FACULTY OF HEALTH SCIENCES School of Physiotherapy Brisbane and Sydney Campuses SEMESTER ONE 2013 PHTY 102: Foundations

of Physiotherapy Practice 1 UNIT OUTLINE

Credit points: 10 Prerequisites / co-requisites / incompatibles: Nil It is your responsibility as a student to ensure that you have the prerequisites or co-requisites for a particular unit. You may not enrol in this unit if you have previously passed, or are currently enrolled in, any unit identified as incompatible with this unit. If you do not meet these requirements, then you must see your Course Coordinator. Pam Teys Office location: NB. 07 Email: Pamela.Teys@acu.edu.au Telephone: (07) 36237689 Contact me: By phone or email for queries or to make an appointment Dr Jane Butler Office location: Level 2, 173 Pacific Highway, North Sydney Email: Jane.Butler@acu.edu.au Telephone: (02) 9739 2257 Contact me: By phone or email for queries or to make an appointment

Lecturer in Charge Brisbane

Lecturer in Charge Sydney:

Description: This unit identifies and explores the roles of physiotherapists across the health care system. Other aspects of professional practice, with special emphasis on the social context of disability will also be addressed. This unit provides students with the opportunity to develop foundational competencies for physiotherapy practice. Basic skills such as handling, soft tissue palpation and mobilisation and passive movements are covered. Case presentations will be used to integrate student learning.

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Brisbane Teaching team:

Pam Teys (contact details as above) Dr Marcella Danks Marcella.Danks@acu.edu.au Alex Clarke Alex.Clarke@acu.edu.au Dr Jane Butler (contact details as above) Vicki Williams Vicki.Williams@acu.edu.au Erica Newby Erica.Newby@acu.edu.au

Sydney Teaching team:

Mode/attendance pattern: Two 1 hour lectures per week, one 1 hour tutorial per week, one 2 hour practical session per week. Total of 5 hours per week on campus. Directed independent learning activities may be set for students to complete independently prior to tutorial sessions. In addition, students will attend a one day clinical observation visit. Duration: 12 week-semester or equivalent in intensive block mode. You should anticipate undertaking 150 hours of study for this unit, including class attendance, readings and assignment preparation.

EXPECTATIONS OF STUDENTS IN THIS UNIT Attendance The attendance at the one day clinical observational visit is compulsory. If a student does not attend at least 80% of on-campus practical and tutorial sessions, and has not made satisfactory alternative arrangements as designated in the unit outline, he/she will be awarded a Fail grade (NN) in the unit. Satisfactory alternative arrangements are: When the student is aware in advance of the inability to attend a practical laboratory class, he/she must, prior to the scheduled class time: (a) consult with the relevant teachers regarding attendance at an alternative class on the same topic; and (b) advise the teacher responsible for the regular class of his/her future absence and the approved substitute arrangement. If a student misses compulsory classes and is unable to arrange an alternative class on the same topic, he/she must contact the LIC and make other arrangements. Please refer to Faculty of Health Sciences, on-campus practical laboratory class attendance policy.

Classroom conduct Students are required to disrobe appropriately to facilitate learning in some practical (practical session) classes. The suggested practical class attire is: short lycra shorts, crop top/sports bra and t-shirt for females, shorts and t-shirt for males. Failure to wear suitable clothing may mean exclusion from class. Students are expected to display courteous and respectful behaviour to fellow students and staff at all times. Inappropriate behaviour will lead to dismissal from class and in some instances may also be reported to the Head of School. NB: Mobile phones, or cameras, are not permitted at any time in practical and tutorial classes.

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LEARNING OUTCOMES The Bachelor of Physiotherapy course is a professional program that requires development of particular attributes for accreditation purposes. These are also included in the Learning Outcomes. On successful completion of this unit, you should be able to: 1. Identify the varying roles /responsibilities and skills of the physiotherapist as a member of the multi-disciplinary team in a variety of health care settings (GA2, GA5); 2. Demonstrate an appropriate therapist-individual interaction for the purpose of achieving a specified therapeutic outcome including individual education (GA5; GA9); 3. Identify clinically relevant structures of the body through palpation (GA5; GA7; GA8); 4. Apply the general principles of individual handling, passive movements and soft tissue palpation necessary for safe physiotherapy practice (GA2; GA5; GA6); 5. Outline the indications for and the contraindications associated with these physiotherapy interventions (GA5; GA8); 6. Select and apply appropriate techniques for the maintenance of joint mobility, muscle length and soft tissue manipulation in a range of individual presentations (GA5; GA8); 7. Demonstrate effective peer learning and self-assessment strategies including reflective practice (GA4; GA7); 8. Identify and minimize potential risks to individuals and therapists in a variety of clinical settings (GA2; GA5).

GRADUATE ATTRIBUTES
Each unit in your course contributes in some way to the development of the ACU Graduate Attributes which you should demonstrate by the time you complete your course. You can view the ACU Graduate Attributes for all courses at http://www.acu.edu.au/204356. All Australian universities have their expected Graduate Attributes ACUs Graduate Attributes have a greater emphasis on ethical behaviour and community responsibility than those of many other universities. All of your units will enable you to develop some attributes. On successful completion of this unit, you should have developed your ability to: GA1 GA2 GA3 GA4 GA5 GA6 GA7 GA8 GA9 GA10 demonstrate respect for the dignity of each individual and for human diversity recognise your responsibility to the common good, the environment and society apply ethical perspectives in informed decision making think critically and reflectively demonstrate values, knowledge, skills and attitudes appropriate to the discipline and/or profession solve problems in a variety of settings taking local and international perspectives into account work both autonomously and collaboratively locate, organise, analyse, synthesise and evaluate information demonstrate effective communication in oral and written English language and visual media utilise information and communication and other relevant technologies effectively

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CONTENT Topics will include: Physiotherapy practice Roles, responsibilities and skills of the physiotherapist throughout different areas of the health care industry, e.g. hospitals, community, ambulatory care, rehabilitation Classification of disability and function as outlined in the World Health Organisations International Classification of Functioning, Disability and Health Roles of other health professionals in the health care industry Infection control Demonstrate professional behaviour appropriate to physiotherapy Communication Health records documentation Individual education Interviewing an individual One day clinical visit to health facility Communicate effectively Clinical Palpation of surface anatomy landmarks Individual handling safety, comfort and respect Individual handling techniques to transfer an individual Techniques to maintain joint range and muscle length Soft tissue manipulation and massage The role of passive movements in various individual presentations, e.g. spinal-injured individual or unconscious individual Learning Peer learning Self-reflection Portfolios in practice Risk management Self-awareness of body positioning Positioning of individual Manual handling Environmental considerations

QUALITY ASSURANCE AND STUDENT FEEDBACK This unit has been evaluated through the Student Evaluation of Unit (SEU) online surveys. In response to student and staff feedback there have been some modifications made to this unit for 2013. The timing of content presented in the practical classes has been changed to better prepare students for their end-semester practical examination. Content and delivery of tutorial sessions has been amended to be more interactive for students SEU surveys are usually conducted at the end of the teaching period. Your practical and constructive feedback is valuable to improve the quality of the unit. Please ensure you complete the SEU survey for the unit. You can also provide feedback at other times to the unit lecturers, course coordinators and/or through student representatives.

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SCHEDULE For the most up-to-date information, please check your LEO unit and also note advice from your lecturing and tutoring staff for changes to this schedule. Student announcements will also be placed on LEO and it is recommended that you check this site daily during semester NB: There are separate schedules for Brisbane and Sydney Study schedule Brisbane Week 1 Starting 25/02/2013 Lecture, practical and tutorial class activities Lecture A: Introduction to PHTY102 History of physiotherapy and current scope of practice Lecture B: Physiotherapy and professionalism Tutorial: Library skills session (Library staff) Practical Class: Academic skills session (Library staff) Lecture A: Ethical Practice and Code of Conduct Lecture B: Communication for Health Professionals Tutorial: Professional communication - oral Practical Class: Introduction to practical sessions Lecture A: Cultural diversity in the health-care setting Lecture B: Effect of immobilisation on the human body Tutorial: Professional communication written Practical Class: Passive movements of the upper extremity Lecture A: Principles of Passive Movements I Lecture B: Principles of Passive Movements II Tutorial: Ethical practice scenarios Practical Class: Passive movements of the lower limb Lecture A:Infection Control Lecture B: No lecture directed independent learning activity Tutorial : Activities of daily living Practical Class: Mid semester practical examination VACATION WEEK Lecture A: Therapeutic Touch Lecture B: Massage Principles and Effects I Tutorial: Scope of Practice Presentations Practical Class: Massage: thigh, leg, foot Lecture A: Massage Principles and Effects II Lecture B: Living with a Disability Tutorial: Scope of Practice Presentations Practical Class: Massage: back, neck & shoulders Scope of Practice Presentations Mid-Semester Practical Examination during practical class time Assessments

4/03/2013

11/03/2013

18/03/2013

25/03/2013

1 April 2013 6 08/04/2013

15/04/2013

Scope of Practice Presentations

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22/04/2013

Lecture A:Outcome measures for impairment, activity and participation Lecture B: Classification of disability Tutorial: Clinical Observation visit reflection Practical Class: None ( Anzac Day ) Lecture A: Clinical Reasoning in Physiotherapy I Lecture B: Clinical Reasoning Physiotherapy II Tutorial: Massage Clinical Scenarios Practical Class: Massage: shoulder, elbow and hand Lecture A: Principles of manual handling and risk management Lecture B: Inter-professional teamwork in healthcare Tutorial: Risk management scenarios Practical Class: Revision practical Lecture A: Collaboration with peers to enhance learning Lecture B: Reflective Practice /The relevance of Eportfolios for physiotherapy students Tutorial: Effective learning Practical Class: Functional mobility and manual handling transfers Lecture A: Summary of unit and outline for revision Lecture B: Exam preparation and technique Tutorial: Revision for written exam Practical class- Functional mobility wheelchairs

29/04/2013

10

06/05/2013

11

13/05/2013

12

20/05/2013

NB: Students will undertake a one day clinical observation visit on one Wednesday during the semester. This visit will begin for some students from Week 2. Students will be allocated and informed of their attendance date in the first 2 weeks of semester. Full clinical uniform is required for this visit.

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Study schedule Sydney Week 1 Starting 25/02/2013 Lecture, practical and tutorial class activities Lecture A: Introduction to PHTY102 History of physiotherapy and current scope of practice Lecture B: Physiotherapy and professionalism Tutorial: Library skills session (Library staff) Practical Class: Academic skills session (Library staff) Lecture A: Ethical Practice and Code of Conduct Lecture B: Communication for Health Professionals Tutorial: Professional communication - oral Practical Class: Introduction to practical sessions Lecture A: Effect of immobilisation on the human body Lecture B: Principles of Passive Movements I Tutorial: Professional communication written Practical Class: Passive movements of the upper extremity Lecture A: Principles of Passive Movements II Lecture B: Cultural diversity in the health-care setting Tutorial: Ethical practice scenarios Practical Class: Passive movements of the lower limb Lecture A: No lecture directed independent learning activity Lecture B: Infection Control (Online directed independent learning activity) Tutorial : Activities of daily living Practical Class: Mid semester practical examination VACATION WEEK Lecture A: Therapeutic Touch Lecture B: Massage Principles and Effects I Tutorial: Scope of Practice Presentations Practical Class: Massage: thigh, leg, foot Lecture A: Massage Principles and Effects II Lecture B: Outcome measures for impairment, activity and participation Tutorial: Scope of Practice Presentations Practical Class: Massage: back, neck & shoulders Lecture A: Living with a disability Lecture B: Classification of disability Tutorial: Clinical Observation visit reflection Practical Class: None ( Anzac Day ) Scope of Practice Presentations Mid-Semester Practical Examination during practical class time Assessments

4/03/2013

11/03/2013

18/03/2013

25/03/2013

1 April 2013 6 08/04/2013

15/04/2013

Scope of Practice Presentations

22/04/2013

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29/04/2013

Lecture A: Clinical Reasoning in Physiotherapy I Lecture B: : Clinical Reasoning Physiotherapy II Tutorial: Massage Clinical Scenarios Practical Class: Massage: shoulder, elbow and hand Lecture A: Principles of manual handling and risk management Lecture B: Inter-professional teamwork in healthcare Tutorial: Risk management scenarios Practical Class: Functional mobility and manual handling - transfers Lecture A: Collaboration with peers to enhance learning Lecture B: Reflective Practice /The relevance of Eportfolios for physiotherapy students Tutorial: Effective learning Practical Class: Functional mobility and manual handling wheelchairs Lecture A: Summary of unit and outline for revision Lecture B: Exam preparation and technique Tutorial: Revision for written exam Practical class- revision and practice for practical examination

10

06/05/2013

11

13/05/2013

12

20/05/2013

NB: Students will undertake a one day clinical observation visit on one Tuesday during the semester. This visit will begin for some students from Week 2. Students will be allocated and informed of their attendance date in the first 2 weeks of semester. Full clinical uniform is required for this visit.

ASSESSMENT Both formative (non-assessed) and summative (assessed) assessment tasks are used in this unit. Marking criteria for the group seminar and practical examinations will be provided prior to the assessment due date. Formative assessment is provided in the form of online quizzes in Weeks 4 and 10. While formative assessment is not compulsory, it is strongly recommended that you avail yourself of this opportunity to monitor your understanding of the content which has been presented in the unit. Summative assessment tasks are required to be completed in order to pass this unit and contribute to your cumulative grade for the unit. In order to pass this unit, you are required to pass the end of semester practical examination. If you do not pass this practical examination, one re-sit of the practical examination may be offered to demonstrate competency. The offer of a resit will only be made to students who have attended at least 80% of the practical classes and demonstrated an aggregate mark for the non-practical components of the unit of 50% (eg for the non-practical components of this unit (55%) the student would need to have achieved a mark of 27.5). Resit practical examinations will be held in the Universitys deferred examination period. A failure of the resit practical examination will result in an overall fail grade (NN) for the unit, which will mean a student with a final aggregate score of 50 will be awarded a fail grade (NN).
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The assessment tasks for this unit are designed for you to demonstrate your achievement of each learning outcome. Learning outcome/s assessed Graduate Attributes assessed

Assessment tasks Formative Online Quiz

Due date

Weighting (%)

Weeks 4 & 10

Individual, no weighting

1,4,5

2,4,5,6,7,8

Summative Scope of Physiotherapy Practice Presentation Group seminar, 15%, 15min Individual, 15%, 10min Individual, 25%, 15min Individual, 45%, 2hr

Weeks 6/7

2,5

Mid-semester practical examination End-semester practical examination End-semester written examination

Week 5

2,3,4,5,6,8

1,2,5,6,7,8,9

Examination weeks 14-16 Examination weeks 14-16

2,3,4,5,6,8

1,2,5,6,7,8,9

1,2,4,5,7

2,4,5,6,7,8,9

Assessment Task 1: Online Quiz (Formative) Task description: An online quiz consisting of multiple choice, true/false, fill in the blank, short answer and matching questions related to lecture content and application of terminology described in class will be conducted online via LEO. You can complete the quiz from any computer on campus or at home but should undertake to complete the quiz independently. Due date: Available from the Monday of Week 4 and 10.

Assessment Task 2: Scope of physiotherapy practice seminar Task description: You will be allocated into small groups to conduct one interview of a physiotherapist. Different fields of practice will be selected to reflect a variety of clinical settings. You will obtain information from the physiotherapist on: where they work; type of client they work with; the types of impairments, activity limitations and participation restrictions the clients present with; types of communication skills, professional behaviour, knowledge and assessment/treatment skills the physiotherapist uses; other health professionals the physiotherapist works with; hours and place of employment; approximate salary earned and career prospects. In addition, you will ask the physiotherapist to identify the three best and three worst aspects of their position. You will then present your findings in a 15 minute oral presentation (including questions) to your tutorial group. Further details on interview and presentation requirements will be discussed in the tutorial in Week 2 and will also be available on LEO. Due date: Weighting: Length and/or format:
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Tutorial session Weeks 6/7 15% 15 minutes

Purpose: Learning outcomes assessed: Assessment criteria:

The aim of this assessment is to develop your understanding of the scope of physiotherapy practice and the range of knowledge and skills needed in a particular clinical setting 1 This will be posted on your LEO site

Assessment Task 3: Mid-Semester practical examination Task description: The therapeutic techniques and skills covered in this unit will be evaluated using an Objective Standardised Practical Examination (OSPE). In this examination you will perform a set task within a fixed time frame. Tasks, questions and marking criteria are standardised for each student. Due date: Weighting: Length and/or format: Purpose: Learning outcomes assessed: Assessment criteria: Feedback: Week 5 Practical Session 15% 10 minutes This examination will assess your communication skills, professional behaviour and competency in performing passive movements of the lower extremity. 2,3,4,5,6,8 The Assessment criteria marking sheet will be posted on LEO Overall feedback on the year group performance will be provided on LEO. Please make an appointment to discuss individual performance with the LIC

Assessment Task 4: End of Semester practical examination Task description: The therapeutic techniques and skills covered in this unit will be evaluated using an Objective Standardised Practical Examination (OSPE). In this examination you will perform a set task within a fixed time frame. Tasks, questions and marking criteria are standardised for each student. Due date: Weighting: Length and/or format: Purpose: Learning outcomes assessed: Assessment criteria: Feedback: Scheduled during the central examination period of Weeks 14-16 25% 15 minutes This examination will assess your communication skills, professional behaviour and competency in performing passive movements of the upper extremity and massage techniques. 2,3,4,5,6,8 The Assessment criteria marking sheet will be posted on LEO Overall feedback on the year group performance will be provided on LEO. Please make an appointment to discuss individual performance with the LIC

Assessment Task 5: End of semester written examination Task description: This individual written examination will consist of short answer questions related to the content covered in lectures, practical sessions and tutorials. In addition, you may be examined on directed readings. Specific information on the examination format and content will be provided in the Week 12 lectures and tutorial.

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Due date: Weighting: Length and/or format: Purpose: Learning outcomes assessed: Assessment criteria: Feedback:

Scheduled during the central examination period of Weeks 14-16 45 % 2 hours This examination will assess your knowledge based on material presented in lectures, practical classes, and tutorials throughout the semester 1,2,4,5,7 Examples of short answer questions and answers will be posted on LEO before the end of semester. Overall feedback on the year group performance will be provided on LEO. Please make an appointment to discuss individual performance with the LIC.

REFERENCING This unit requires you to use the APA referencing system. See the Academic referencing page from the Office of Student Success (http://students.acu.edu.au/372091) for more details. ACU POLICIES AND REGULATIONS It is your responsibility to read and familiarise yourself with ACU policies and regulations, including regulations on examinations; review and appeals; acceptable use of IT facilities; and conduct and responsibilities. These are in the ACU Handbook, which is available in the Library or on the ACU website at http://www.acu.edu.au/142401 The Unit Outline Resources page (http://students.acu.edu.au/241467) is a good starting point. Assessment Policy and Procedures You must read the Assessment Policy and Assessment Procedures in the University Handbook: they include rules on deadlines; penalties for late submission; extensions; and special consideration (http://students.acu.edu.au/429796). If you have any queries on Assessment Policy, please see your Lecturer in Charge. Grading Descriptors for the unit are detailed in section 7 of the Academic Regulations (available at http://students.acu.edu.au/430029).

Academic integrity You have the responsibility to submit only work which is your own, or which properly acknowledges the thoughts, ideas, findings and/or work of others. The Framework for Academic Integrity and the Academic Honesty Policy are available at http://students.acu.edu.au/343665. Please read them, and note in particular that plagiarism, collusion and recycling of assignments are not acceptable. Penalties for academic dishonesty can vary in severity, and can include being excluded from the course.

STUDENT SUPPORT If you are experiencing difficulties with learning, life issues or pastoral/spiritual concerns, or have a disability/medical condition which may impact on your studies, you are advised to notify your Lecturer in Charge, Course Coordinator and/or one of the services listed below as soon as possible. For all aspects of support please contact the Office of Student Success. Academic Skills offers a variety of services, including workshops (on topics such as assignment writing, time management, reading strategies, referencing), drop-in sessions, group appointments and individual consultations. It has a 24-hour online booking system for individual or group consultations. Campus Ministry offers pastoral care, spiritual leadership and opportunities for you to be involved with community projects. The Career Development Service can assist you with finding employment, preparing a resume and employment application and preparing for interviews. The Counselling Service is a free, voluntary, confidential and non-judgmental service open to all students and staffed by qualified social workers or registered psychologists.

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Equity and Disability can assist you if you need educational adjustments because of a disability or chronic medical condition; please contact them as early as possible. Indigenous Units on each campus provide information and support for students. The Unit Outline Resources web page (http://students.acu.edu.au/241467) provides links for each service.

ONLINE RESOURCES AND TECHNOLOGY REQUIREMENTS The LEO page for this unit contains all information that you need for this unit This includes: Lectures, tutorial notes, practical class notes, examination information, assessment criteria, communication etc. http://leo.acu.edu.au/course/view.php?id=4110

TEXTS AND REFERENCES: Required text(s) Higgs J, Ajjawi R, Mc Allister L, Trede F, Loftus S (2012) Communicating in the Health Sciences. (3rd edn). New York: Oxford University Press. Recommended references: Clay JH, Pounds D (2006) Basic clinical massage theory: Integrating anatomy and treatment (2nd edn). Philadelphia: Lippincott, Williams, and Wilkins. Pierson FM, Fairchild SL (2008) Principles and techniques of patient care (4th edn). Philadelphia: W B Saunders. De Domenico G (2007) Beard's Massage (5th edn). St Louis, Saunders Elsevier. Field D, Hutchinson J (2006) Field's Anatomy Palpation and Surface Markings (4th edn). Edinburgh, London; Butterworth-Heinemann. Further References: Higgs J, Smith M, Webb G, Skinner M (2009) Contexts of physiotherapy practice. Sydney: Churchill Livingstone. Hosley J, Molle E (2006) A practical guide to therapeutic communication for health professionals. London: Elsevier. Magee DJ (2008) Orthopaedic physical assessment (5th edn). Philadelphia: Saunders. Porter S (2008) Tidys physiotherapy (14th edn). London: Churchill Livingstone. World Health Organization (WHO) (2001) International Classification of Functioning, Disability and Health (ICF) http://www.who.int/classifications/icf/

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