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10 Symptoms Of Congestive Heart Failure:

1: Fatigue

2: Feet Swelling

3: Shortness Of Breath

4: Lack Of Appetite

5: Coughing

6: Gradually Deteriorating Condition

7: Increased Heart Rate

8: Sudden Symptom Onset

9: Bloating

10. Weight gain

10 Signs of Stroke:

1. Numbness. An individual may feel sudden numbness in the face or lose feeling in the hands, feet, arms, legs or other extremities.
2. Confusion.
3. Difficulty Understanding.
4.Severe Headache.
5.Loss of Balance.
6. Loss of Coordination.
7. Dizziness.
8. Vision Changes.
9. Weakness of half of the body
10. Sluggish speak or loss of speak.

What is reflex sympathetic dystrophy (RSD)?

Reflex sympathetic dystrophy (RSD) is a condition that features a group of typical symptoms, including pain (often "burning" type), tenderness, and swelling of an extremity associated with varying degrees of sweating, warmth and/or coolness, flushing, discoloration, and shiny skin. RSD is also referred to as "complex regional pain syndrome," "the shoulder-hand syndrome," "causalgia," and "Sudeck's atrophy."

What causes reflex sympathetic dystrophy (RSD)?
A variety of events can trigger the RSD, including:

1. injury,
2. Post surgery,
3. heart disease,
4. degenerative arthritis of the neck,
5. stroke or Some other brain diseases,
6. nerve irritation by entrapment (such as carpal tunnel syndrome),
7. shingles,
8. breast cancer

What are the symptoms of reflex sympathetic dystrophy (RSD)?

Acute (three to six months):

Burning, flushing, blanching, sweating, swelling, pain, and tenderness. This stage can show early X-ray changes of patchy bone thinning.
Dystrophic (three to six months):

Early skin changes of shiny, thickened skin and contracture with persistent pain, but diminished swelling and flushing.

Atrophic (may be long-standing):

Loss of motion and function of the involved hand or foot with contracture (flexed scarring process), and thinning of the fatty layers under the skin. X-ray can show significant osteoporosis.

10 Benefits of Good Posture:

1. Better breathing:

Research shows that poor posture negatively affects your ability to breathe deeply and fill your lungs. Slouching shortens the muscles at the front of your body and reduces your ability to breathe in fully. Standing up tall may actually improve your ability to bring in good old oxygen by as much as 30%.

2. Super self-confidence:

When you stand up tall, you have a presence that’s noticed by others. You look confident, self-assured, and poised. Slouching and slumping communicate a sad demeanor and a lack of self-esteem.

3. Back relief:

Your body is designed to stand in a “neutral” position in which your pelvis, head, and torso are in a stacked position. Forward head, tilted hips, and overly curved spines put stress on muscles in ways they aren’t designed to endure. And, over the long term, this stress causes pain – usually in your back. When you have good posture, you use the muscles that support your spine properly. Plus, the bones, joints, ligaments, and other connective tissue also all cooperate to keep the entirety of your back feeling less strained and stressed. Standing and sitting with good posture uses your muscles in the way they were designed, so your body – especially your back – feels better.

4. Improved mood:

Your posture affects your mood. Think of how a person looks when depressed – slouched and slumped with shoulders that hunch and a head that hangs. When you feel relaxed and happy, you naturally find an upright, open posture. If you’re feeling down, stand up, pull your shoulders back, and lift your face. This simple action can help you feel more optimistic.

5. Optimal digestion:

When you have good posture, your internal organs align well. That means less compression on your stomach, intestines, and liver, facilitating the free flow of food and digestive juices. A slouched posture inhibits the normal activity of your gastrointestinal system, which makes you vulnerable to digestive distress – including constipation and GERD.

6. Look skinnier:

Good posture can make you look up to 10 pounds thinner. Poor posture can create the appearance of a pot belly and a thicker middle. Stand or sit up tall, and lengthen your frame – the pounds distribute more evenly and make you look more slender.

7. Reduced headaches:

Dropping your head and drooping your shoulders can create unnecessary tension that contributes to headaches. Research shows that people who have a posture featuring a forward head tend to have more headaches, and they last longer than people who have good posture.

8. Greater function as you age:

Your posture affects how your body ages. If you stand with poor posture, it causes stress on connective tissues – especially at your joints – that can make you feel achy and stiff as you age. Good posture throughout a lifetime can keep you feeling mobile as you get older. As an added bonus, you also look younger.

9. Boosted energy:

Slouching takes work. Your muscles have to work harder when they’re in an unnatural position, which makes them fatigue faster. With good posture, you don’t waste energy as your muscles are being used efficiently.

10. Improved concentration:

The improved oxygen flow that comes with good posture positively affects your brain. The neurons in your brain appreciate the nutrients that come with increased circulation that’s facilitated by good posture too. When your brain’s neurons are nurtured, they fire more effectively – keeping you sharp and on task.

10 Symptoms of Depression:
1. Lack of Motivation
2. Difficulty Making Decisions
3. Low Self-Esteem
4. Guilt
5. Irritability
6. Anxiety
7. Suicidal Thoughts
8. Changes to Menstrual Cycle
9. Disturbed Sleep
10. Disturbed Sleep

What Are the Three Warning Signs You May have Osteoporosis?

1. A stooped posture and even a loss of height over time.

2. Back pain that could be caused by a collapsed or fractured vertebra in your back.

3. A bone that breaks more easily than expected.

Three Common Causes of Osteoporosis:

1. Estrogen Deficiencies in Women. Women typically suffer estrogen deficiencies during perimenopause and menopause.

2. Calcium Deficiencies. Bones are constantly losing and replacing minerals.

3. Inactive Lifestyle.

Symptoms:

There typically are no symptoms in the early stages of bone loss. But once your bones have been weakened by osteoporosis, you might have signs and symptoms that include:

1. Back pain, caused by a fractured or collapsed vertebra
2. Loss of height over time
3. A stooped posture
4. A bone that breaks much more easily than expected

Unchangeable risk Factors:

Some risk factors for osteoporosis are out of your control, including:

Your s*x. Women are much more likely to develop osteoporosis than are men.

Age:
The older you get, the greater your risk of osteoporosis.

Race:
You're at greatest risk of osteoporosis if you're white or of Asian descent.

Family history:
Having a parent or sibling with osteoporosis puts you at greater risk, especially if your mother or father fractured a hip.

Body frame size:
Men and women who have small body frames tend to have a higher risk because they might have less bone mass to draw from as they age.

Complications:
How osteoporosis can cause vertebrae to crumple and collapse
Compression fractures Open pop-up dialog box
Bone fractures, particularly in the spine or hip, are the most serious complications of osteoporosis. Hip fractures often are caused by a fall and can result in disability and even an increased risk of death within the first year after the injury.

In some cases, spinal fractures can occur even if you haven't fallen. The bones that make up your spine (vertebrae) can weaken to the point of collapsing, which can result in back pain, lost height and a hunched forward posture.

Prevention:
Good nutrition and regular exercise are essential for keeping your bones healthy throughout your life.

Collaborative Care Standard with patient and other care service providers

1. Responsibility and Accountability:

A physiotherapist must collaborate with the patient, and with others involved in the patient’s care when it is relevant to the patient’s physiotherapy plan of care. The collaboration should ensure that the plan of care addresses the needs and goals of the patient.

In a collaborative care situation, the physiotherapist remains responsible for supervising any care he or she assigns to another person.

2. Collaborating with the Patient:

A physiotherapist must work with the patient to create a plan of care that addresses the patient’s needs and goals, and help the patient understand the patient’s role in the plan.

A physiotherapist must help the patient make informed decisions about his or her care.

A physiotherapist must respect the patient’s decisions about his or her own plan of care, including what care the patient will receive, and who will provide that care.

3. Collaborating with Other Relevant Service Providers:

If a physiotherapist believes that a patient requires services from another service provider, the physiotherapist must make the appropriate referral.

The physiotherapist must take reasonable steps to understand what other care the patient is receiving, and ensure that the physiotherapy treatment is compatible with the care provided by other service providers. The physiotherapist does this by:
understanding what tasks or treatments each service provider will perform
seeking information from the patient or another service provider about other care the patient is receiving when it is relevant to the physiotherapy treatment
providing information to the patient or another service provider about the physiotherapy treatment when it is relevant to care provided by others.

4. Managing the Collaborative Relationship:

In a collaborative care situation, problems or conflicts may arise that could interfere with the delivery of safe, quality care. This includes problems that arise from the behavior of the patient, of other service providers, or the physiotherapist’s own behavior.

A physiotherapist must recognize those problems or conflicts, and take reasonable steps to resolve them in a collaborative way. The physiotherapist should take these steps:
discuss the problem directly with the patient or the other service provider, and work together to identify the underlying cause
agree on how to resolve the problem and the desired outcomes
identify the consequences if the behavior, conflict, or situation is not resolved
take appropriate action if the problem recurs
document the situation and the steps taken to resolve it.

Providing or Refusing Care Standard for physiotherapist

1. No Discrimination:
Physiotherapists must not make decisions about providing care based on discriminatory reasons.

The Ontario Human Rights Code prohibits discrimination on any of the following grounds:

age
citizenship
disability*
ethnic origin
place of origin
creed
ancestry, colour, or race
s*xual orientation
s*x (including pregnancy and breastfeeding)
gender identity, gender expression
marital status (including single status)
family status.

2. Accessibility:
Physiotherapists must ensure that their care and facilities comply with the requirements of the Accessibility for Ontarians with Disabilities Act.

3. Discontinuing Care:
When a patient needs physiotherapy, a physiotherapist who wants to discontinue care must ensure that one or more of the following conditions are met:

the patient requests the discontinuation,
alternative services have been arranged,
the patient has been given a reasonable opportunity to arrange alternative services,
the physiotherapist is unable to provide care that meets the standards of practice because there are not enough resources available,
the patient has failed to pay for physiotherapy services received within a reasonable time, and all reasonable attempts made by the physiotherapist to facilitate payment have been unsuccessful,
the physiotherapist believes that the patient may become abusive,
the patient has not cooperated or complied with the treatment plan and the result is that the care is not effective, or
a professional boundary has been breached and all reasonable steps have been taken to manage the behavior.

4. Providing care during a public health emergency:
When making decisions about providing care during a public health emergency*, physiotherapists must:

Understand the nature of the public health emergency* and remain informed about the relevant federal, provincial and local response plans.

Consider their personal competencies relevant to the care needed during the public health emergency and make decisions about their involvement accordingly.

As A Physiotherapist Ethical Values:

Respect:

Physiotherapists are respectful of the differing needs of each individual and honor the patient’s right to privacy, confidentiality, dignity and treatment without discrimination.

Excellence:

Physiotherapists are committed to excellence in professional practice through continued development of knowledge, skills, judgment and attitudes.

Autonomy and Well Being:

Physiotherapists are at all times guided by a concern for the patient’s well-being. Patients have the right to self-determination and are empowered to participate in decisions about their health-related quality of life and physical functioning.

Communication, Collaboration and Advocacy:

Physiotherapists value the contribution of all individuals involved in the care of a patient. Communication, collaboration and advocacy are essential to achieve the best possible outcomes.

Honesty and Integrity:

Each physiotherapist’s commitment to act with honesty and integrity is fundamental to the delivery of high quality, safe and professional services.

Steps to Ethical Decision Making:

Recognize that there is an ethical issue—i.e. something is making you uncomfortable.

Identify the problem and who is involved—What is making you uncomfortable? Who else is involved?

Consider the relevant facts, laws, principles and values—What laws or standards might apply? What REACH value or ethical principle is involved?

Establish and analyze potential options—Weigh possibilities and outcomes. Use your moral imagination.

Choose a course of action and implement it—Are there any barriers to action? What information should be recorded?

Evaluate the outcome and determine if further action is needed—What did you learn? What can you do to prevent future occurrence?

What is Consent?

Getting consent from a patient is more than just having a patient sign their name to a form. The physiotherapist must ensure that patients understand what they are consenting to.

The following list of expectations describes what physiotherapists are required to do when obtaining consent.

The information below is a summary of the legislative requirements on consent. Refer to the legislation for full details.


Before conducting an assessment or providing treatment, physiotherapists must get a patient’s permission to do so. This is known as consent. The physiotherapist must be sure that patients understand what is going to happen before the treatment begins by providing information about the nature of the treatment, its benefits, risks, side effects, the alternative courses of action, and any possible consequences of not having the treatment. The physiotherapist must also answer any questions the patient may ask about the treatment.

Consent can be given verbally, in writing, or it can be implied through behaviour. For example, the patient rolls up their sleeve for their arm to be examined.

Patients are entitled to refuse to consent to treatment or withdraw their consent at any time.

If the patient is not capable* of providing consent, the physiotherapist must find a substitute decision-maker* to provide consent.

Physiotherapists cannot make decisions on behalf of a patient. The only exception is in an emergency when there is no substitute decision-maker* available to make the decisions.

In a team environment, if there is any doubt about whether the patient provided consent to another health professional involved in the treatment plan, the physiotherapist must confirm that consent was provided or get it again.

Physiotherapists must obtain a patient’s consent to involve others in the patient’s care, such as physiotherapist assistants, students and volunteers. This requires a conversation with the patient about the roles and responsibilities of the physiotherapist and the physiotherapist assistant, student or volunteer.

Physiotherapists must document their conversations with patients about ongoing consent to assessment, treatment, and involvement of other care providers, including physiotherapist assistants.

Boundaries and Sexual Abuse Standard:

1. Authority and Responsibility:

Physiotherapists must maintain professional boundaries with their patients at all times. Physiotherapists must not s*xually abuse their patients.

2. Managing Professional Boundaries:

Boundaries in patient care are physical and emotional limits of the therapeutic relationship between the patient and the physiotherapist. The physiotherapist’s responsibility is always to act in the patient’s best interest and to manage the boundaries within the therapeutic relationship.

When managing the boundaries of the therapeutic relationship, the physiotherapist must:

recognize that each patient’s boundaries will be unique to their own experiences, including their culture, age, values or experiences of trauma.

be sensitive to the practice setting, especially when providing care in an informal environment, such as a patient’s home.

respond appropriately when a professional boundary is breached. This involves identifying the breach, correcting the inappropriate behavior, and documenting the actions taken to address the breach in the patient’s record.

Some examples of situations that pose a risk for a boundary violation include personal disclosure by the physiotherapist, giving or receiving gifts, engaging in business or leisure activities with a patient, and most frequently, comments, words or gestures that are not directly related to clinical care.


3. Restrictions for Maintaining Professional Boundaries:

When a close or intimate relationship exists between the physiotherapist and the patient because of an emotional or other strong bond, it can impair the physiotherapist’s professional judgement.

Physiotherapists must not enter into intimate or romantic relationships with their patients or their patients’ relatives or support persons.

Physiotherapists must not treat their relatives or those with whom they have a close or intimate relationship, except in the case of an emergency, in which case, fees cannot be charged.

Physiotherapists must not enter into intimate or romantic relationships with former patients unless:

at least one year has elapsed since the patient was discharged from physiotherapy care,

the imbalance of power inherent in the therapeutic relationship between the physiotherapist and the patient no longer exists, and

the patient is no longer dependent on the physiotherapist.

4. Sexual Abuse:
Sexual abuse of a patient means,

(a) s*xual in*******se or other forms of physical s*xual relations between the member and the patient,

(b) touching, of a s*xual nature, of the patient by the member, or

(c) behavior or remarks of a s*xual nature by the member towards the patient.

For these purposes “s*xual nature” does not include touching or conduct of a clinical nature appropriate to the service provided.

5. Mandatory Reporting of Sexual Abuse:

If a physiotherapist becomes aware that a regulated health professional may have s*xually abused a patient, they must report it to the professional college to which the other health professional belongs. Failure to do so may result in disciplinary action by the College.

What is the College of Physiotherapists of Ontario Learn more about the College of Physiotherapists of Ontario and how we protect patients by ensuring access to safe, ethical and competent physiotherapy care.

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HAPPY RAMADAN, HAPPY NAVRATRI TO ALL
STAY SAFE WITH GOOD HEALTH

Good Morning Everyone!

Stay safe and healthy.

Diabetes Symptoms

Urinate (p*e) a lot, often at night.

Are very thirsty.

Lose weight without trying.

Are very hungry.

Have blurry vision.

Have numb or tingling hands or feet.

Feel very tired.

Have very dry skin.

https://www.alliancept.org/announcement/update-caprs-response-to-our-cancellation-of-the-march-20-and-21-clinical-component/

Wrist Joint:

Our wrists are superb biological contraptions that don’t get the credit they deserve. They allow for impressive dexterity and we use them every single day, even if we don’t notice. As is usual with the things we take for granted, we certainly begin to notice them when something goes wrong.

Wrists are prone to experiencing pain from a number of causes. Not only is this unpleasant but it can also hinder our ability to move freely. It is potentially problematic for people that need to work or take part in other activities. There are numerous potential causes of wrist pain and here’s a look at some of the most common.

OSTEOARTHRITIS

Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage that cushions the ends of your bones wears down over time. Although osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine.