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Listen to the lecture: Fear avoidance and its effect on adherence to treatment, a physiotherapist's perspective

Download an <a href="">mp3 file</a> of the lecture or listen to streaming audio:<br /><br /><embed src="" allowfullscreen="true" allowscriptaccess="always" quality="high" type="application/x-shockwave-flash" pluginspage="" bgcolor="ffffff" flashvars="config={&quot;controlBarBackgroundColor&quot;:&quot;0x000000&quot;,&quot;loop&quot;:false,&quot;baseURL&quot;:&quot;;,&quot;showVolumeSlider&quot;:true,&quot;controlBarGloss&quot;:&quot;high&quot;,&quot;playList&quot;:[{&quot;url&quot;:&quot;FearAvoidanceAndItsEffectOnAdherenceToTreatmentAPhysiotherapists/FearAvoidance_64kb.mp3&quot;}],&quot;showPlayListButtons&quot;:true,&quot;usePlayOverlay&quot;:false,&quot;menuItems&quot;:[false,false,false,false,true,true,false],&quot;initialScale&quot;:&quot;scale&quot;,&quot;autoPlay&quot;:false,&quot;autoBuffering&quot;:false,&quot;showMenu&quot;:false,&quot;showMuteVolumeButton&quot;:true,&quot;showFullScreenButton&quot;:false}" width="350px" height="28px"> </embed><br /><br />We apologise for the poor audio quality in parts of this recording.<div class="blogger-post-footer"><img width='1' height='1' src='' alt='' /></div>  
West of Scotland Pain Group lectures
about 11 years ago
Foo20151013 2023 s45v8o?1444774247

Money-back guarantees

Ironically, it seems the health products with the least evidence are coming with the greatest assurances. A few years ago, a package holiday company advertised guaranteed sunny holidays in Queensland (Australia). The deal went something like this: if it rained on a certain percentage of your holiday days, you received a trip refund. An attractive drawcard indeed, but what the company failed to grasp was that the “Sunshine State” is very often anything but sunny. This is especially so where I live, on the somewhat ironically named Sunshine Coast. We had 200 rainy days last year and well over 2 metres of rain, and that was before big floods in January. Unsurprisingly, the guaranteed sunny holiday offer was short-lived. There are some things that really shouldn’t come with guarantees. The weather is one, health is another. Or so I thought… “Those capsules you started me on last month for my nerve pain didn’t work. I tried them for a couple of weeks, but they didn’t do nothin'.” “Perhaps you’d do better on a higher dose.” “Nah, they made me feel kinda dizzy. I’d prefer to get my money back on these ones an’ try somethin’ different.” “I can try you on something else, but there are no refunds available on the ones you’ve already used, I’m afraid.” “But they cost me over 80 dollars!” “Yes, I explained at the time that they are not subsidised by the government.” “But they didn’t work! If I bought a toaster that didn’t work, I’d take it back and get me money back, no problem.” “Medications are not appliances. They don’t work every time, but that doesn’t mean they’re faulty.” “But what about natural products? I order herbs for me prostate and me heart every month and they come with a 100% satisfaction guarantee. You doctors say those things don’t really work so how come the sellers are willing to put their money where their mouths are?” He decided to try a “natural” treatment next, confident of its likely effectiveness thanks to the satisfaction guarantee offered. Last week I had a 38-year-old female requesting a medical certificate stating that her back pain was no better. The reason? She planned to take it to her physiotherapist and request a refund because the treatment hadn’t helped. Like the afflicted patient above, she didn’t accept that health-related products and services weren’t “cure guaranteed”. “My thigh sculptor machine promised visible results in 60 days or my money back. Why aren’t physios held accountable too?” Upon a quick Google search, I found that many “natural health” companies offer money-back guarantees, as do companies peddling skin products and gimmicky home exercise equipment. I even found a site offering guaranteed homeopathic immunisation. Hmmm… In an information-rich, high-tech world, we are becoming less and less tolerant of uncertainty. Society wants perfect, predictable results — now! For all its advances, modern medicine cannot provide this and we don’t pretend otherwise. Ironically, it seems the health products with the least evidence are coming with the greatest assurances. A clever marketing ploy that patients seem to be buying into — literally and figuratively. I think we all need to be reminded of Benjamin Franklin’s famous words: “In this world, nothing can be said to be certain except death and taxes.” We can’t really put guarantees on whether it will rain down on our holidays or on our health, and should retain a healthy scepticism towards those who attempt to do so. This blog post has been adapted from a column first published in Australian Doctor Dr Genevieve Yates is an Australian GP, medical educator, medico-legal presenter and writer. You can read more of her work at  
Dr Genevieve Yates
over 7 years ago

Keeping it real! Critical Care Collaborative 2015 - Melbourne - Intensive Care Network

Calling all Victorian doctors, nurses, paramedics, physiotherapists, dieticians, pharmacists and beyond! You are invited to the 2015 Critical Care Collaborative (CCC), Victoria's only critical care inter-professional event on 8 May 2015, jointly organised by ANZICS & ACCCN.
over 6 years ago

SGEM#121: Internal or External Shoulder Immobilization (It Don’t Matter to Me)

Guest Skeptics: Dagny Kane-Haas. Dagny is a physiotherapist who just completed her Masters degree in Clinical Science in Manipulative Therapy.
over 6 years ago

A Foundation for Neonatal Care

This authoritative guide offers a vital overview including the recent fundamental changes in the care of newborn babies. As well as medical staff, key roles are now played by senior nurses, clinical nurse specialists, pharmacists, advanced neonatal nurse practitioners, nurse consultants, midwives, dieticians, physiotherapists and speech therapists. The involvement of such a diverse range of professional cultures in such a rapidly developing area often leads to competing priorities, complicated by a lack of established guidelines. There is also the added challenge of fetal medicine - an important emerging allied specialty new to many healthcare professionals. This book assists all professionals involved in the provision of neonatal care in understanding the genetic, physiological and biochemical mechanisms which have either led to or are associated with the clinical conditions affecting their patients. With comprehensive chapters on fetal medicine, genetics, inherited biochemical disorders, fundamental physiological concepts, the cardiovascular, renal and respiratory systems, bacterial and transplacental infections, pharmacokinetics, nutrition, and an overview of haemostasis, A Foundation For Neonatal Care aids understanding of the continuum of developmental physiology and pathology which is now required of neonatal care providers.
over 6 years ago

Peripheral Neuropathy & Neuropathic Pain

Written by one of the world&#39;s leading experts — Professor Gérard Said MD FRCP, Dpt de Neurologie, Hôpital de la Salpêtrière, Paris, France Peripheral neuropathy is a common medical condition, the diagnosis of which is often protracted or delayed. It is not always easy to relate a neuropathy to a specific cause. Many people do not receive a full diagnosis, their neuropathy often being described as &#39;idiopathic&#39; or &#39;cryptogenic&#39;. It is said that in Europe, one of the most common causes is diabetes mellitus but there are also many other known potential causes. The difficulty of diagnosis, the limited number of treatment options, a perceived lack of knowledge of the subject —except in specialised clinics, the number of which are limited — all add to the difficulties which many neuropathy patients have to face. Another additional problem for many patients is that once having received a full, or even a partial diagnosis, they are then often discharged back to their primary healthcare team who, in many instances, know little about this condition and how it may impact upon their patients&#39; lives. In order to help bridge this gap in medical knowledge and to give healthcare providers a better understanding of this often distressing condition, The Neuropathy Trust has commissioned a new book on this complex topic. Written by one of the world&#39;s leading experts on neuropathy, Professor Gérard Said, it is a &#39;must read&#39; and also a handy reference book for doctors, nurses, physiotherapists, chiropodists/podiatrists and other health professionals.As well as covering the anatomy of the nervous system and the basic pathological processes that may affect the peripheral nerves, the book covers a whole range of neuropathic conditions. These include, for example, Guillain-Barré syndrome, chronic inflammatory demyelinating polyneuropathy, vasculitic neuropathies, infectious neuropathies, diabetic and other metabolic neuropathies, hereditary neuropathies and neuropathies in patients with cancer. Given the almost explosive increase in diabetes predicted over the coming years and the high incidence of HIV infections alone, not to mention all the other possible causes of peripheral neuropathy, no self-respecting medical unit should be without a copy of this new book on their shelves. The author, Professor Gérard Said, is based in the Department of Neurology at the prestigious Hôpital de la Salpêtrière in Paris. He has devoted a lifetime to the study of peripheral neuropathy and — alongside other great neurological names — added much to the world&#39;s ever-growing store of knowledge on this complex but fascinating condition which affects so many individuals.
over 6 years ago