Treating an Aging Caseload: Physio's Role in Improving Seniors Health

Clinical Flow with Physiotherapist Andrew Koppejan

#Fitness #Medicine #Mental Health #Andrew Koppejan, PT #Andrew Koppejan

7:38

Last summer, something monumental happened. One of Uncuffed's founding producers, Greg Eskridge, came home after more than 30 years in prison. In this episode we’ll bring you back to that emotional day last summer when he walked out of the San Quentin gates, free at last. Our work in prisons is supported by the California Arts Council, the California Department of Corrections and Rehabilitation, independent foundations, and donations from listeners like you. Learn more, sign up for Uncuffed news, and support the program at www.weareuncuffed.org Follow us @WeAreUncuffed on Instagram and Facebook Transcripts are available within a week of the episode coming out at www.kalw.org/podcast/uncuffed…

hace 6 años 40:13

MP3•Episodio en casa

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey!

In this episode, Andrew welcomes back Todd Wolansky, Physiotherapist and a Clinical Lead with Alberta Health Services in Canmore. Todd's passion for geriatrics led him to recently obtain the designation of Clinical Specialist in Seniors Health with the Canadian Physiotherapy Association. You can listen to Todd's previous podcast interview; Why Seniors Health is the New Sexy.

In this episode the discussion centers on the fastest growing segment of the Physiotherapy patient caseload; seniors. Todd provides the changing treatment plan of the aging population with the focus of providing mobility and assessment tools, and the move from reaction to prevention with providing balance and strength training.

Some of the key topics discussed include:

Todd's review of predictive tools
How to incorporate a screen and assessment into a treatment plan
The Canadian Geriatric Society's framework called “The 5 M’s” - 1) Mobility 2) Mind 3) Medications 4) Multi-complexity 5) Matters Most
How to integrate these concepts into a private practice, (with Andrew’s experience and examples)
How to connect the dots and provide a bigger picture of their goals of strength and mobility
Common misperceptions that Todd experiences
How PT's can be more comfortable with senior care, even though they're not specialized in Geriatrics
Key warning signs for PT's to look for with mobility issues
Using the Seniors' Mobility Toolkit

Interview Guest:

Todd Wolansky is a physiotherapist working as a clinical lead for rural rehabilitation in the Calgary Zone of AHS. Clinically, Todd’s areas of passion & experience are in seniors’ health, chronic disease management, health coaching, and exercise prescription. In his lead role, he works with clinicians and operational leaders to support the delivery of evidence-informed service models. Todd is an elected council member with Physiotherapy Alberta. He is a certified coach with the Coaches Training Institute, and a Clinical Assistant Professor with the University of Alberta. Todd is currently a candidate with the CPA’s clinical specialty program in Seniors’ Health.

Mentioned in this episode:

Outcome Measures 2.0

I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com

69 episodios

Clinical Flow with Physiotherapist Andrew Koppejan

Treating an Aging Caseload: Physio's Role in Improving Seniors Health

Clinical Flow with Physiotherapist Andrew Koppejan

published hace 6 años

MP3•Episodio en casa

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey!

Some of the key topics discussed include:

Todd's review of predictive tools
How to incorporate a screen and assessment into a treatment plan
The Canadian Geriatric Society's framework called “The 5 M’s” - 1) Mobility 2) Mind 3) Medications 4) Multi-complexity 5) Matters Most
How to integrate these concepts into a private practice, (with Andrew’s experience and examples)
How to connect the dots and provide a bigger picture of their goals of strength and mobility
Common misperceptions that Todd experiences
How PT's can be more comfortable with senior care, even though they're not specialized in Geriatrics
Key warning signs for PT's to look for with mobility issues
Using the Seniors' Mobility Toolkit

Interview Guest:

Mentioned in this episode:

Outcome Measures 2.0

69 episodios

#Fitness #Medicine #Mental Health #Andrew Koppejan, PT #Andrew Koppejan

Todos los episodios

Clinical Flow with Physiotherapist Andrew Koppejan

1
Clinical Flow & Why It Matters For Your Growth 9:54

hace 1 year9:54

9:54

In this episode, I'll be talking about clinical flow and what it means for your practice. I believe that every clinician should improve their capacity to operate in a flow state. In my view, the ability to operate in a place of clinical flow, maybe the most important aspect of developing as a clinician. And in this podcast, I'll explain why. Like this episode and want to learn more about how to become your best clinical self? Visit my website and sign up for my free newsletter . Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Like me on Facebook https://www.facebook.com/360clinician Follow me on Instagram https://www.instagram.com/360clinician/ Follow me on Twitter https://twitter.com/360clinician Follow me on LinkedIn https://www.linkedin.com/in/andrewkoppejan/ Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
How to Overcome this Patient Roadblock & Avoid Exercise Despair 14:18

hace 2 years14:18

14:18

In this episode, I'll be talking about exercise adherence and how it can be such a powerful lever to helping patients get better results. First, I'll go over the exercise spiral of despair and two traps, we as clinicians, can fall into. Then I will share the surprising solution that I've come to realize and what exactly we can do about it to help our patients achieve greater recovery. Like this episode and want to learn more about how to become your best clinical self? Visit our website and sign up for our newsletter . Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Like us on Facebook https://www.facebook.com/360clinician Follow us on Instagram https://www.instagram.com/360clinician/ Follow me on Twitter https://twitter.com/360clinician Follow me on LinkedIn https://www.linkedin.com/in/andrewkoppejan/ Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
A New Way To Get Unstuck From Your Clinical Problems 11:56

hace 2 years11:56

11:56

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! As physiotherapist’s getting stuck is a regular part of our clinical experience. It’s part of the job. We’re problem-solving and troubleshooting with every patient we see. The problems we’re solving are complex and change regularly. Whether it’s establishing a diagnosis, or troubleshooting a patient that isn’t progressing, we need to figure out how to help get the best possible outcomes for patients. It can be frustrating and tiring and we need a way to gain clarity in our thinking. In this episode, I'm going to be talking about a unique way to help you get unstuck with your clinical reasoning. First start by listening to this episode, afterwards head to my blog so you can see a few clinical examples of how I problem solve and create clearer thinking pathways. Like this episode and want to learn more about how to become your best clinical self? Visit our website and sign up for our newsletter . Like us on Facebook https://www.facebook.com/360clinician Follow us on Instagram https://www.instagram.com/360clinician/ Follow me on Twitter https://twitter.com/360clinician Follow me on LinkedIn https://www.linkedin.com/in/andrewkoppejan/ Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Fix Your Anxiety with Faust Ruggiero 41:45

hace 2 years41:45

41:45

In this episode, I am honoured to welcome Faust Ruggiero onto the show. Faust has been a practicing psychologist for over 40 years and is the author of The Fix Yourself Handbook & The Fix Your Anxiety Handbook. Faust teaches us to break the cycle of anxiety and dispel feelings of inadequacy, so that we are equipped with the tools necessary to effect lasting change in our practices and in our lives. If you want to learn more about Faust's work click here . Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Like this episode and want to learn more about how to become your best clinical self? Visit our website and sign up for our newsletter . Like us on Facebook https://www.facebook.com/360clinician Follow us on Instagram https://www.instagram.com/360clinician/ Follow me on Twitter https://twitter.com/360clinician Follow me on LinkedIn https://www.linkedin.com/in/andrewkoppejan/ Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Get unstuck treating hard patients: 4 pitfalls & 3 treatment buckets for results 15:37

hace 2 years15:37

15:37

In this episode, I'll be talking about hard patient archetypes. I want to help you get unstuck with this type of patient and help you reframe your approach to treatment. First, I will go over common pitfalls that impact our ability to engage fully with our patients. Then I will paint a path forward so we can begin to approach treatment with increased clarity and structure. I have organized treatments into three themes or buckets that will help you get results no matter what patient archetype you are dealing with. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Like this episode and want to learn more about how to become your best clinical self? Visit our website and sign up for our newsletter . Like us on Facebook https://www.facebook.com/360clinician Follow us on Instagram https://www.instagram.com/360clinician/ Follow me on Twitter https://twitter.com/360clinician Follow me on LinkedIn https://www.linkedin.com/in/andrewkoppejan/ Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
The 5 enemies of clinical presence & 5 strategies to overcome them 19:45

hace 2 years19:45

19:45

In this episode, I'll be talking about clinical presence. But what is it and why does it matter? I'll answer those questions and go over the 5 enemies of clinical presence that stand in our way. Afterwards, I'll leave you with 5 strategies to overcome them so you can improve your patient relationships, communicate more effectively, and ultimately experience less stress in your clinical day. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! As promised in the episode, here are a couple of links that will help you learn more and implement these changes: Malet et al. Clinical Perspectives on the Notion of Presence Podcast Episode 58: The #1 Key to Improving Clinical Performance Like this episode and want to learn more about how to become your best clinical self? Visit our website and sign up for our newsletter . Like us on Facebook https://www.facebook.com/360clinician Follow us on Instagram https://www.instagram.com/360clinician/ Follow me on Twitter https://twitter.com/360clinician Follow me on LinkedIn https://www.linkedin.com/in/andrewkoppejan/ Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
The hidden way we sabotage clinical growth + 4 psychological defences that keep us stuck 20:02

hace 2 years20:02

20:02

In this episode, I'll be talking about the hidden ways that we can sabotage our clinical growth. I'll take you through 4 psychological defenses that can actually keep us stuck in our clinical practice. At the end, I'll leave you with 5 strategies that will help you overcome these traps of the ego and ultimately help you move into growth, as a person and as a clinician. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! As promised in the episode, here are a couple of links that will help you learn more and implement these changes: Wilson & Gilbert Psychological Immune System Understanding My Ego Traps Worksheet Like this episode and want to learn more about how to become your best clinical self? Visit our website and sign up for our newsletter Like us on Facebook https://www.facebook.com/360clinician Follow us on Instagram https://www.instagram.com/360clinician/ Follow me on Twitter https://twitter.com/360clinician Follow me on LinkedIn https://www.linkedin.com/in/andrewkoppejan/ Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Ready To Boost Your Clinical Agility? 15:13

hace 2 years15:13

15:13

There's a lot that can through us off our game during a clinical day and it's critical to stay agile so we can problem solve effectively and get amazing outcomes for our patients. In this episode, I'll be talking about how we can get pulled away from a clinical flow state and the importance of navigating the inner self. I highlight some surprisingly easy ways you can stay flexible regardless of what gets thrown your way. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! I also promised some more information on the 10 Cognitive Distortions which are interesting to read about to see if you identify with any. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
2 Mistakes To Avoid Exercise Prescription & The Surprising Solution 19:11

hace 2 years19:11

19:11

Therapeutic exercise is a staple of a physiotherapist’s toolbox. And a mistake we’re all guilty of is falling into the trap of giving our patients too many exercises which can easily overwhelm and sabotage their recovery process. Why is it so easy to make this mistake? In this episode, I'll be talking about two mistakes that we can make when it comes to exercise prescription with our patients and the surprising solution. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
The Real Value We Offer Our Patients & 2 Antidotes to Clinical Reasoning Overwhelm 21:38

hace 2 years21:38

21:38

In this episode, I'll be talking about the real value that we offer our patients, plus a walkthrough to antidotes to clinical reasoning overwhelm. I walk through the dark side of social media as it relates to our clinical growth and talk about an important factor to protect so we can stay curious, creative and collaborative in our clinical practice. I share an important way to reframe how you view yourself and the value you bring to your patients, which will free you from the weight of feeling overwhelmed. Finally, I walk through two practical ways to improve your clinical reasoning. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
How to Thrive in the Face of Clinical Uncertainty & 3 Strategies to Avoid Overwhelm 34:27

hace 2 years34:27

34:27

In this episode, I’ll be talking about how to thrive in the face of uncertainty and share three strategies to avoid overwhelm in your clinical practice. Discomfort, self-doubt, and overwhelm are normal emotions that physiotherapists face every day. I share the common strategies that don't work to deal with overwhelm. I walk through the 3 Overwhelm Accelerators that move us from distress to overwhelm and ultimately burnout. And finally, I walk through 3 strategies to help movement clinicians overcome overwhelm in their clinical practice. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
The #1 Key to Improving Clinical Performance 25:13

hace 2 years25:13

25:13

It's easy to think that more information will lead to better clinical performance. Unfortunately, there is only so much information that we can process at once and only so much that we can focus on. In this episode, I share the #1 key to better clinical performance, and 3 simple ways to can start improving your performance today. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
A Key Patient Motivation Pitfall & How to Overcome It 15:42

hace 2 years15:42

15:42

Welcome to the Unleash Your Best Clinical Self Podcast. This podcast is focused on helping you move from frustration to flow in your clinical practice. In each episode, I'll share strategies, approaches and my latest thinking on how to improve your clinical performance and keep loving what you do. In this episode, I’ll be talking about the common problem of dropping patient motivation after their pain or symptoms have decreased and how to keep your patients motivated to achieve their goals. I provide 3 simple steps to help you keep patients motivated and engaged. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Before I dive in I want to let you know that I have a newsletter diving into topics relating to improving clinical performance. Head over to 360clinician.com to sign-up. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
I'm Back & Here's What's Changed 5:01

hace 2 years5:01

5:01

In this episode, I share some changes with the podcast and what you can look forward in upcoming episodes.

Clinical Flow with Physiotherapist Andrew Koppejan

1
Diving Deeper into Therapeutic Relationships within Telehealth Care 45:25

hace 5 years45:25

45:25

Hosts Andrew and Maxi continue the discussion about the challenges and unexpected benefits of working with patients in a telehealth environment. Following up to Episode 54 - Developing Therapeutic Relationships within the Telehealth Context , they dive into more detail around the specifics and practicalities of creating patient safety while conducting virtual sessions. Maxi breaks down the definitions of Implicit Safety and Explicit Safety, and how activating the sympathetic nervous system impacts the patient's engagement and physiology. Together they discuss the role of receptivity, the difference of listening to understand rather than listening to offer a solution, and how deepening the therapeutic relationship will develop naturally when you are open and curious, rather than expect a strict formula or linear process. “Listening to a story isn’t about providing a solution. It’s about getting to know that person holistically.” – Maxi They reflect on the added importance of paying more attention to our non-verbal behaviour with body positioning and gestures, to convey safe communication and build the level of engagement. Some of the key topics discussed include: How moving from a 3-D to a 2-D environment impacts a patient’s sense of safety. Negotiating a collaborative space of working together online, and the challenge of managing the distractions of their home environment, requiring the need to adapt and re-establish focus, engagement and patient safety. Suspending our desire for the outcome that we want, and being open and curious to listening to the patient’s story and having an open attitude. The need for creativity and improvisation. “I think the idea of experimentation is so powerful because that implies a collaboration. It’s an open way that holds the outcome more loosely and keeps us from judging, because we’re saying ‘let’s try this together’, and 'we don’t know if it’s going to work.’” – Andrew Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Developing Therapeutic Relationships within the Telehealth Context 53:21

hace 5 years53:21

53:21

This episode of the ignitephysio podcast with hosts Andrew and Maxi shares the recording of their Virtual Coffee Webinar for the College of Physical Therapists of BC. The topic of the Webinar was the role of therapeutic relationships within the context of telehealth/telerehab, with a great conversation that covered a lot of ground, and their answers to poll questions from attendees that discusses where clinicians are at with telerehab. Their conversation explored beliefs and perspectives on achieving positive clinical interactions with telehealth, examining what causes transformation for the patient, and the opportunities for the clinician and patient within this new clinical environment. Our perceptions don’t necessarily equal the patient’s perceptions. Let’s hold our perceptions and beliefs about telehealth with more of an open hand. – Andrew Some of the key topics discussed in the Webinar include: How the pandemic is forcing rehab professionals to consider how to be of service in a different way, and the need for being nimble. Why telerehab provides opportunity for interacting with the patients differently, with more communication and active listening, collaboration, and feedback. The opportunity for clinicians to fine-tune new skills besides hands-on treatment. The benefits for the patient of being in their home environment during sessions. The challenges of treatment adaptation. Communicating the value of virtual sessions, prepping the patient and setting up the environment, and being creative with trying new things. Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Compassion and Self-Regulation in Clinical Practice 36:05

hace 5 years36:05

36:05

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Join hosts Andrew and Maxi on this episode of the ignitephysio podcast, as they unpack the topic of compassion, along with the importance of mindfulness and self-regulation in clinical practice. Following up on the previous episode with guest Glenda Lane, Understanding the Cause of Burnout , they continue the discussion of ways to regulate ourselves in order to avoid burnout. They dive deeper into understanding the state of compassion, and reflect on ways that clinicians can navigate compassionate client interactions while also looking at the importance of self-regulation to manage one's own energy. With inspiration drawn from the book, Attending Medicine, Mindfulness, and Humanity by Dr. Ronald Epstein, Andrew shares key passages about compassion in a clinical setting. Together, they discuss the varying definitions of compassion from several different authors and research findings, and how empathy and sympathetic regulation with our client’s distress can impact us. Mindfulness is observing, understanding and regulating my own emotional reactions so I can reliably sustain presence in the face of a patient’s distress and my own. -Dr. Ronald Epstein, Attending Medicine, Mindfulness, and Humanity With self-awareness and mindfulness being the key to self-regulation, Andrew and Maxi discuss how we can shift from one state into another, rather than disengage and withdraw for self-protection. Some of the key topics discussed include: The critical skill of self-regulating so we’re not carrying the distress of others. How the sticky residue carrying others' distress affects our interactions with people in and out of work, which can cause a negative feedback loop. How to effectively transition our state between the clinic and personal life with a quick meditation at the end of your work day. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Understanding the Cause of Burnout 1:02:06

hace 5 years1:02:06

1:02:06

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Andrew and Maxi welcome guest Glenda Lane to the ignitephysio podcast. As a fellow physiotherapist in Edmonton, Glenda shares her journey of recovering from burnout. Their discussion shines a different light on the topic of burnout and offers a shift of perspective and tools for managing self-care in the helping profession. As a physiotherapist for 28 years, Glenda reflects on her early years in practice and her behaviour patterns that led to burnout, inspiring her to take additional training as an Intuitive Energy Coach 8 years ago to help other healthcare professionals avoid it. You’ll hear how she now practices physical therapy work in a completely different way, and coaches other physical therapists to change how they work as well. Giving is not okay at the cost of your own wellbeing. ~ Glenda Lane Some of the key topics discussed include: Glenda’s description of the stages of her burnout, and the behaviours she had since youth that were causing it. Why being out of touch with her body, habitual beliefs, and living with chronic stress resulted in a dysregulated nervous system, and why giving herself full permission to truly rest was needed to regulate it again. How engaging in self-care activities won’t matter if your internal beliefs are still driving the behaviours that create burnout. Why taking on responsibility for others' well-being depleted her energy and led to burnout. Understanding the deeper causes of pain, such as headaches and back-pain caused by stress and anxiety. How she has changed how she works with patients. Guest Bio: Glenda Lane is a physiotherapist and life coach. She has been practicing for 28 years and about 8 years ago she began doing life coaching to help others including therapists overcome burnout. She helps people shift from living in stress and survival mode to thriving and living in flow with life. Glenda teaches simple but powerful energy tools and practices, empowering people to create how they desire to feel and live. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Unpacking the Process of Achieving a Goal 32:59

hace 5 years32:59

32:59

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Andrew and Maxi kick off 2020 with a discussion about goal-setting, and the process behind achieving the desired outcome. With the New Year and decade offering the inspiration to set goals, many of us visualize the end result without enough consideration of the daily practice of small steps of working toward it. Reflecting on the book “Atomic Habits” by James Clear as inspiration, Andrew discusses the process of achieving goals, and the need to focus on the systems in place to achieve those goals. Maxi provides the example of her process of psychotherapy training with several years of course work, toward her goal of passing the competency test, and her realization that it wasn’t about passing a test, but about how she was present in every moment of the process. With plenty of examples, they discuss ways to let go of focusing exclusively on the end goal, and to instead also focus on your practices and principles, while panning in and out between the two perspectives to stay on track. Some of the key topics discussed include: The importance of being clear on your principles that support and guide your practices, and basing decisions in alignment with your principles. The focus on your practices and what you need to enable them. Remaining present in your daily practice, systems, and process that take you closer to your goal. How small actions add up, and using failure to pivot and learn. Why it’s important to pan in and out to focus both on your systems and practice, and on the end goal, to maintain focus on the smaller and larger picture. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
The Power of Beliefs and Reframing for Patient Recovery 45:00

hace 5 years45:00

45:00

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! Andrew and Maxi discuss how physiotherapists can provide a deeper transformation for patients by using reframing and healing words. With three of Andrew’s recent cases as examples, they explore how Andrew’s approach, inquiry, mutual exploration, and reframing helped his patients become more present and aware in their body, allowing for deeper healing and function. By reframing the role of movement, and inviting them to be aware of their beliefs about “exercise” and “struggle” as necessary for recovery, Andrew shares how his approach opened the door to provide the space for patients to tell their story, and become more empowered in their own recovery. Some of the key topics discussed include: How healing words and reframing provide a deeper awareness for the patient. How movement can be used as an invitation for the patient to change their relationship to pain. How transitioning from movement with struggle, to softening into movement resulted in a significant shift in perspective. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

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Self-care and the Importance of Asking for Help 34:50

hace 5 years34:50

34:50

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In this episode, hosts Andrew and Maxi reflect on the topic of self-care and seeking help. They discuss Maxi's recent health challenges and her experience of being on the receiving end of help and support, and her ongoing commitment to her own self-care. As therapists in the helping profession, it is very easy to put the needs of others first, with self-care not as highly valued as self-autonomy. Together, Andrew and Maxi examine the value of keeping our own well-being a priority, ways to incorporates self-care into our own lives, and to acknowledge and encourage it with our patients. Some of the key topics discussed include: Recognizing that as therapists, the need to be looking at our own self-care, and facing the resistance that we can feel internally to asking for help. Being aware and recognizing our own warning signs of neglecting an aspect of our well being, and the tendency to cope by pushing through. The emotional component around self-care and the manifestation of physiological reactions and symptoms. Ways to create space for reflection and grounding. Using our body rather than a cerebral approach as a way to enter into becoming more grounded in a place of safety. Acknowledging patients for taking the step in their own self-care, and what we can do as therapists to celebrate that as part of their treatment plan. Recognizing how part of our role as therapists is to help patients feel safe in their bodies, beyond just improving function. Also, our podcast is now available on Spotify by searching under podcasts! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Exploring Health Coaching for Physiotherapists 44:53

hace 5 years44:53

44:53

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In this episode, hosts Andrew and Maxi welcome guest Cindy Grand about the emerging area of health coaching for physiotherapists. Cindy works at Alberta Health Services as an Implementation Lead for the Walter C. MacKenzie campus Connect Care team, supporting Allied Health in their implementation of the new health information system set to launch in November, 2019. Some of the key topics discussed include: How Cindy uses coaching techniques in her current role of overseeing the implementation process of Connect-Care to support people and processes through the change. How taking “Health Change Methodology” training for health behaviour change was the pivotal training that transformed her work and interactions with patients. Cindy’s definition of health coaching and its role within the physiotherapy profession, and the shift away from the expert-driven model. Why coaching skills supports efficient goal setting with the right timing for when the patient is ready. How non-judgmental curiosity improves the interaction with patients and establishes rapport and trust. Why health coaching is becoming increasingly important for physiotherapists to incorporate into their daily practice with today's complex social issues. How addressing health behaviour change starts by asking the patient better questions. A review of coaching tools and frameworks to use in your practice, and Cindy’s techniques she uses every day. Click HERE to access the Toolkit developed by Physiotherapy Alberta for health coaching with tools and resources. Guest Bio: Cindy Grand is a change-maker fueled by good coffee and a passion for patient-centred care. She worked in sports/orthopedics for 14 years and then on the Provincial Bariatric Resource team, a multidisciplinary team supporting providers of care for patients with obesity for 5 years. She completed her Master of Public Health and is Prosci Change Management Certified, has her HealthChange Associates Peer Training levels 1 & 2 and has completed Foundational Training in Cognitive Coaching. Cindy has had the honor of being a lecturer at the University of Alberta for physiotherapy and interdisciplinary students. You can currently find her in a temporary role of Implementation Lead on the Walter McKenzie Campus Connect Care Implementation Team before she returns to the Integration & Innovation Team within the Provincial Primary Health Care Program, AHS. Subscribe to the ignitephysio podcast on iTunes here . Also, our podcast is now available on Spotify by searching under podcasts! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here . Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
The Power of Therapeutic Touch 29:16

hace 6 years29:16

29:16

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In this episode, hosts Andrew and Maxi take a deeper look at the power of touch in the therapeutic relationship. Andrew discussion the impact of reading The Lost Art of Healing: Practicing Compassion in Medicine , and shares some great quotes which examines how touch augments the therapeutic relationship. Some of the key topics discussed include: How touch can be used both for assessment and connection with the patient. The Ted Talks episode by Abraham Verghes - “ A Doctor’s Touch ”. How touching is key to the transformation of a patient's level of trust, and how as clinicians we often forget the feeling of being a patient. Why we need to build a bridge to create a sense of safety in the therapeutic relationship. How responsive touch bypasses cognition and engages the neurophysiological system to activate the parasympathetic response which creates trust and safety. How the patient’s mental and emotional state can change with each assessment, and using touch to re-build the bridge. Using appropriate touch in context to each patient, and communicating why, with added sensitivity to trauma survivors. Adjusting our own state of being fully present while touching the patient, and observing their response. How safe and appropriate touch can positively impact the patient and allow a deeper healing. Why practicing your “presence” skills rather than just touching skills is important. A key takeaway from this episode is to observe your own state and do an out-breath before you touch a patient, and observe what’s happening with their response, and adjust yourself as needed. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Therapist Burnout & The Need for Self-Regulation 35:04

hace 6 years35:04

35:04

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In this episode, hosts Andrew and Maxi discuss the reality of burnout, and the challenge of staying energized, satisfied and motivated with daily clinic work. Following Andrew’s feedback from a nation-wide survey of PT’s, he reflects on the conversations with new grads about their struggles with managing the complexities of treatments, while also managing expectations from multiple stakeholders. Some of the key topics discussed include: The common challenge of providing good-quality care while managing so many expectations. The impact of incongruency of what we’re feeling internally and what we present to the patient. Recognizing emotional exhaustion as the early warning sign of burnout, and patterns of behaviour in response. Maintaining the therapeutic relationship while also self-regulating our own energy and presence, to work in an authentic way. Being overly attached to the outcome of a patient’s progress, and not taking things personally when the patient doesn’t improve. The feeling of professional loneliness, and the importance of social connection. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

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Why Our Clinical Growth Requires Us to Lean into Discomfort 32:58

hace 6 years32:58

32:58

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In this episode, hosts Andrew and Maxi are back in the lounge for an ad-lib discussion about the topic of vulnerability and leadership for physiotherapists. Andrew's conversations with both new and seasoned clinicians has revealed a common sentiment of not wanting to feel "yucky” in patient interactions. This is especially true for clinicians that are new to practice, with feeling overwhelmed and pressured to have extensive knowledge. But it's also why seasoned clinicians often get caught in a rut that's within their comfort zone. Some of the key topics discussed include: The review of Brene Brown’s book “Dare to Lead” about vulnerability in leadership and leaning in to discomfort, as an analogy for clinicians. Growth and adapting versus being too comfortable, and how to stay in the mode of growth. Finding the balance between safe practice and taking risks, and returning back to core principles and values when feeling vulnerable. Examples of how to hold therapeutic and grounded presence when feeling vulnerable and uncomfortable with a patient, and how to develop trust in the therapeutic relationship. Allowing space in a patient caseload to slow things down a bit, and giving yourself enough space to practice out of the comfort zone. When it’s not a good time to apply a new technique and put yourself in a vulnerable position. Maxi's review of deeper reflection practices and moving it into action, and Andrew's example of how therapeutic presence impacts the quality of treatment. How setting the intention to work on one simple thing and incremental change can add up over time to make a big difference. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

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Treating an Aging Caseload: Physio's Role in Improving Seniors Health 40:13

hace 6 years40:13

40:13

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In this episode, Andrew welcomes back Todd Wolansky, Physiotherapist and a Clinical Lead with Alberta Health Services in Canmore. Todd's passion for geriatrics led him to recently obtain the designation of Clinical Specialist in Seniors Health with the Canadian Physiotherapy Association. You can listen to Todd's previous podcast interview; Why Seniors Health is the New Sexy. In this episode the discussion centers on the fastest growing segment of the Physiotherapy patient caseload; seniors. Todd provides the changing treatment plan of the aging population with the focus of providing mobility and assessment tools, and the move from reaction to prevention with providing balance and strength training. Some of the key topics discussed include: Todd's review of predictive tools How to incorporate a screen and assessment into a treatment plan The Canadian Geriatric Society's framework called “The 5 M’s” - 1) Mobility 2) Mind 3) Medications 4) Multi-complexity 5) Matters Most How to integrate these concepts into a private practice, (with Andrew’s experience and examples) How to connect the dots and provide a bigger picture of their goals of strength and mobility Common misperceptions that Todd experiences How PT's can be more comfortable with senior care, even though they're not specialized in Geriatrics Key warning signs for PT's to look for with mobility issues Using the Seniors' Mobility Toolkit Interview Guest: Todd Wolansky is a physiotherapist working as a clinical lead for rural rehabilitation in the Calgary Zone of AHS. Clinically, Todd’s areas of passion & experience are in seniors’ health, chronic disease management, health coaching, and exercise prescription. In his lead role, he works with clinicians and operational leaders to support the delivery of evidence-informed service models. Todd is an elected council member with Physiotherapy Alberta. He is a certified coach with the Coaches Training Institute, and a Clinical Assistant Professor with the University of Alberta. Todd is currently a candidate with the CPA’s clinical specialty program in Seniors’ Health. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

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Move Beyond the Numbers...Focus on Building a THRIVING Patient Caseload 32:42

hace 6 years32:42

32:42

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In episode 43, hosts Andrew and Maxi further the discussion about patient caseloads, following the recent article on Unpacking the 4 Key Components to a Thriving Caseload. As a guest speaker at the recent Orthopaedic Symposium in Edmonton, Andrew discusses his presentation about different strategies around building a thriving caseload in and out of the clinic. Some of the key topics discussed include: The surprising findings from Andrew's research and interviews with 25 therapists across the country, and the push-back about having a full caseload versus a thriving caseload. Why we need to move beyond just numbers and focus on other caseload factors. Can we do a better job with improving the branding of our profession? How we can engage and be proactive participants in our communities. How we demonstrate value; not just expect it. The process of self-discovery and understanding our "why" and personal values. Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
The Importance of Relationship in Building a Patient Caseload 25:44

hace 7 years25:44

25:44

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In episode 42, hosts Andrew and Maxi discuss some of the findings from Andrew's recent interviews with over 25 PT's across Canada for researching his article about growing and managing a clinical caseload. From discussions with clinicians in all stages of their career, ranging from recent grads to seasoned clinic owners, Andrew discovered new insights and fresh perspectives on the importance and common challenges of strengthening the patient relationship. Some of the key topics discussed include: The challenge of caseload management The common theme around "relationship" The importance of the first appointment to set the foundation Why language matters, and how information overload can lead to patient overwhelm instead of providing value Leaning on research to build trust for new grads Creating a safe space for patients Grab a beverage and enjoy the discussion! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

1
Creating Space to Celebrate Patients' Successes 29:31

hace 7 years29:31

29:31

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey ! In episode 41, hosts Andrew and Maxi have a lively coffee-lounge conversation about a topic that is often overlooked by clinicians; taking space to acknowledge and celebrate their patients' progress and success! Some of the key topics discussed include: Why it's so important to celebrate success with our patients, and how it fosters patient engagement and improves the therapeutic relationship. The pitfalls of glossing over their achievements and not taking the time to acknowledge their progress. Grab a coffee and listen in! Mentioned in this episode: Outcome Measures 2.0 I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click the link to join the journey - https://pages.360clinician.com…

Clinical Flow with Physiotherapist Andrew Koppejan

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Navigating the Future of the Profession: What Can We Do to Evolve? 36:45

hace 7 years36:45