Quality Risk Management Plan


Jonesky is a Russian patient who presented to the emergency room with her husband after being sick for two days with vomiting, she spent several hours waiting in the emergency room before her husband approached the emergency room desk to try to explain that his wife is getting worse and she is in severe pain. Jonesky had a appendicitis and she was presented at the operation room in order to do a surgery, while the nurse wrote the name of Jonesky as Jone because of her Russian accent, while there was another patient of the name of Samantha Jones presented to the operating room to fix her broken ankle because of a fall.

Personal Leadership Style


The article explained the servant leadership and it’s relation to employee and patient satisfaction ! It explained also the relationship between the servant leadership, employees satisfaction and Hospital Consumer Assessment of Healthcare Providers and Systems ( HCAHPS ) scores  as two hundreds nineteen surveys were collected from 10 different community hospitals. ( McCann, Graves & Cox, 2014 ) Servant leaders have to work through the everyday challenges of the organization’s limitations and demands and with the client’s needs and satisfactions, as mentioned in Greenleaf ( 1977 ) the developer of the modern context of servant leadership, that true leadership is essentially synonymous with service and great leaders are identified by the service they perform for individuals and society.

Crowded Clinic


Healthcare quality can be achieved through following the guidelines of number of attributes that can be performed by the providers with the interaction with the patient and the health insurers. ( Ransom, Joshi, Nash, & Ransom, 2011 ) Patient centeredness is one of these attributes that focuses on the qualities of compassion, the level of empathy with the patient, and how the plan of treatment is individualized for that particular patient and not the same for any patient !

Effect Of Manual And Physical Therapy For Pre- And Post-Spine Surgeries


Spine keeps all our body upright and the skeleton connected. Head, arms, pelvis and legs are all connected to our spine. A spine is made up of a chain of bones with elastic ligaments and disks in it. These ligaments and disks keep the spine flexible and that is how we can bend.
There are several factors than can cause pain in the spine. Spinal pain can be treated with a surgery or without one. In non-surgical treatment focus is on exercise and strengthening of the muscles.
However, in more severe cases a spinal surgery is performed to treat the root cause of the pain. It can be because of incorrect posture for extended periods of time and an accident or trauma birth defects can also cause spinal pain or complications.

How Can Physiotherapy Help Alleviate Musculoskeletal And Neuromuscular Pains?


Musculoskeletal pain is a pain that causes discomfort in muscles, joints, and bones that are not physically broken. There are several reasons a person can feel musculoskeletal pain, which include injury to an area, injuries sustained in a car accident, falls in steps and stairs, prolonged immobilization of muscles, or sports injuries.

The first thing that you, as a patient, need to do is determine if this is musculoskeletal pain and not because of a fracture. Medical doctors treat these pains with non-steroidal anti-inflammatory drugs, also known as NSAIDs, and although these drugs offer help in reducing inflammation in the muscles, it is a temporary solution. Besides, NSAIDs are known for their adverse effects on the stomach, and prolonged use can cause further complications.

Many doctors agree that exercise and physical therapy is the best solution to treat musculoskeletal pains anywhere in the body.

The way physical therapy treats these pains is by slowly mobilizing the affected muscles and building strength. Treatment includes heat therapy, mobilization techniques, and exercises. In cases where the pain is caused by posture issues or excess strain on specific muscles, patients are advised, trained, and treated to learn to correct their posture. Posture correction can take a long time and must be treated and corrected professionally.

Therapists categorize musculoskeletal pain into three categories

Vestibular Rehabilitation


 Vestibular Rehabilitation Treatment (VRT) is a physical therapy-based routine that helps treat dizziness and related issues. Getting dizzy is totally normal, but after taking a ride in the giant teacups in Disney Land or something similar. However, the constant feeling of being dizzy or having a spinning feeling every time you change positions can affect your daily life and require treatment.
If you suffer time and again from the following, you may be in need of Vestibular Rehabilitation Treatment.

  • Feeling wobbly
  • Feeling Woozy
  • Feeling Lightheaded
  • Feelings like you are about to pass out
  • Sensations of moving while actually stationary
  • Spinning feeling
  • Floating feeling
  • Swaying feeling
  • Leaning feeling
  • Vertigo

What is vestibular disorder?

A human being balances itself by the information provided to the brain by the vestibular system. Within the human ear are canals also known as semicircular canals and these are filled with a liquid. When we start to walk or change positions, this network sends our brain messages to help keep our balance and keep our body steady. If this network start sending wrong messages, we can lose balance and fall or feel as if we are falling. This sensation of falling or feeling dizzy is called as a vestibular disorder.

Physical Therapy For Incontinence Disorders And Pelvic Floor Rehab


One way or the other, almost every woman and in some cases, men too, have suffered from small urine drops falling after sneezing or a big laugh. It is not something you should be embarrassed about. It is a medical condition, and it can be treated. So far, the most effective non-invasive treatment is through physical therapy or, in short, physiotherapy. The complexity of the problem can range from 1 or 2 urine drops due to a trigger to frequent urination or extreme urge to urination. Physical therapy can help deal with incontinence disorders and also pelvic floor rehab.


What is an Incontinence Disorder?

If we define urinary incontinence disorder, we can say that it is an uncontrolled urine leakage or urge to urinate uncontrollably. There are several reasons it can happen, and we are going to explore those in a moment.


What is Pelvic Floor Rehab?

The pelvic floor is a bowl-shaped region of the human body that holds your urinary bladder, bowel, rectum and the uterus as well. There are lots of muscles within this region and in some cases, these muscles can either become weak or stiff. In both cases, you need to work on these muscles to either strengthen them or to learn to relax them and return those muscles to work the way they are supposed to. Pelvic floor rehab is possible with physical therapy.


Urinary Incontinence Disorder:

This disorder can further be classified into at least 5 different categories.

  1. Stress Incontinence.
  2. Urge Incontinence.
  3. Mixed Incontinence.
  4. Functional Incontinence.
  5. Urine Frequency

How can physiotherapy help people involved in a car accident?


A car accident can be as fatal as causing death or serious injuries. Many people sustain injuries that result in a coma and many fractured bones or permanent disability. On the other hand, a car accident may cause not as severe injuries as death or permanent disability but broken bones, torn ligaments and muscles, and whiplash, which is the most common car accident injury.

According to the Association for Safe International Road Travel (ASIRT), road accidents cause around 1.35 million deaths annually, translating to an average of 3700 deaths every day. This is a significant number and non-fatal accidents are even more than those causing deaths.

Suppose you or a loved one was involved in a car accident that resulted in any injury like a fractured wrist, hand ligaments tear, whiplash injuries, back injuries, shoulder injuries, a broken arm, or a fractured leg will not only be very painful, but it will take anywhere between 3 weeks minimum to a year or more to heal completely. Injuries that take this long require extra care, exercise and rehabilitation.


Effect Of Leg Length Discrepancy On Lumbar And Spine Pain


Apparently, more people suffer from Leg Length Discrepancy (LLD) than you thought. LLD is more common and can cause back and pelvic pain, although it is, to date, a very controversial topic.

LLD can be further classified into two parts, one “Structural Deformities” and the second “Functional Deformity.”


Leg Length Discrepancy (LLD) because of a Structural Deformity:

As the name suggests, any deformity in the human skeleton is a structural deformity. This is related to issues with bone growth. If one leg bone grows a little less as compared to the other, it is a structural deformity. This can be caused by a broken leg at birth time or other trauma later on. The structural deformity causes a lot of pressure on the pelvic region and can cause it to deform and tilt. It is a physical issue, and, in some cases, it is quite visible, like in a person’s gait. When there is a considerable length difference between the two legs, a person cannot keep his or her balance and has to walk with a limp. The limp cause additional strain on the back and can result in spinal deformity and back pain. According to a study by physical therapists Yvonne Golightly and Dr. Joanne Jordan, the structural deformity can also cause knee and hip pain as well in the shorter leg.

Treatment of structural deformity, on the other hand, is easier compared to functional deformity, though. In most cases, this can be treated by using shoe inserts (insoles) or increasing the shoe heel size for the shorter leg.