SlideShare ist ein Scribd-Unternehmen logo
1 von 19
Integrating moving and handling
        guidelines into practice: a case
Otago
        study in an educational context.

        Ally Calder, Dr Hilda Mulligan & Sandy
        Ferdinand




        School of Physiotherapy
        Centre for Physiotherapy Research
Overview of Programme

• 4 year degree programme

• 1st 3 years largely theoretical & skills based
  learning.

• Final year = integration of theory & skills
  into practice.
Clinical Educator Role

Guide and support the clinical education
of final year physiotherapy students in
order to achieve autonomous decision
making in the clinical environment.
Donaghy & Morss (2000)



                         Effective Clinical
                         Decision Making



                            Professional
    Propositional                              Personal
                               Craft
     Knowledge                                Knowledge
                            Knowledge




     CONCEPTS               CONTEXT             CUES
CONCEPTS            CONTEXT      CUES




             PLAN             REFLECT


              THE             REFLECTION
MODIFY      CLINICAL     DO       IN
           ENCOUNTER            ACTION


            REFLECT            MODIFY
The Case
What went wrong?

CONCEPTS            CONTEXT      CUES




             PLAN             REFLECT


              THE             REFLECTION
MODIFY      CLINICAL     DO       IN
           ENCOUNTER            ACTION


            REFLECT            MODIFY
Curriculum

Objectives: Safe moving & handling

•Demonstrate safe moving and handling of people
taking into account safety, analysis of movement
and use of equipment

•NZ ACC moving and handling guidelines
Curriculum

Objectives: Movement Analysis

•Identify critical components of movement.

•Analyse the implications for moving and handling
What went wrong?

CONCEPTS            CONTEXT      CUES




             PLAN             REFLECT


              THE             REFLECTION
MODIFY      CLINICAL     DO       IN
           ENCOUNTER            ACTION


            REFLECT            MODIFY
Strategies


Placed student in a highly supportive
CONTEXTUAL environment.
Strategies

Revisited the CONCEPTS of:

   •   risk analysis using the LITEN UP approach

   •   analysis of movement
LITEN UP Approach
Technique: Sit - Stand
       •   Co-operate & follow instructions but this is variable
       •   Unable to communicate
  L    •   Small in size
       •   Extensor muscle tone present on standing
       •   Panic attacks
       • Understands the procedure for sit - stand
  I    • No physical limitation
       • Performed task numerous times before
  T    • Some lifting assistance may be needed depending on co-
         operation level
       • Space for the transfer to occur is sufficient
  E    • Other patients moving around the room
Strategies



Video analysis
Strategies




Applied a MASTER – APPRENTICE model of learning.
Master – Apprentice Model

                Coaching       Articulation     Exploration




Modelling              Scaffolding      Reflection




Collins et al (1989)
Outcome
Conclusion

The LITEN up approach, along with
other strategies can be used
strategically to assist physiotherapy
students to move and handle people
safely in an authentic contextual
learning environment.
Questions?
Otago



        School of Physiotherapy
        Centre for Physiotherapy Research

Weitere ähnliche Inhalte

Andere mochten auch

Безијеови криви и површини_Lab10
Безијеови криви и површини_Lab10Безијеови криви и површини_Lab10
Безијеови криви и површини_Lab10Kiko Montana
 
A que sabe la luna
A que sabe la lunaA que sabe la luna
A que sabe la lunamirales
 
20120424 container contentcontext_bielefeld.mini
20120424 container contentcontext_bielefeld.mini20120424 container contentcontext_bielefeld.mini
20120424 container contentcontext_bielefeld.miniStefan Gradmann
 
Silicon free conference 27 april marcin winkler presentation
Silicon free conference 27 april marcin winkler presentationSilicon free conference 27 april marcin winkler presentation
Silicon free conference 27 april marcin winkler presentationikraikra
 
ի՞նչ է ուրախությունը
ի՞նչ է ուրախությունըի՞նչ է ուրախությունը
ի՞նչ է ուրախությունըganyan
 
Приказ об утверждении сроков и продолжительности ЕГЭ
Приказ об утверждении сроков и продолжительности ЕГЭПриказ об утверждении сроков и продолжительности ЕГЭ
Приказ об утверждении сроков и продолжительности ЕГЭSykttl
 
Ieeepro techno solutions ieee java project - nc cloud applying network codi...
Ieeepro techno solutions   ieee java project - nc cloud applying network codi...Ieeepro techno solutions   ieee java project - nc cloud applying network codi...
Ieeepro techno solutions ieee java project - nc cloud applying network codi...hemanthbbc
 

Andere mochten auch (14)

Безијеови криви и површини_Lab10
Безијеови криви и површини_Lab10Безијеови криви и површини_Lab10
Безијеови криви и површини_Lab10
 
Azresidentialpropertiesinc management-5-6-2012
Azresidentialpropertiesinc management-5-6-2012Azresidentialpropertiesinc management-5-6-2012
Azresidentialpropertiesinc management-5-6-2012
 
A que sabe la luna
A que sabe la lunaA que sabe la luna
A que sabe la luna
 
20120424 container contentcontext_bielefeld.mini
20120424 container contentcontext_bielefeld.mini20120424 container contentcontext_bielefeld.mini
20120424 container contentcontext_bielefeld.mini
 
Silicon free conference 27 april marcin winkler presentation
Silicon free conference 27 april marcin winkler presentationSilicon free conference 27 april marcin winkler presentation
Silicon free conference 27 april marcin winkler presentation
 
ի՞նչ է ուրախությունը
ի՞նչ է ուրախությունըի՞նչ է ուրախությունը
ի՞նչ է ուրախությունը
 
Приказ об утверждении сроков и продолжительности ЕГЭ
Приказ об утверждении сроков и продолжительности ЕГЭПриказ об утверждении сроков и продолжительности ЕГЭ
Приказ об утверждении сроков и продолжительности ЕГЭ
 
Energias limpias
Energias limpiasEnergias limpias
Energias limpias
 
The McDavid Group - NADA
The McDavid Group - NADAThe McDavid Group - NADA
The McDavid Group - NADA
 
Presentation1
Presentation1Presentation1
Presentation1
 
hola
holahola
hola
 
Posporiin ergelt
Posporiin ergelt Posporiin ergelt
Posporiin ergelt
 
Ieeepro techno solutions ieee java project - nc cloud applying network codi...
Ieeepro techno solutions   ieee java project - nc cloud applying network codi...Ieeepro techno solutions   ieee java project - nc cloud applying network codi...
Ieeepro techno solutions ieee java project - nc cloud applying network codi...
 
1
11
1
 

Ähnlich wie Integrating moving and handling guidelines into practice: a case study in an educational context

A theoretical framework to assess implementation fidelity of adaptive public...
A theoretical framework to assess implementation fidelity of adaptive  public...A theoretical framework to assess implementation fidelity of adaptive  public...
A theoretical framework to assess implementation fidelity of adaptive public...valéry ridde
 
Debriefing and Cardiac Arrest Quality Improvement NCEMSF
Debriefing and Cardiac Arrest Quality Improvement NCEMSFDebriefing and Cardiac Arrest Quality Improvement NCEMSF
Debriefing and Cardiac Arrest Quality Improvement NCEMSFDavid Hiltz
 
Equipped for excellence a theory-based orientation plan for vascular access s...
Equipped for excellence a theory-based orientation plan for vascular access s...Equipped for excellence a theory-based orientation plan for vascular access s...
Equipped for excellence a theory-based orientation plan for vascular access s...Sheila Hale, BSN, RN, CRNI, VA-BC
 
Using Reflection within Oncology; Guiding the Student towards Self Aware Prac...
Using Reflection within Oncology; Guiding the Student towards Self Aware Prac...Using Reflection within Oncology; Guiding the Student towards Self Aware Prac...
Using Reflection within Oncology; Guiding the Student towards Self Aware Prac...Royal College of Occupational Therapists
 
SMA Implementation science seminar (Day 1).pptx
SMA Implementation science seminar (Day 1).pptxSMA Implementation science seminar (Day 1).pptx
SMA Implementation science seminar (Day 1).pptxAbdirahmanWaseem
 
A new model and tool for surgical skill development to level of mastery.pdf
A new model and tool for surgical skill development to level of mastery.pdfA new model and tool for surgical skill development to level of mastery.pdf
A new model and tool for surgical skill development to level of mastery.pdfVaikunthan Rajaratnam
 
Reflecting On Critical Incidents And Identifying Governing Variables In Doubl...
Reflecting On Critical Incidents And Identifying Governing Variables In Doubl...Reflecting On Critical Incidents And Identifying Governing Variables In Doubl...
Reflecting On Critical Incidents And Identifying Governing Variables In Doubl...Toby Adams
 
TSL3133 Topic 5 Action Research Concepts and Models
TSL3133 Topic 5 Action Research Concepts and ModelsTSL3133 Topic 5 Action Research Concepts and Models
TSL3133 Topic 5 Action Research Concepts and ModelsYee Bee Choo
 
Time management and recovery s1 2011
Time management and recovery s1 2011Time management and recovery s1 2011
Time management and recovery s1 2011natjkeen
 
Nick Myerson - Who can be a trainer and what the role is
Nick Myerson - Who can be a trainer and what the role is  Nick Myerson - Who can be a trainer and what the role is
Nick Myerson - Who can be a trainer and what the role is triumphbenelux
 
Debriefing and QI Compressed
Debriefing and QI CompressedDebriefing and QI Compressed
Debriefing and QI CompressedDavid Hiltz
 
Community h centers theories
Community h centers theoriesCommunity h centers theories
Community h centers theoriesEvanvs
 
Co-debriefing workshop
Co-debriefing workshopCo-debriefing workshop
Co-debriefing workshopDebrief2Learn
 
RESEARCH IMPORTANCE AND CRITICIAL THINKING.pptx
RESEARCH IMPORTANCE AND CRITICIAL THINKING.pptxRESEARCH IMPORTANCE AND CRITICIAL THINKING.pptx
RESEARCH IMPORTANCE AND CRITICIAL THINKING.pptxDr. Mohabbat Ali
 
NUR 215Nursing Management of the Medical-Surgical Client I.docx
NUR 215Nursing Management of the Medical-Surgical Client I.docxNUR 215Nursing Management of the Medical-Surgical Client I.docx
NUR 215Nursing Management of the Medical-Surgical Client I.docxhopeaustin33688
 

Ähnlich wie Integrating moving and handling guidelines into practice: a case study in an educational context (20)

A theoretical framework to assess implementation fidelity of adaptive public...
A theoretical framework to assess implementation fidelity of adaptive  public...A theoretical framework to assess implementation fidelity of adaptive  public...
A theoretical framework to assess implementation fidelity of adaptive public...
 
Debriefing and Cardiac Arrest Quality Improvement NCEMSF
Debriefing and Cardiac Arrest Quality Improvement NCEMSFDebriefing and Cardiac Arrest Quality Improvement NCEMSF
Debriefing and Cardiac Arrest Quality Improvement NCEMSF
 
Equipped for excellence a theory-based orientation plan for vascular access s...
Equipped for excellence a theory-based orientation plan for vascular access s...Equipped for excellence a theory-based orientation plan for vascular access s...
Equipped for excellence a theory-based orientation plan for vascular access s...
 
Using Reflection within Oncology; Guiding the Student towards Self Aware Prac...
Using Reflection within Oncology; Guiding the Student towards Self Aware Prac...Using Reflection within Oncology; Guiding the Student towards Self Aware Prac...
Using Reflection within Oncology; Guiding the Student towards Self Aware Prac...
 
SMA Implementation science seminar (Day 1).pptx
SMA Implementation science seminar (Day 1).pptxSMA Implementation science seminar (Day 1).pptx
SMA Implementation science seminar (Day 1).pptx
 
Seminar
SeminarSeminar
Seminar
 
Id rcs ed poster
Id rcs ed posterId rcs ed poster
Id rcs ed poster
 
A new model and tool for surgical skill development to level of mastery.pdf
A new model and tool for surgical skill development to level of mastery.pdfA new model and tool for surgical skill development to level of mastery.pdf
A new model and tool for surgical skill development to level of mastery.pdf
 
Chapter 14
Chapter 14Chapter 14
Chapter 14
 
Chapter 14
Chapter 14Chapter 14
Chapter 14
 
Reflecting On Critical Incidents And Identifying Governing Variables In Doubl...
Reflecting On Critical Incidents And Identifying Governing Variables In Doubl...Reflecting On Critical Incidents And Identifying Governing Variables In Doubl...
Reflecting On Critical Incidents And Identifying Governing Variables In Doubl...
 
TSL3133 Topic 5 Action Research Concepts and Models
TSL3133 Topic 5 Action Research Concepts and ModelsTSL3133 Topic 5 Action Research Concepts and Models
TSL3133 Topic 5 Action Research Concepts and Models
 
Time management and recovery s1 2011
Time management and recovery s1 2011Time management and recovery s1 2011
Time management and recovery s1 2011
 
Nick Myerson - Who can be a trainer and what the role is
Nick Myerson - Who can be a trainer and what the role is  Nick Myerson - Who can be a trainer and what the role is
Nick Myerson - Who can be a trainer and what the role is
 
Debriefing and QI Compressed
Debriefing and QI CompressedDebriefing and QI Compressed
Debriefing and QI Compressed
 
Theory and Practice
Theory and PracticeTheory and Practice
Theory and Practice
 
Community h centers theories
Community h centers theoriesCommunity h centers theories
Community h centers theories
 
Co-debriefing workshop
Co-debriefing workshopCo-debriefing workshop
Co-debriefing workshop
 
RESEARCH IMPORTANCE AND CRITICIAL THINKING.pptx
RESEARCH IMPORTANCE AND CRITICIAL THINKING.pptxRESEARCH IMPORTANCE AND CRITICIAL THINKING.pptx
RESEARCH IMPORTANCE AND CRITICIAL THINKING.pptx
 
NUR 215Nursing Management of the Medical-Surgical Client I.docx
NUR 215Nursing Management of the Medical-Surgical Client I.docxNUR 215Nursing Management of the Medical-Surgical Client I.docx
NUR 215Nursing Management of the Medical-Surgical Client I.docx
 

Mehr von Moving & Handling Association of New Zealand

Mehr von Moving & Handling Association of New Zealand (20)

Postgraduate Certificate in M&H at AUT 2014/5
Postgraduate Certificate in M&H at AUT 2014/5Postgraduate Certificate in M&H at AUT 2014/5
Postgraduate Certificate in M&H at AUT 2014/5
 
Don't Wrestle with Discomfort
Don't Wrestle with DiscomfortDon't Wrestle with Discomfort
Don't Wrestle with Discomfort
 
Reducing work related injuries by monitoring the use of lifters in institutio...
Reducing work related injuries by monitoring the use of lifters in institutio...Reducing work related injuries by monitoring the use of lifters in institutio...
Reducing work related injuries by monitoring the use of lifters in institutio...
 
Safe patient handling: Challenging behaviour
Safe patient handling: Challenging behaviourSafe patient handling: Challenging behaviour
Safe patient handling: Challenging behaviour
 
Safe patient handling : Unconsious patients
Safe patient handling: Unconsious patientsSafe patient handling: Unconsious patients
Safe patient handling : Unconsious patients
 
Safe patient handling: Bariatrics
Safe patient handling: BariatricsSafe patient handling: Bariatrics
Safe patient handling: Bariatrics
 
Reducing the incidence of pressure sores and shearing damage for bed-bound in...
Reducing the incidence of pressure sores and shearing damage for bed-bound in...Reducing the incidence of pressure sores and shearing damage for bed-bound in...
Reducing the incidence of pressure sores and shearing damage for bed-bound in...
 
Education for Patient Handling Practitioners
Education for Patient Handling PractitionersEducation for Patient Handling Practitioners
Education for Patient Handling Practitioners
 
“When the Book Don’t Work!”
“When the Book Don’t Work!”“When the Book Don’t Work!”
“When the Book Don’t Work!”
 
Introduction to Queensland Health’s Patient Handling Risk Assessment Tool (FU...
Introduction to Queensland Health’s Patient Handling Risk Assessment Tool (FU...Introduction to Queensland Health’s Patient Handling Risk Assessment Tool (FU...
Introduction to Queensland Health’s Patient Handling Risk Assessment Tool (FU...
 
"When it all goes wrong" - Review of the barriers to return to work
"When it all goes wrong" - Review of the barriers to return to work"When it all goes wrong" - Review of the barriers to return to work
"When it all goes wrong" - Review of the barriers to return to work
 
Emergency Evacuation of Non-Ambulant Persons from Hospitals, Care Homes, Hosp...
Emergency Evacuation of Non-Ambulant Persons from Hospitals, Care Homes, Hosp...Emergency Evacuation of Non-Ambulant Persons from Hospitals, Care Homes, Hosp...
Emergency Evacuation of Non-Ambulant Persons from Hospitals, Care Homes, Hosp...
 
The background to update of the 2003 NZPHG (New Zealand Patient Handling Guid...
The background to update of the 2003 NZPHG (New Zealand Patient Handling Guid...The background to update of the 2003 NZPHG (New Zealand Patient Handling Guid...
The background to update of the 2003 NZPHG (New Zealand Patient Handling Guid...
 
No Lift education and Bariatric Care across a Multidisciplinary Health Field
No Lift education and Bariatric Care across a Multidisciplinary Health FieldNo Lift education and Bariatric Care across a Multidisciplinary Health Field
No Lift education and Bariatric Care across a Multidisciplinary Health Field
 
Developing Moving and Handling training
Developing Moving and Handling trainingDeveloping Moving and Handling training
Developing Moving and Handling training
 
Guidelines for moving and handling people: Do they improve practice?
Guidelines for moving and handling people: Do they improve practice?Guidelines for moving and handling people: Do they improve practice?
Guidelines for moving and handling people: Do they improve practice?
 
A tool to measure the success of patient handling interventions
A tool to measure the success of patient handling interventionsA tool to measure the success of patient handling interventions
A tool to measure the success of patient handling interventions
 
Are Aged Care Organisations adequately resourced to safely manage obese and b...
Are Aged Care Organisations adequately resourced to safely manage obese and b...Are Aged Care Organisations adequately resourced to safely manage obese and b...
Are Aged Care Organisations adequately resourced to safely manage obese and b...
 
A Team Approach to Manual Handling in a Community Aged Care Setting
A Team Approach to  Manual Handling in a Community Aged Care SettingA Team Approach to  Manual Handling in a Community Aged Care Setting
A Team Approach to Manual Handling in a Community Aged Care Setting
 
Our True Story - Update Training, Auditing and Beyond
Our True Story - Update Training, Auditing and BeyondOur True Story - Update Training, Auditing and Beyond
Our True Story - Update Training, Auditing and Beyond
 

Kürzlich hochgeladen

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...narwatsonia7
 

Kürzlich hochgeladen (20)

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 

Integrating moving and handling guidelines into practice: a case study in an educational context

  • 1. Integrating moving and handling guidelines into practice: a case Otago study in an educational context. Ally Calder, Dr Hilda Mulligan & Sandy Ferdinand School of Physiotherapy Centre for Physiotherapy Research
  • 2. Overview of Programme • 4 year degree programme • 1st 3 years largely theoretical & skills based learning. • Final year = integration of theory & skills into practice.
  • 3. Clinical Educator Role Guide and support the clinical education of final year physiotherapy students in order to achieve autonomous decision making in the clinical environment.
  • 4. Donaghy & Morss (2000) Effective Clinical Decision Making Professional Propositional Personal Craft Knowledge Knowledge Knowledge CONCEPTS CONTEXT CUES
  • 5. CONCEPTS CONTEXT CUES PLAN REFLECT THE REFLECTION MODIFY CLINICAL DO IN ENCOUNTER ACTION REFLECT MODIFY
  • 7. What went wrong? CONCEPTS CONTEXT CUES PLAN REFLECT THE REFLECTION MODIFY CLINICAL DO IN ENCOUNTER ACTION REFLECT MODIFY
  • 8. Curriculum Objectives: Safe moving & handling •Demonstrate safe moving and handling of people taking into account safety, analysis of movement and use of equipment •NZ ACC moving and handling guidelines
  • 9. Curriculum Objectives: Movement Analysis •Identify critical components of movement. •Analyse the implications for moving and handling
  • 10. What went wrong? CONCEPTS CONTEXT CUES PLAN REFLECT THE REFLECTION MODIFY CLINICAL DO IN ENCOUNTER ACTION REFLECT MODIFY
  • 11. Strategies Placed student in a highly supportive CONTEXTUAL environment.
  • 12. Strategies Revisited the CONCEPTS of: • risk analysis using the LITEN UP approach • analysis of movement
  • 13. LITEN UP Approach Technique: Sit - Stand • Co-operate & follow instructions but this is variable • Unable to communicate L • Small in size • Extensor muscle tone present on standing • Panic attacks • Understands the procedure for sit - stand I • No physical limitation • Performed task numerous times before T • Some lifting assistance may be needed depending on co- operation level • Space for the transfer to occur is sufficient E • Other patients moving around the room
  • 15. Strategies Applied a MASTER – APPRENTICE model of learning.
  • 16. Master – Apprentice Model Coaching Articulation Exploration Modelling Scaffolding Reflection Collins et al (1989)
  • 18. Conclusion The LITEN up approach, along with other strategies can be used strategically to assist physiotherapy students to move and handle people safely in an authentic contextual learning environment.
  • 19. Questions? Otago School of Physiotherapy Centre for Physiotherapy Research