CONTINUING PROFESSIONAL DEVELOPMENT RECORD TEMPLATES1
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Continuing Professional
Development
Record Templates1
Registrant Profile
Registrant has practised as a Physiotherapist for 3 years and currently
holds a basic grade position in an acute / rehab HSE setting, treating adult
service users.
This CPD Audit Record Exemplar has been produced in
conjunction with the Irish Society of Chartered
Physiotherapists (ISCP)
1. You must read the audit guidelines document before completing this record
for audit purposes and submitting.
2. It is important that all information identifying any third party must be
removed from any records submitted. Do not, under any circumstances,
provide information that would enable the identification of a service user.
3. Do not attach any supporting documentation with this record.
1
Version issued June 2020Name: Jane Doe CORU Registration PT123456
Number:
Audit period from: 01/06/2020 Audit period to: 30/05/2021
Registration Board Physiotherapists
Implement Evaluate & Reflect
Date and time Type of Learning Activity CPD credits Learning Outcome Impact on practice
spent What was the name of the activity? Approx. 1 What have you learnt through How have you integrated this
When did you CPD credit completing this activity? How have learning into your practice? How
undertake this for every your skills and knowledge improved has this learning made a difference
learning hour of new or developed? to your capability and performance
activity? or enhanced in your role?
learning
achieved
16-06-2020 PP+ Course Titled ‘Introduction to the 2 I seem to have had a mental I am much more confident in the
4 hours Shoulder’ block on shoulder assessment assessment of and clinical
and treatment since University – reasoning behind a diagnosis of
they always seemed so complex, shoulder pathology.
I therefore decided to take this
course on PP+ with an aim to I have been able to apply the
improve my knowledge, skills and knowledge gained with relation
confidence in seeing patients with to age related changes. I now
shoulder pathology. This course approach shoulder conditions
was one of four under the differently in different age
shoulder programme course. population, which has had a
positive effect on treatment
I learnt: outcomes.
- Epidemiology, prevalence and
incidence of shoulder
conditions
Page 1 of 28- Functional anatomy and
biomechanics of the shoulder
- Age related differences and
how anatomy and function
can be affected by age –
Degenerative changes within
the joint may result in pain
and impairment and affects
>50% of individuals 70 years
of age and older
- Effective clinical reasoning
.
23-06-2020 PP+ course titled 2 This course was part 2 of the I am more confident in
4 hours ‘Clinical presentation of shoulder pain’ Shoulder programme on PP+. assessment and differential
It looked at 4 main common diagnosis which has had a
shoulder conditions: positive impact on my
1- Rotator cuff/subacromial assessments and treatment.
related
2- Capsular related I use the information gained in
3- Glenohumeral instability the subjective assessment to
4- Acromioclavicular joint plan the tests I am going to
include in the objective
I learnt: assessment. I used to just go
through all the objectives tests
- Differential diagnosis for
without understanding why I was
different shoulder
maybe doing some of them.
presentations
- Predicting prognosis In my head I have a hypotheses
- Developing a hypothesis on as to what the problem may be
the cause of shoulder pain
Page 2 of 28and how to approach and (based on the subjective
manage it based on clinical assessment) and I now use the
reasoning objective assessment with much
more clarity and process to
confirm or deny the hypotheses.
I can also explain the condition
better to patients, and with them
understanding the cause and the
plan with treatment, they are
committed to their treatment and
rehabilitation which is having
positive effects on treatment –
their pain is reduced and QOL
and ADL improved.
28-06-2020 Review of Irish Society of Chartered 0.5 When registering for the CIG I have better understanding of
60 min Physiotherapists (ISCP) committee AGM it asked if ‘you would be the roles of the branches, clinical
handbook for branches, clinical interest interested in serving on the interest and education groups
groups and employment groups 2017, executive committee of the clinical and their purpose.
prior to attendance of AGM of an ISCP interest group’. I indicated yes,
clinical interest group then thought I wasn’t quite sure This will benefit my interaction
what I would be expected to do, with the ISCP and serving as a
so I contacted my professional committee member. It also
body, the ISCP and asked if they allows me to promote my
could assist. profession and enhance public
They directed me to the awareness.
Committee handbook
I learnt:
The role of a Clinical Interest
Group is to:
Page 3 of 28-Advise the Society in the area of
its specific clinical expertise
- Provide educational and
professional development in the
specific clinical area
- Inform the Board of issues
arising for the profession in the
specific clinical area
- Promote the specific clinical
area - Assist the Board with
submissions and responses
relevant to the specific clinical
area.
I reviewed the roles that are
available on a committee and am
interested in the Education
officer’s role.
30/06/2020 PP+ course titled 2 This course reviewed and went Following on from the courses
4 hours ‘Shoulder Assessment’ into more detail on shoulder already completed related to this
This was part 3 of the 4-part shoulder assessment and the impact programme, this course went
programme assessment has on planning the into the assessment in greater
management and treatment. detail and when to use what test,
I learnt: as well as the evidence behind
the tests.
- The importance of combining
a good subjective Having a clearer knowledge of
assessment, accurate patient the goal of the objective
history, good knowledge of assessment tests used has
Page 4 of 28functional anatomy, made it so much easier to
observation and examination understand when to use what.
- The different orthopaedic tests
for the shoulder and the I am diagnosing shoulder
evidence behind them conditions more competently
- The difference between acute and able to design a treatment
and chronic shoulder pain approach accordingly.
- The importance of addressing
any possible yellow flags I am also more confident now
which could contribute to when I should seek orthopaedic
development of chronic pain referral or referral for imaging or
further investigations.
- Using outcome measures
(DASH and Constant-Murley I communicate to the patients
shoulder outcome score) much more about what the
- What the clinical indications options are in terms of imaging
are to refer for diagnostic and referral on to a consultant,
imaging to allay any fears and open lines
of communication, for the patient
to address any concerns.
Implement Evaluate & Reflect
Date and time Type of Learning Activity CPD credits Learning Outcome Impact on practice
spent What was the name of the activity? Approx. 1 What have you learnt through How have you integrated this
When did you CPD credit completing this activity? How have learning into your practice? How
undertake this for every your skills and knowledge improved has this learning made a difference
learning hour of new or developed? to your capability and performance
activity? or enhanced in your role?
Page 5 of 28learning
achieved
06-07-2020 PP+ course titled 2.5 This course explored devising The general and then more
4 hours ‘Therapeutic Interventions for the rehabilitation programmes. The specific rehab approaches were
shoulder’. This was the final course in aim of treatment is to reduce pain, of great benefit to me as a
four-part series under the restore function, and introduce practitioner.
load management to allow healing
alongside rehabilitation. I found I have a greater understanding
this clear explanation so valuable. on when and how to start the
rehab process with the correct
I learnt: load to encourage healing.
- How to apply different
management / rehab skills Before I used to follow a very
- Specific management similar rehab programme with all
approaches which included: the patients, now I devise a
shoulder symptom more individualised programme
modification for patients based on both their
procedure/therapeutic subjective assessment, with an
exercise/ prescription aim to return the patient to pre
consideration injury function and sports (if
- Clinical approaches to specific indicated).
conditions which included:
instability; adhesive capsulitis; This has resulted in improved
RC related pain; subacromial treatment outcomes,
pain syndromes commitment from the patients
and enjoyment in my job –
- How to match the seeing patients get better and
presentation of shoulder pain knowing now I have the skills to
with the most effective get them better – it’s been so
valuable.
Page 6 of 28treatment approach and
evidence-based interventions
Implement Evaluate & Reflect
Date and time Type of Learning Activity CPD credits Learning Outcome Impact on practice
spent What was the name of the activity? Approx. 1 What have you learnt through How have you integrated this
When did you CPD credit completing this activity? How have learning into your practice? How
undertake this for every your skills and knowledge improved has this learning made a difference
learning hour of new or developed? to your capability and performance
activity? or enhanced in your role?
learning
achieved
10-08-2020 I presented an in-service training to the 2 My manager asked if I would This was a personal gain for me.
90 min in- MSK unit in the HSE setting where I present an in-service training I was not very confident with
service work. session following completing the public speaking or having to
shoulder programme course. I present in the department. I
(2 hours had not done an in-service on my really enjoyed it and it wasn’t as
preparation own before so I was quite scary as I anticipated it to be.
on 08-08- nervous.
2020) What I learnt: I am more confident and ready
- By preparing for the in-service when asked to present at the
it was a great way to refresh next in-service session.
the knowledge from the
course
Page 7 of 28- I actually enjoyed presenting
- I included a practical session
where we split into pairs and
did surface anatomy palpation
of the shoulder
- Presentation skills and how to
condense information into
pertinent points.
06/07 2020 Writing up Case studies 2 Through the shoulder programme The impact on practice was
3 hours Patient 1 and patient 2. course completed earlier in the great, however the impact on
year, part of the course was patients’ pain, QOL and ADL
presenting case studies for an was tremendous. By picking up
assessment and for discussion the correct diagnosis, I was able
forums. to treat these patients effectively,
with a completely different
I chose two patients to include in treatment approach for both.
case study presentation – I
obtained their consent to include Prior to this course, I fear I would
their case details. have gone along the same
treatment rehab path with both
The clear approach to and that would not have had
assessment, listening to the favourable outcomes –
patient, choosing the objective particularly for the patient with
tests based on the hypotheses, the cervical problem.
performing the objective
assessment resulted in a much I am much better prepared to
clearer diagnosis. recognise and manage shoulder
pain with a cervical origin. I am
What I learnt:
Page 8 of 28- The one patient has a rotator much more informed and can
cuff pathology explain clearer to patients.
- The other patient had
shoulder pain of cervical origin I am much more confident in my
- The value of differential ability to treat and rehabilitate
diagnosis patients presenting at the clinic.
- Tests to use for differential I see the value and impact of
diagnosis continuing improving my
- The subjective clues patients knowledge and skills.
given that assist with the
differential diagnosis
e.g.: shoulder pathology is
painful with overhead
activities, shoulder pain
referred from the cervical pain
may be sore with sedentary
activities such as sitting at the
computer
- Different presentation of
shoulder pathology and
shoulder pain with a cervical
origin
31-08-2020 HSELanD Children First 1.5 The manger addressed with staff I have a clear understanding on
90 min . that completing Mandatory the steps that need to be taken
Training on Children First needed should a concern arise.
to be completed by all staff. We I know who the mandated and
were given a six-week period in designated liaison people are.
which to complete the course,
Page 9 of 28which was available on Our manager has introduced a
HSELanD. SOP in this regard.
I learnt: It has also helped me to better
- How to recognise child abuse understand my responsibilities
- Different types of child abuse under my Professional Code of
- Procedure to follow in Conduct and Ethics regarding
reporting child abuse safeguarding children.
- The role of the mandated
person
- The role of the designated
liaison person
Implement Evaluate & Reflect
Date and time Type of Learning Activity CPD credits Learning Outcome Impact on practice
spent What was the name of the activity? Approx. 1 What have you learnt through How have you integrated this
When did you CPD credit completing this activity? How have learning into your practice? How
undertake this for every your skills and knowledge improved has this learning made a difference
learning hour of new or developed? to your capability and performance
activity? or enhanced in your role?
learning
achieved
15-09-2020 Airvo in-service 2 I had always found Airvo difficult I now feel more competent at
2 ½ hours to understand and as such, never assessing and treating patients
felt very confident when a patient who are on Airvo. I can now
in my ward was on Airvo. I had clinically reason when I should
linked in with my senior about decrease/increase the flow of
such patients, but still did not feel the Airvo or the Fio2 and know
that the information was solidified how to physically make those
Page 10 of 28for me. I encounter many patients changes. I think discussing this
requiring oxygen and often with other physiotherapists at the
patients who require increasing in-service has allowed me to feel
oxygen demands and I need to more confident in making those
feel confident in the various decisions. It has also helped me
oxygen delivery methods. with my oxygen delivery
I attended a very informative in- understanding in general, as I
service about Airvo. now better understand the
I learnt: physiological reasoning behind
- Indications for Airvo use, what Airvo and the differences
patient population it would between it and nasal cannula,
help with venturi tubes or NIV.
- Explaining the physiological
rationale of using it This proved helpful as I rotated
- The differences between Airvo into ICU and began to see
and other oxygen delivery patients wean from intubated
methods was explained and ventilated to self-ventilating
on Airvo. Recently, at the end of
- The practical elements of the rotation, I was seeing a
setting it up patient who was requiring high
- Practical session where I had O2 demands via nasal cannula.
the opportunity to set it up and His work of breathing was
change the settings increasing and his Sp02 levels
- Open discussion and case were unstable. I suggested
studies enhanced the learning Airvo, and after discussing with
- When to recommend starting the medical team, the patient
a patient on Airvo was placed on Airvo which
- Setting up the Airvo stabilised his condition well.
- Knowing when the settings I was confident to make the
need to be changed, suggestion and recommendation
to medical colleagues.
Page 11 of 28especially changing the Fi02
or the flow rate.
I am a pragmatic learner and
needed it explained to me in a
very literal way. The
physiotherapist leading the
session was very approachable
and as such I felt very
comfortable asking questions.
Before the in service I felt daunted
when a patient was on Airvo, as I
was unsure about changing the
settings and was scared to do
harm to the patient
unintentionally. Having seen
some patients with my senior
before the in-service, I had a
basic understanding but needed
to get the theoretical knowledge
and also practice in a non-
pressurised setting. The in-
service provided me with both of
these things.
01-10-2020 Research for presentation for in- 3 I looked at general and specific I feel much more confident in
4 hours service titled ‘Post-operative post-operative complications. I recognising post-operative
complications following cervical have had a fear and worry of complications in the cervical
surgery’ getting patients out of bed day 1- spine as well as general post-
2, so felt this would be of benefit operative complications.
in looking at both general and
Page 12 of 28Reading the following journal articles specific complications that may An example where I was able to
and compiling research: arise on orthopaedics. implement this knowledge was
with a post-operative patient who
Post-operative nerve injuries after General complications needed to mobilise, however the
cervical spine surgery. I learnt these include: patient presented drowsy,
Joaquim AF, Makhni MC, Riew KD.Int - nausea and vomiting, fatigued and was O2 dependent.
Orthop. 2019 Apr;43(4):791-795. doi: abdominal distention and Bloods had not yet been done. I
10.1007/s00264-018-4257-4. Epub paralytic ileus, urinary made the decision not to
2018 Nov 29.PMID: 30498911 retention, constipation, pain, mobilise and spoke with the
shock, haemorrhage, doctor to get bloods as I was
https://www.ausmed.com/cpd/articles/ pneumonia, pulmonary concerned re haemoglobin
postoperative-complications embolism DVT, wound levels. Once blood results
infection, wound dehiscence, returned the patient did have 6.3
Completing the following course: post- operative delirium Hb.
Physiopedia – Surgical and Post- Specific complications I have gained confidence in
Operative Management of Cervical Postoperative nerve injuries after explaining post-surgery
Spine Stenosis Cx spinal procedure occur. complications to patients, and
I learnt: they value the input.
The most common post-operative
neural disorder is C5 nerve palsy I have gained confidence in both
- Results in deltoid and / or my assessment post operatively
biceps weakness as well as with the knowledge
- Risks are male, OPLL, now have the confidence to
posterior-cervical approach speak to the consultant re any
concerns I have.
- Can present immediately or
several days post-surgery
- Rx is conservative
- Need to evaluate for residual
compression at C45/5
Page 13 of 28Parsonage-Turner syndrome) is
an idiopathic plexopathy
presenting with
- Severe neuropathic pain in
the shoulder, neck, and arms
- Followed by neurological
deficits involving the upper
brachial plexus.
- Presents in a delayed fashion
after the onset of pain
- Treatment is based on pain
control and physical therapy
C8-T1 nerve palsies occur post
operatively and present with:
- Weakness of the five intrinsic
muscles of the hand
- Sensory symptoms in the
dermatomal area of the ulnar
two digits of the hand and the
medial forearm.
- The risk factors for C8-T1
nerve injuries after surgery
are C7 pedicle subtraction
osteotomies and posterior
fixation of the cervico-thoracic
junction
Page 14 of 28- A wide foraminal
decompression at C7-T1
region is necessary to
minimize risk of this
complication.
Horner's syndrome can occur
post-operatively,
- Risk with anterolateral
approaches to the middle and
lower levels of the cervical
spine.
- Clinical features are
ipsilateral papillary miosis,
facial anhydrosis, and ptosis
secondary to injury of the
cervical sympathetic nerves.
- It can occur from iatrogenic
compression or injury to the
T1 nerve root, as the
sympathetic chain gets some
of its fibres from that level
Cervical Spine Stenosis post op
complications include:
- Muscle weakness
- Neck pain and stiffness
- Deep infection
- Psuedomeningocele
Page 15 of 28- Closure of opened laminae
- Neurological deterioration
- Death
Implement Evaluate & Reflect
Date and time Type of Learning Activity CPD credits Learning Outcome Impact on practice
spent What was the name of the activity? Approx. 1 What have you learnt through How have you integrated this
When did you CPD credit completing this activity? How have learning into your practice? How
undertake this for every your skills and knowledge improved has this learning made a difference
learning hour of new or developed? to your capability and performance
activity? or enhanced in your role?
learning
achieved
02-10-2020 Developing presentation on in-service 1 The skills that have been The impact has been more on
2 hrs titled ‘Post-operative complications improved are outside the clinical an administrative / research side
following cervical surgery’ aspects of physiotherapy as opposed to within the clinical
Included hand out slides I have learnt: arena. I have learnt skills with
- How to put a power point regard to evidence searches and
presentation together establishing the quality of
- Not to fill the slides with research.
content, but present key facts
on slides which I then talk I have learnt skills related to
about during the in-service putting a presentation together.
- Referencing articles correctly
This has given me more
- How to search for relevant
confidence in the area and I
articles
have the ability to do further
- How to establish the quality of research and presentations as
research opportunities arise.
Page 16 of 2804-10-2020 Delivering in-service presentation titled 1 This was the second in-service I I have volunteered to do another
90 min ‘Post-operative complications following have now done. in-service. I enjoy searching for
cervical surgery’ I learnt: and reading articles and being
- I have developed more skills aware of evidence-based
with regards to presenting assessment and management.
since the first in-service
- Incorporating practical The benefit I feel has been to the
sessions within the in-service service and my colleagues. The
is of great value in-service sessions give us an
- Discussing patient opportunity to discuss with each
presentations and case other and ask questions, which
studies is a very beneficial we were maybe hesitant to ask
way to learn before. Now we all take turns
presenting an in-service and
know how the person can feel,
so we are all supportive and
encouraging.
I value the collective effort and
teamwork.
01-11-2020 Rotational in-service on the Cervical 2 This included covering the Preparing for this in-service was
3 hours Spine – epidemiology, anatomy and epidemiology, prevalence and of great benefit. I have a much
clinical relevance functional anatomy and clearer understanding on the
biomechanics of the cervical anatomy and clinical relevance
Preparation / Research for in-service spine. for the cervical spine.
content included: I learnt:
- How the anatomical In treating patients, I now picture
Reading Clinical anatomy pages on configuration of the cervical the anatomy and what I am
Physiopedia spine contributes to function trying to treat – and find the
treatment effect is improved.
Page 17 of 28- The age-related differences in Although at present I do not treat
the cervical spine (from any paediatric patients I found
paediatric to older adult) studying the age differences in
In paediatric spine the anatomy and how they relate
to different injuries very
- The head is larger relative to interesting and beneficial. When
the body, resulting in a I move into a paediatric rotation
higher centre of gravity and this will be of benefit.
fulcrum of neck motion
I treat a large cohort of older
- There are multiple vertebral
adults with cervical symptoms.
ossification centres
Having a clearer understanding
- The ligamentous structures of presentation, diagnosis and
are lax treatment of cervical spondylosis
- The younger the age, the is resulting in improved
more flexible the spine is treatment sessions. I can explain
- Neural damage occurs in to patients the reason for their
children much earlier than symptoms, I can plan treatment
musculoskeletal injury. and plan rehabilitation.
- As age increases the
likelihood of cervical cord Patients have an improved
injury decreases (with up to treatment outcome with reduced
75% of injuries occurring in pain and improved QOL.
infancy up to 8 years old)
- The fulcrum of cervical
mobility moves progressively
downward with the child’s
increasing age:
Younger than eight years:
C1 and C3
Eight to 12 years: C3 and C5
Page 18 of 28Older than 12 years: C5 and
C6
Cervical spondylosis presents in
three symptomatic forms:
- Non-specific neck pain - pain
localised to the spinal column.
- Cervical radiculopathy –
symptoms (may include pain,
numbness, loss of function) in a
dermatomal or myotomal
distribution often occurring in
the arms.
- Cervical myelopathy – intrinsic
damage to the spinal cord
resulting in a cluster of
complaints and findings
(numbness, coordination and
gait issues, grip weakness and
bowel and bladder complaints)
14-11-2020 Delivery of cervical anatomy in-service 0.5 This is the third in-service I have In demonstrating and practicing
90 min delivered to the department the surface palpation on my
I learnt: colleagues – I am more
- To be more confident in my confident with my palpation skills
presentation skills on the patients and how to
- To demonstrate palpation of modify these palpation skills as
service anatomy to my needed.
Page 19 of 28colleagues – we split into
pairs and practised these
skills
- Palpating different cervical
spines and muscles was of
great benefit and I learnt how
to modify my palpation skills
accordingly
06-01-2021 Safety in Needling Therapies 2 Review of lung anatomy, The impact on my practice will
4 hours Preventing Pneumothorax iatrogenic pneumothorax, ensure patient safety
. needling principles and specific The importance on cautioning
consideration for certain muscles patients was stressed and I now
make sure I caution all patients if
I learnt: I needle an area which contains
- Clinical implications related to a risk, even if the risk is very
lung anatomy to prevent the small.
occurrence of needling
induced pneumothorax Previously I would be very clear
- Stay outside the ribcage going through other side effects
- Avoid needling close to the with patients, such as
apex of the pleura drowsiness, euphoria,
happiness, impulsiveness – now
- Iatrogenic DN induced
I include very clear description of
pneumothorax do occur, the
signs to be aware of in the event
incidence rate is not known,
of pneumthorx.
there is a lack of research, 13
As part of pre assessment I ask
medline cited articles related
if patients will be flying, going on
to DN and pneumothorax but
a trip, or plan to exercise that
> 26 000 acupuncture and
day or the next – I would not
pneumothorax studies
have included this previously,
Page 20 of 28- Presentation of pneumothorax but can see the importance of
includes: SOB, chest pain, dry establishing this prior to using
cough, decreased breath Dry Needling as a treatment
sounds, increased respiratory technique.
rate, altered breathing
patterns ‘If in doubt- stay out! ‘
- May occur hours or days
following treatment
Patient must always be cautioned
especially if going to be exposed
to exercise and marked
alterations in altitude (flying/scuba
diving)
Review of correct dry needling
technique for relevant muscles-
this included
- Posterior neck – trapezius,
levator scapulae, rhomboids
- RC - infrapsinatus,
supraspinatus, teres minor
and subscapularis
- Scapular thoracic – ters
major, latissimus dorsi,
serrautus anterior
- Anterior neck – scalenes,
sternocleidomasteoid
- Thoracic back – erector
spaine, multifidus
Page 21 of 2806-01-2020 Review of ISCP Dry Needling Policy 0.5 I learnt: To ensure that consent is always
1 hour Document 2012 - The policy and guidelines obtained – I make sure this is
Review of Professional Code of around Dry Needling always in writing.
Practice - In context with the I document:
professional code of practice - Muscle needled, type of
- The hygiene principles that needles used, the local
must be adhered to reaction – LTR, pain etc.
length of time needles in,
and how the patient felt post
treatment
This has a positive impact on the
service and the service user and
reduces the risk of an adverse
event.
02-03-2020 Patient presenting with superficial 3 Superficial siderosis is a rare I have a much clearer
4 siderosis disease that I have never understanding of this condition,
encountered previously, the progression and the impact
Initial assessment and discussion with on function.
patient and family I learnt:
Review of evidence and journal articles - It is a disease of the brain Having gained this knowledge, I
resulting from chronic iron was able to explain to the patient
Ir Med J 2016 Superficial Siderosis deposition in neuronal tissues clearer why he had the signs
Mar 10;109(3):376. T Abkur , S associated with cerebrospinal and symptoms he had.
Looby , T Counihan fluid, via the deposition of
hemosiderin in neuronal Although unlikely to see a
Epub 2017 Dec 28. Two-year tissue patient with this condition again,
observational study of deferiprone in - The most common cause is it made me very aware of the
superficial siderosis chronic bleeding into the need for further investigations on
subarachnoid space, which occasion if patients presenting
Page 22 of 28Remi A Kessler , Xu Li , Kateryna releases erythrocytes or blood with neurological signs and
Schwartz , Hwa Huang , Maureen A cells into the CSF symptoms I cannot explain.
Mealy , Michael Levy - It is very rare with less than
270 total reported cases This patient presented with rapid
Epub 2017 Nov 21. Superficial - Affects people of a wide range deterioration in gait, developed
siderosis of central nervous system of ages bilateral drop feet and ataxia
with unknown cause: report of 2 cases - Men three times more than over a six-week period.
and review of the literature. Hao women
Chen , Hafiz Khuram Raza, Jia If I was to see this condition
- Signs and symptoms include
Jing , Xinchun Ye , Zuohui again, I would never miss it, and
– hearing loss, ataxia,
Zhang , Fang Hua , Guiyun Cui the sooner treatment on
pyramidal signs, dementia,
deferiprone can be started the
bladder disturbance, anosmia
Neurology 2018 Jul 10;91(2):e132- better the chance of
and anisocoria
e138. Cortical superficial siderosis: A improvement.
prospective observational cohort study - Treatment with deferiprone
Solène Moulin, Barbara which is an iron chelator – a
Casolla, Grégory Kuchcinski , Gregoire study showed that treatment
Boulouis , Costanza Rossi , Hilde appears to demonstrate a
Hénon, Didier Leys , Charlotte measurable reduction in 50%
Cordonnier of patients which correlated
with a stabilised or improving
Neurol Sci, 2018 Jun;39(6):1129-1131. disease course
CT and MR myelography in superficial
siderosis
Nicola Morelli , Eugenia Rota , Paolo
Immovilli , Giuseppe
Marchesi , Emanuele
Michieletti , Donata Guidetti
Page 23 of 2815-03-2020 Discussion with consultant specialist 0.5 I learnt: I have a better understanding on
30 min treating patient with superficial diagnosis and treatment options
siderosis - Tremendous value of that will be tried from a
communication with medical consultant view point with regard
colleagues to medication.
- The treatment options I learnt there is great benefit in
available reaching out to the medical
community especially when a
- There is no cure only
patient presents with such a rare
management
condition.
- It is a progressive disease Having the opportunity to
- Diagnosis is difficult, and discuss the prognosis and
follows a process of treatment with the consultant
elimination to start with has been a tremendous benefit.
- MRI has improved the I believe this instilled confidence
diagnosis of superficial in the patient and family,
siderosis knowing there was
interdisciplinary communication.
Page 24 of 28Review Plan
What do I want or need to learn in the next 12 months? What learning activities will I do to achieve this in the next 12 months?
I have an interest in evidence-based treatment and research I need to complete course on Physiopedia on writing a literature review.
and want to progress my skills and knowledge in this area. I I need to complete further case studies on shoulder presentations and I will
will complete a literature review as part of the assignment speak to my manager about scheduling these.
requirement for PP+ shoulder programme course. Together I need to combine this into a journal article for submission.
with the 2 case studies I have already completed, I will
complete further case studies and intend to write a journal
article to submit to ISCP Research and Evidence Journal. I
want to learn the skills required to complete a literature
review and write an evidence-based journal article.
I need to upskill in ACL pathologies and surgery. A specialist I will attend surgeries with the consultant seeing different surgical approaches
consultant within the unit is seeing more patients for both to ACL repair and hence have a clearer understanding when it comes to the
conservative and surgical management of ACL injuries. different rehab approaches with those surgeries.
I will complete PP+ courses titled ACL Rehabilitation programme. This
consists of four courses: ACL Rehab Introduction; ACL Rehab Acute
Management after surgery; ACL Rehabilitation Planning and ACL Rehab-
Return to sport and re-injury prevention
Page 25 of 28I will be on my first on call in the coming months and have There are in service training sessions run within the department which I will
identified a number of key skills that will be required to attend.
ensure my competence to undertake this role. This includes; I have also sourced documents from other sources which I plan to read and
include:
1. Oral and nasopharyngeal suctioning - NHS Oral and nasopharyngeal Guidance document
https://www.bcpft.nhs.uk/documents/policies/s/1106-suctioning-oral-and-
nasopharyngeal/file
- https://www.sweethaven02.com/PDF_Health/MD542les04.pdf
- https://www.bcpft.nhs.uk/documents/policies/c/1855-children-s-
community-nursing-team-sop-12-suctioning-oral-nasopharyngeal/file
There is an e-learning course I will complete
- https://www.medexgroup.co.uk/elearning/suction-oral-and-
nasopharyngeal-elearning/
-
2. Awareness of an acutely deteriorating patient There are in service training sessions run within the department which I will
attend.
I have also sourced documents from other sources which I plan to read and
include:
- https://blogs.bmj.com/ebn/2016/11/20/1054/
- https://learning.wm.hee.nhs.uk/sites/default/files/recognising%20the
%20signs.pdf
3. The use of cough assist There are in service training sessions run within the department which I will
attend.
I have also sourced documents from other sources which I plan to read and
include:
- https://www.physio-pedia.com/Assisted_Coughing
- https://www.worcsacute.nhs.uk/patient-information-and-
leaflets/documents/patient-information-leaflets-a-z/2479-using-the-cough-
assist/file
Page 26 of 28- https://www.mascip.co.uk/wp-content/uploads/2015/10/Physiotherapy-
use-of-Cough-Assist-Devices-or-Mechanical-Insufflation-BT-policy-
general-1.pdf
Having completed the in- service training on cervical
anatomy and post-operative complications, I want to upskill I have downloaded but need to read
in assessment of red flags and upskill in the assessment of International Framework for Red Flags for Potential Serious Spinal
cervical arterial dysfunction. Pathologies
Journal of Orthopaedic & Sports Physical Therapy
Published Online: July 1, 2020Volume50Issue7Pages350-372
https://www.jospt.org/doi/10.2519/jospt.2020.9971
I am also going to complete the PP+ course Cervical Arterial Dysfunction
I want to upskill in the assessment of cervical arterial
dysfunction. Having completed the previous cervical in- I am also going to complete the PP+ course Cervical Arterial Dysfunction
service, I realise I am lacking in knowledge and confidence Following this I will present an in-service within the department
to assess CAD.
In the PP+ courses reference was made to using outcome I am going to start with the following outcome measures and become familiar
measures. Although I am familiar with some outcome with administrating and scoring them:
measures, I do not use outcome measures or self-
administered questionnaires as part of my assessment. I - Visual analogue scale (VAS)
aim to start including these more as it gives a more objective - Short Form 36 (SF-36)
assessment value and can be used to show progress and
- Neck Disability Index (NDI)
treatment gains with regards to a reduction in pain,
improved function and reduced disability.
Page 27 of 28I want to upskill in my knowledge and assessment of chronic I will read Lorrimer Moseley and David Butlers ‘Explain Pain’
and acute pain and my skills in explain this to patients. I
have identified this as a need as at present I cannot clearly
explain his to patients and they have more questions which I
do not feel I have the skills and knowledge to answer.
I need to become more familiar with yellow flags and the I will familiarise myself with and become competent in assessing fear
assessment of yellow flags. avoidance and catastrophising. I have read some of Mick O’Sullivans work
and will explore this further.
The self-administered questionnaires I need to become more familiar with
include:
- Fear Avoidance Belief Questionnaire
- Pain Catastrophising Questionnaire
I, the undersigned, certify that the information contained in this Record of CPD Activities is correct in all respects.
Signature Date: 01/06/2021
PT123456
CORU Registration Number Total Number of Pages: 28
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