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Midland Regional Hospital, Tullamore



ADDRESS BUS NUMBERS Arden Rd, Tullamore, Co. Offaly Claire Donnelly Colette Finnegan 09.00 ­ 17.00 1300 ­ 1400 Physiotherapy Reception Rehabilitation Unit


The internet is available in the department but certain websites (hotmail, gmail etc) are blocked. Please ask your Practice Educator. The library has full internet access. There is a Net Café in the town centre for outside library hours.A locker will be available in the physiotherapy department ACCESS TO STAFF ROOM CHANGING FACILITIES CANTEEN TELEPHONE NUMBERS YES YES 07.00 - 18.30 Physiotherapy Department: 057 9358721 Fax 057 9321770

EDUCATIONAL FACILITIES AVAILABLE TO STUDENTS LIBRARY STUDY AREAS REFERENCE LITERATURE AVAILABLE HOSPITAL LIBRARY YES In library YES Monday 10.00 ­ 17.00 Wednesday-Friday 10.00 ­ 17.00 Tuesday 10.00 ­ 20.00 (open through lunch) Monday: Closed Tuesday 10.00 ­ 17.00, 19.00 ­ 21.00 Wednesday 10.00 ­ 17.00 Thursday 10.00 ­ 17.00, 19.00 ­ 21.00 Friday: 10.00 ­ 17.00


Please ensure that you have a ten Euro deposit on the first day of placement for a security/swipe card which is required to gain access to all areas in the hospital and the car park. This is fully refundable on return of the card at the end of placement.


Accommodation is available in a B&B, Tudor House located 5 minutes walk from the hospital on Arden Road, Monday to Thursday night except bank holidays. Placement on Monday morning starts at 10.30 which facilitates traveling down from Dublin by train Monday morning. Each student will be accommodated in their own room. Towels are provided, tea and coffee making facilities available. Contact: Marie Donegan (Proprietor) 057 9325913 or 086 1051061 for directions and to confirm your arrival on Monday evening.


Orthopaedics: Seniors, Patrick Conway and Holly Melanson It is suggested that students familiarise themselves with the following skills / techniques prior to beginning the placement Peripheral joint examination ­ especially hip and knee Early post-surgical management of THR and TKR Awareness of treatment precautions OA and RA pathology and X-Ray changes Healing process and fracture repair Management of spinal and peripheral fractures Conditions/Pathology commonly encountered THR TKR ACL repair LBP (in-patient) Range of lower limb fractures Day surgery ­ arthroscopies, shoulder MUAs. Post shoulder surgery External fixation procedures Discectomy and Spinal fusion Hemiarthroplasties Skills/Modalities likely to be used on this placement Spinal (Cx, Tx, Lx) & peripheral joint assessment Goniometry Exercise prescription Appliance/brace application ­ spine, hip, knee Gait re-education Mobility aids TENS, IF, US, cryo- & thermotherapy Electrical neuromuscular stimulation Multidisciplinary team work Suggested reading material McRae R: Practical Fracture Treatment (Churchill Livingstone 1994) Hunt D: Minimal Access Orthopaedics (Radcliffe Medical 1995) Donatelli: Orthopaedic Physical Therapy Evans P (1980) The healing process at cellular level ­ a review. Physiotherapy 66:8 (1980)


McKibbin BC (1978) The biology of fracture healing in long bones. Journal of Bone & Joint Surgery 60-B(2):150-62 McRae R: Practical Fracture Treatment (Churchill Livingstone 1994) Tidswell ME: Orthopaedic Physiotherapy ( Mosby 1998) relevant information Attendance at: theatre, ward rounds, case conferences Attendance at/participation in in-service education sessions Attendance at/participation in journal club Goal setting at start, formal feedback at mid- & end placement Monitoring of documentation and record keeping

Respiratory: Seniors, Christine Bourke AND Conor McGrath This placement may be shared as a Resp/COE or Resp/Cardiac Rehab. It is suggested that students familiarize themselves with the following skills / techniques prior to beginning the placement Respiratory subjective history taking Respiratory objective examination Peak flow Chest x-ray reading Auscultation Blood Gases Exercise Tolerance, Breathing Patterns Vital signs and normal values Outcome measures ie Borg, Berg, EMS etc A good knowledge of the physiology, signs, symptoms and management of COPD is essential. Conditions/Pathology commonly encountered Asthma, COPD, Pneumonia, LRTI, Bronchiectasis, Type II respiratory conditions Post Surgery Respiratory Conditions Post fracture ribs/sternum ICU ventilated pts. CF, Pneumonia Cardiac Rehabilitation Consists of education and exercise and is carried out in 3 phases. o Phase I: This involves providing education to cardiac patients during their stay in hospital. It includes risk modification, explanation of various cardiac investigations and procedures (e.g. exercise stress test, angioplasty, CABG). The physiotherapist is also responsible for providing exercise prescription relevant to each patient's individual needs. o Phase II: This is a group education session carried out in an outpatient setting. The Physiotherapist is responsible for providing information on the benefits of physical activity and lifestyle changes. o Phase III: This is carried out in an outpatient setting. It consists of circuit training to increase physical activity through a supervised graduated exercise programme. The Physiotherapist is responsible for monitoring and progressing each individual's programme. The Physiotherapist ensures that each participant is aware of the benefits

of increasing exercise capacity and supports the development of a long term exercise programme. Students will be involved in all phases of cardiac rehabilitation. Background reading includes information relating to all phases of rehabilitation and common cardiac investigations and procedures. Skills/modalities likely to be used in this placement Respiratory assessment & treatment ­ ICU ­ general wards Percussion/Vibs ACBT, FET, IPPB Pulmonary exercise Testing Development and Progression of Exercise Programmes Positioning X Ray reading ABG PFT interpretations Patient Handling and Education Bagging and Suctioning O2 and other Medication Nebulisers and Ventilators (depending on patients) Suggested Reading Material Hough A: Physiotherapy in Respiratory Care ­ an evidence based approach to respiratory and cardiac conditions (Nelson Thornes 2001) Pryor J & Webber B: Physiotherapy for respiratory and cardiac problems (Churchill Livingstone 1998) There are respiratory text books in the department. STUDENT RECOMMENDATIONS Be sure to bring down own orthopaedic books, choice is limited in department. They have `Apley's Otho' Be aware of different protocols for different surgeons. Very important for treating patients. Pre-placement information important to read up on.


Midland Regional Hospital, Tullamore

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