A mixed methods exploration of physiotherapist's approaches to analgesic use among patients with hip osteoarthritis.
Holden, M A; email: firstname.lastname@example.org
Whittle, R; email: email@example.com
Waterfield, J; email: firstname.lastname@example.org
Chesterton, L; email: email@example.com
Cottrell, E; email: firstname.lastname@example.org
Quicke, J G; email: email@example.com
Mallen, C D; email: firstname.lastname@example.org
MetadataShow full item record
To explore how physiotherapists currently address analgesic use among patients with hip osteoarthritis, and their beliefs about the acceptability of prescribing for these patients. A cross-sectional questionnaire was mailed to 3126 UK-based physiotherapists. Approaches to analgesic use among patients with hip osteoarthritis were explored using a case vignette. Semi-structured telephone interviews were undertaken with 21 questionnaire responders and analysed thematically. UK. Physiotherapists who had treated a patient with hip osteoarthritis in the previous 6 months. Questionnaire response: 53% (n=1646). One thousand one hundred forty eight physiotherapists reported treating a patient with hip osteoarthritis in the last 6 months (applicable responses), of whom nine (1%) were non-medical prescribers. Nearly all physiotherapists (98%) reported that they would address analgesic use for the patient with hip osteoarthritis, most commonly by signposting them to their GP (83%). Fifty six percent would discuss optimal use of current medication, and 33%, would discuss use of over-the-counter medications. Interviews revealed that variations in physiotherapists' approaches to analgesic use were influenced by personal confidence, patient safety concerns, and their perceived professional remit. Whilst many recognised the benefits of analgesia prescribing for both patients and GP workload, additional responsibility for patient safety was a perceived barrier. How physiotherapists currently address analgesic use with patients with hip osteoarthritis is variable. Although the potential benefits of independent prescribing were recognised, not all physiotherapist want the additional responsibility. Further guidance supporting optimisation of analgesic use among patients with hip OA may help better align care with best practice guidelines and reduce GP referrals. [Abstract copyright: Copyright © 2018 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.]
Showing items related by title, author, creator and subject.
Saunders, Benjamin; Sim, Julius; orcid: 0000-0002-1816-1676; email: email@example.com; Kingstone, Tom; Baker, Shula; Waterfield, Jackie; email: firstname.lastname@example.org; Bartlam, Bernadette; Burroughs, Heather; Jinks, Clare (Springer Netherlands, 2017-09-14)AbstractSaturation has attained widespread acceptance as a methodological principle in qualitative research. It is commonly taken to indicate that, on the basis of the data that have been collected or analysed hitherto, ...
A Short Study Exploring the Effect of the Glycaemic Index of the Diet on Energy intake and Salivary Steroid Hormones. Al-Dujaili, Emad A S; orcid: 0000-0002-0985-7217; Ashmore, Sophie; email: email@example.com; Tsang, Catherine; email: firstname.lastname@example.org (2019-01-24)The glycaemic index or load (GI or GL) is a concept for ranking carbohydrate-rich foods based on the postprandial blood glucose response compared with a reference food (glucose). Due to the limited research investigating ...
Improving Efficiency and Quality of the Children’s ASD Diagnostic Pathway: Lessons Learned from Practice Rutherford, Marion; orcid: 0000-0002-2283-6736; email: email@example.com; Burns, Morag; Gray, Duncan; Bremner, Lynne; Clegg, Sarah; Russell, Lucy; Smith, Charlie; O’Hare, Anne (Springer US, 2017-11-30)AbstractThe ‘autism diagnosis crisis’ and long waiting times for assessment are as yet unresolved, leading to undue stress and limiting access to effective support. There is therefore a significant need for evidence to ...