that can transfer to them.

Referens: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2344551

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.

sofi_jansson — 2025-01-26 08:38:10 UTC

In Denmark you have to show your workplace that your criminal record are clean. I have a clean criminal record and will continue to have that.

D9. You must support colleagues and corporate with them to enhance patients care

sofi_jansson — 2025-04-19 11:41:28 UTC

Reflection Kolbs Model: In our clinic we have a meeting every week to discuss patient treatment and if somebody have a specific case they need to discuss. We are 2 osteopath students so it’s important to have the change to discuss cases with more experience colleagues. This meeting is because earlier we didn't have much time to talk about patient end often when we did it showed that somebody had maybe treated a patient with not so much success and other colleges could have helped with input earlier to minimize the treatment time and to get faster result and happier patients. Me and my other colleague that also study osteopathy also have a meeting every week to discuss treatment, handhold, techniques and other relevant things to be sure we give the best and effective treatment to the patients. I will continue with this my whole carrier as an Osteopath because I think you can never learn everything, and you can always improve and learn from others.

Referens:

https://www.sciencedirect.com/science/article/abs/pii/S1322769617300422

https://pmc.ncbi.nlm.nih.gov/articles/PMC4949805/

C4. You must take action to keep patients from harm

sofi_jansson — 2025-04-20 10:08:08 UTC

Reflection ERA

I had a 54-year-old patient that came to me with headache and neck pain she also presented with dizziness when standing, she didn’t have headache normally and no dizziness but sometimes neck pain. She had been to a doctor and the doctor said she needs physiotherapy. It was obvious that she didn’t feel good and when a did quick cranial nerve exam she could follow the instructions but felt dizziness. I did do compression of the neck to check for herniated disc, but she didn’t experience any radiation but felt sick. I said to her I wanted to be totally sure she was ok and safe to treat for her own best and told her to contact the doctor again. She became nervous of course because she had been to the doctor, and he said it was fine. But I don’t think he had done all necessary test. I sent her back to the doctor and didn’t her from her again, I did send her an email, but she did not answer.

When a reflect over the situation I can see that if I was more as an Osteopath student, I could maybe have treated the neck muscle and then say she should have a follow up at the doctor. But I wasn’t used to patients with this symptom and wanted to be sure I didn’t do anything worse. I do think I kept calm and explain to her why I didn’t want to treat her that day. I was alone at the clinic. I think if it happens again I will maybe try to call a more experience college if there is nobody in the clinic before refer the patient back to the doctor.

Referens: https://qualitysafety.bmj.com/content/15/4/272.short

D1 you must act with honesty and integrity in your professional practice.

sofi_jansson — 2025-04-20 10:12:13 UTC

Reflection: I stop treating the patient if I think they won't benefit from more Osteopathy. I believe that if you're honest you have happier patient and that will lead to more patients. I tell the patient if I think they need exercise if that's the case and maybe book a follow up in a month to check the exercise. I tend to work with a holistic approach and then there is often other parts that the patients need to work on by them self over time.

Referens: https://academic.oup.com/medlaw/article/30/2/324/6551541

Women's Health dysmenorrhea

sofi_jansson — 2025-04-22 08:19:10 UTC

I have develop my understanding of treating women with dysmenorrhea in a more 3D approach and include the 5 osteopathic models. I work a lot with the posture and to release the congestion in the pelvis (lymphatic drainage) and with the viscera-somatic reflex from the uterus level T10-L3 and also if the patient experience gastro intestinal problem I found it effect to threat TH5-Th9. I believe when treating the diaphragm and optimize arteriel and venus blood supply and influence the pelvic organs has a key role in primary dysmenorrhea. Before studdy osteopathy I used a lot of pelvic and lower spine mobilisation and stretching exercise of the hip. I do use that musculoskeletal approach now also but combine with other osteopathic technique. I give the patient advice on how to reduce the inflammation with diet and how to improve the circulation in the area. Even do we can treat a lot with osteopathy I found on my self and is proven in studdies a very god effect of doing physical activity and reduce intake of sugar and fastfood that reduce the symptoms significant. I think it's important to educate the patient in an active lifestyle and take responsible for her own healing to receive the best possible outcome of the osteopathic treatment. I develop a huge intresse for womens health and planning on taking the 2 years course after graduated as an osteopath.

Referens

https://pubmed.ncbi.nlm.nih.gov/38389612/

https://www.sciencedirect.com/science/article/abs/pii/S0965229916300309

https://pubmed.ncbi.nlm.nih.gov/31538328/

Womens health pregnancy

sofi_jansson — 2025-04-22 08:27:58 UTC

Reflection: I have many pregnant patient that come to me with pelvic, back pain or symphysis pain. There is some thing I need to make sure I covered in the case history that can make this I high risk pregnancy, for example I ask if she hade experience premature birth before, if the blood pressure is checked recently and I always check it by my self, if she have any symptom of preeclampsia for nausea, changes in vision, headache, pain under right ribs or suddenly swelling in hands or face. If she have any of the acute symptoms I will refer her to the doctor and not treat her.

When working as a physio and treat pregnant patients I did a lot of stretching piriformis and psoas muscles, articulation of the SI joint and lower back. Since learning new techniques I come to often use counterstain techniques and taking the joint or muscle in to relaxation instead of stretching I found that very effective and the patient respond positive and have a feeling of not have so much weight on. Often there is tension around the bladder and the attachment of ligament to pubic bone is tight and I experience good result with counterstain techniques. To reduce swallowing in there legs I work with mobilisation of pelvic ilium, ligament inguinale and make sure there is a good circulation in the hip are so the venus system can transport fluid back again. I also work with poster and breathing, ribs mobilisation. I use GOT adapted to pregnancy to increase drainage and blood circulation. I always ask if they been to check for blood pressure and I don't treat during the first trimester because I want to make sure it could not be my causing an eventual miscarriage.

Overall I develop an understanding of treating the whole body during pregnancy to optimes fluid return, work with congestion, cavity pressure, balance ligament tension and hypertone muscles.

Referens

https://pubmed.ncbi.nlm.nih.gov/27661020/

https://pmc.ncbi.nlm.nih.gov/articles/PMC10530515/

https://www.sciencedirect.com/science/article/abs/pii/S1360859217302310

https://pmc.ncbi.nlm.nih.gov/articles/PMC2811218/

https://pmc.ncbi.nlm.nih.gov/articles/PMC7739277/

Pediatric

sofi_jansson — 2025-04-22 09:59:19 UTC

Reflection:During this years of studding osteopathy I became very humble over to treat babies. In danmark there is a big intress for baby treatment and I thought I also wanted to treat babies when I started. I joined my colleagues at my clinic that studied a 2 years diploma in pediatric. They deliver af very high quality treatment and have a big knowledge about the development of the babies different stage and also about abnormalities. I experienced during the consultations with them that the parents have many questions and that you have to have a big knowledge and be able to answer all there questions also. I always want to deliver where high quality to my patients and want to have a good knowledge about the topic I m treating. I came to realize that the more I participated in baby treatment the more I figure out how much there is to know before I think it's safe to treat them and that I wasn't really interested in baby treatment. I have 4 colleagues at a my clinic that are specialized in baby treatment I can't se why I should treat them without the right knowledge or interest. I want all patient to have the best possible treatment and as a mom I wouldn't let anyone without the right knowledge treat my baby either. I don't think the lectures we had in the osteopath course is enough to treat babies and I think many osteopath student treat babies because there is good money and many parentes that want there baby to se an osteopath. When my kid was a baby there were almost no osteopaths and nobody had treatment for there babies and everything turn out totally fine with here and the other kids at her age. Im not saying it's not working but from what I seen during consultation with my colleagues I do think many parents are over reacting and there is nothing wrong with their baby.

Referens

https://pmc.ncbi.nlm.nih.gov/articles/PMC9369972/

Womens health urinary tract infection

sofi_jansson — 2025-04-22 13:23:32 UTC

I have meet a lot of women that I treated for pelvic pain, dysmenorrhea etc and many of them also told me they have a lot of urinary infection and that antibiotics is not helping. Because of the anatomy of the bladder close to the pelvis there is a mechanical pressure ont the bladder if they have an anterior tiltet pelvis so I mobilizes the pelvis to neutral position, release tension of the pubovesical ligament and treat the tissue causing the tilt and they experience less pressure on the bladder an no infections.

https://pubmed.ncbi.nlm.nih.gov/23294678/

Sports

sofi_jansson — 2025-05-03 11:03:04 UTC

Reflection: I always been treating sports patient in my career as a physioteraphist. With time I develop a deeper understanding and examination rutine, often the primary problem is not where the present complain is. I see a lot running injures that I earlier treated where the problem occur for example the Iliotibial band or runners knee. (se the attached evidens from my sports presentation last year).Now I exam and treat the whole body and often there is a dysfunction in the ilium and spine witch can lead to dysfunction in muscles and also cause problem with cavity pressure and decrease circulation to lower limb. That will reduce the healing capacity. Many sport patient often has been through surgery earlier and I now focus a lot of the fascia strain and dysfunction that can occur due to scare tissue for example ankel surgery can lead to dysfunction in SI joint and impaired gait. When correction posture imbalances and restore normal functions in the body it is often not necessarily to treat directly where the complain is.

One of the biggest difference I se when treating sports injuries compared to people that don't have a "deadline" where they need to be symptoms free is that they often don't want to wait for the body selfhealing and they often start to earlier with to much load to the joints and muscles. Also if they have an important competition in the nearest future I treat them with a physio approach for example with soft tissue techniques stretching and more frequently than I usually will. And after the competition I can treat them more holistic and less frequently with an Osteopathic approach. The problem can often be the stress load they have from either work and life or the stress from training and not be able to rest or decrease trainings load that can be an issue with the healing of the injury.

my poster about diabetes

sofi_jansson — 2025-05-07 11:23:00 UTC

Reflection: I did my poster about diabetes. Regardless of what long term condition (like in the poster in above) I think that maintaining a healthy life stil and exercise regularly will contribute to a better outcome for most of the long term condition. Specially the one that are self-inflicted like type 2 diabetes. As an Osteopath you can give guidance and advice and maintain a good mobility and circulation in the body combine with exercise and training. I think during this 4 years Osteopath school there is is not enough education about nutrition, hormons and fitness. In diabetes both type 1 and 2 nutrition guidance should have a big role and can make a big difference in the patients long term health and minimize the risk of complications.