The role of a Physiotherapist can be challenging, but helping our clients through their rehabilitation journeys to have them back feeling fit and well again is what defines Physiotherapy at Nuffield Health.
All of the Nuffield Health Tees Hospital Physiotherapy team are members of the Health & Care Professionals Council (HCPC) and The Chartered Society of Physiotherapy (CSP), so our patients know they are in the hands of experts.
One of our top Physio’s Adam Dobson has worked at Nuffield Health since 2012 and he has never looked back on his choice of career. Here’s a day in the life of Adam…
'Having worked in the health and fitness industry for over ten years I developed a keen interest in the human body. This initial interest led me to pursue a career in Physiotherapy.
One of my favourite things about my job is that I get to work with a variety of people and conditions, ranging from postoperative joint replacements to persistent low back pain and nothing beats the feeling of helping someone feel pain free and be back on their feet to go about their normal life.
Here’s what my typical day looks like:
6.30 – 7.30am – I wake up early, have breakfast and cycle to the gym for a weight training session. My main interest at the gym is strength and conditioning, the principles of which have helped with greatly with patients rehab regimes.
9am – After a good work out, I feel fresh and ready to start my day. As I work in outpatients, the number of patients I see can vary from day-to-day but even on quiet days, there is still a lot to do. The first hour of my day usually consists of checking emails and planning for the day ahead and of course catching up with my colleagues.
10am - I run and deliver the hospital’s Physiotherapy pre-surgery educational group (PreSEG), which is aimed at preparing patients for joint surgery before their operation. PreSEG, an idea I developed, consists of a one-hour educational talk, which is delivered to patients either by myself or one of the other Physiotherapists, about what they can expect to happen to their body after the operation. Every Monday I host a PreSEG group for patients who are about to undergo knee surgery. The aim of the discussion is to ultimately reduce any fear a patient might have about the surgery and their recovery.
In these talks we discuss:
- The whole experience from surgery to recovery ‘The Physiotherapy journey’
- What patients can expect to happen after surgery
- Any symptoms they may experience
- The active approach to recovery and rehab
- We also explore the nature of the operation and give an opportunity to ask any questions
The patients seem to really benefit from the discussions we have and it feels great knowing that I am helping a patient overcome any fears they might have and begin their journey.
11am – 4pm – The majority of my day is spent in one-to-one sessions with patients and in these meetings; I am working with post-surgical patients, self-referrals and those who have been referred to us through the consultants. As I work in an outpatient setting, I am lucky enough to work with a wide variety of people from various backgrounds with various differing functional levels, aspirations and goals.
Depending on the context, a typical session can last from 30 minutes to one hour and in an initial meeting, I would:
- Gather important background information such as medical, social history etc
- Discuss the patient’s history, beliefs and what brought them to Physiotherapy
- Discuss current symptoms
- Undertake an integrated functional examination
- Discuss findings of history and examination
- Plan rehab, set goals and discuss agreed evidence based rehabilitation plans
As Physiotherapists, we consider the person as a whole. Rather than just focusing on a given body part we consider the wider biological, psychological and social contributions the individuals experience. We form strong therapeutic alliances, understand the person’s narrative and combine these will well-formed clinical skills in order to understand and plan rehab.
5pm – I also teach a functional rehab group on a regular basis at the hospital. In this session, I establish with the patient what goals they want to achieve, such as bending forward with no pain, and with these goals in mind we can start rehab. In this hour-long session, any patient who is currently in the rehab process can attend and I have found it’s a great wat of helping patients practice their exercises and keep them motivated to achieve their goals.
6pm – At the end of the day, I usually have a few more one-to-one sessions scheduled with patients. I enjoy treating many regions of the body, from the shoulder to the knee, but I am developing further interests in persistent pain and tendons and I have particular interest in the lower limb.
8pm – After finishing work, I then cycle home and enjoy a lovely dinner with my family and spend some quality time with my two children, as it is important to have a good work life balance.
I often think I’m more of a detective rather than a Physio as I’m trying to piece together the symptoms and pain to find the solution to the problem. I thoroughly enjoy my career, though and the best part of my job is simply helping the Nuffield patients to live their lives the way they’ve always wanted to.'