The experiences of physiotherapists treating people with dementia who fracture their hip
Abstract Background It is estimated that people with dementia are approximately three times more likely to fracture their hip than sex and age matched controls. A report by the Chartered Society of Physiotherapy found that this population have poor access to rehabilitation as inpatients and in the c...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2017-04-01
|
Series: | BMC Geriatrics |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12877-017-0474-8 |
id |
doaj-908b9e93483f4d17ade6906d448fd6c4 |
---|---|
record_format |
Article |
spelling |
doaj-908b9e93483f4d17ade6906d448fd6c42020-11-25T01:24:20ZengBMCBMC Geriatrics1471-23182017-04-0117111010.1186/s12877-017-0474-8The experiences of physiotherapists treating people with dementia who fracture their hipAJ Hall0R Watkins1IA Lang2R Endacott3VA Goodwin4NIHR CLAHRC South West Peninsula, University of Exeter Medical SchoolNIHR CLAHRC South West Peninsula, University of Exeter Medical SchoolNIHR CLAHRC South West Peninsula, University of Exeter Medical SchoolSchool of Nursing and Midwifery (Faculty of Health and Human Sciences), Plymouth UniversityNIHR CLAHRC South West Peninsula, University of Exeter Medical SchoolAbstract Background It is estimated that people with dementia are approximately three times more likely to fracture their hip than sex and age matched controls. A report by the Chartered Society of Physiotherapy found that this population have poor access to rehabilitation as inpatients and in the community. A recent scoping review found a paucity of research in this area, indeed there has been no qualitative research undertaken with physiotherapists. In order to address this evidence gap, the aim of this current study was to explore the experiences of physiotherapists treating this population. Methods Semi-structured interviews with physiotherapists were undertaken in order to gain an in-depth understanding of how they manage this population. Physiotherapists were recruited from all over the UK and a purposive sampling strategy was employed. Thematic analysis was utilised. Results A total of 12 physiotherapists were interviewed, at which stage data saturation was reached as no new themes were emerging. The participants had a broad range of experience both in physical and mental health settings. Analysis identified three separate themes: challenges, “thinking outside the box” and realising potential. Physiotherapists felt significant pressures and challenges regarding many aspects of the management of this population. Mainly this was the result of pressures placed on them by guidelines and targets that may not be achievable or appropriate for those with dementia. The challenges and importance of risk taking was also highlighted for this population with an appreciation that standard treatment techniques may need adapting. “Rehabilitation potential” was highlighted as an important consideration, but challenging to determine. Conclusion Interventions for the management of people with dementia and hip fracture need to consider that a traditional biomedical physiotherapy approach may not be the most appropriate approach to use with this population. However physiotherapists reported feeling pressurised to conform to a biomedical approach.http://link.springer.com/article/10.1186/s12877-017-0474-8PhysiotherapistPhysiotherapyDementiaHip fractureExperiences |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
AJ Hall R Watkins IA Lang R Endacott VA Goodwin |
spellingShingle |
AJ Hall R Watkins IA Lang R Endacott VA Goodwin The experiences of physiotherapists treating people with dementia who fracture their hip BMC Geriatrics Physiotherapist Physiotherapy Dementia Hip fracture Experiences |
author_facet |
AJ Hall R Watkins IA Lang R Endacott VA Goodwin |
author_sort |
AJ Hall |
title |
The experiences of physiotherapists treating people with dementia who fracture their hip |
title_short |
The experiences of physiotherapists treating people with dementia who fracture their hip |
title_full |
The experiences of physiotherapists treating people with dementia who fracture their hip |
title_fullStr |
The experiences of physiotherapists treating people with dementia who fracture their hip |
title_full_unstemmed |
The experiences of physiotherapists treating people with dementia who fracture their hip |
title_sort |
experiences of physiotherapists treating people with dementia who fracture their hip |
publisher |
BMC |
series |
BMC Geriatrics |
issn |
1471-2318 |
publishDate |
2017-04-01 |
description |
Abstract Background It is estimated that people with dementia are approximately three times more likely to fracture their hip than sex and age matched controls. A report by the Chartered Society of Physiotherapy found that this population have poor access to rehabilitation as inpatients and in the community. A recent scoping review found a paucity of research in this area, indeed there has been no qualitative research undertaken with physiotherapists. In order to address this evidence gap, the aim of this current study was to explore the experiences of physiotherapists treating this population. Methods Semi-structured interviews with physiotherapists were undertaken in order to gain an in-depth understanding of how they manage this population. Physiotherapists were recruited from all over the UK and a purposive sampling strategy was employed. Thematic analysis was utilised. Results A total of 12 physiotherapists were interviewed, at which stage data saturation was reached as no new themes were emerging. The participants had a broad range of experience both in physical and mental health settings. Analysis identified three separate themes: challenges, “thinking outside the box” and realising potential. Physiotherapists felt significant pressures and challenges regarding many aspects of the management of this population. Mainly this was the result of pressures placed on them by guidelines and targets that may not be achievable or appropriate for those with dementia. The challenges and importance of risk taking was also highlighted for this population with an appreciation that standard treatment techniques may need adapting. “Rehabilitation potential” was highlighted as an important consideration, but challenging to determine. Conclusion Interventions for the management of people with dementia and hip fracture need to consider that a traditional biomedical physiotherapy approach may not be the most appropriate approach to use with this population. However physiotherapists reported feeling pressurised to conform to a biomedical approach. |
topic |
Physiotherapist Physiotherapy Dementia Hip fracture Experiences |
url |
http://link.springer.com/article/10.1186/s12877-017-0474-8 |
work_keys_str_mv |
AT ajhall theexperiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT rwatkins theexperiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT ialang theexperiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT rendacott theexperiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT vagoodwin theexperiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT ajhall experiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT rwatkins experiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT ialang experiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT rendacott experiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip AT vagoodwin experiencesofphysiotherapiststreatingpeoplewithdementiawhofracturetheirhip |
_version_ |
1725117711237775360 |