Physiotherapy is a branch of medical science that deals with the treatment of injuries and/or disorders by using physical methods (American Physical Therapy Association 2013). Physiotherapy is concerned with identifying and maximizing the quality of life and movement potential within the spheres of promotion, prevention, treatment/intervention, habilitation and rehabilitation. This encompasses physical, psychological, emotional and social well-being of the people. The scope of physiotherapy practice is not limited to direct patient/client care, but also includes advocating for patients/clients health, teaching, and research, public health strategies, developing and implementing health policy locally, nationally and internationally (World Confederation for Physical Therapy 2012).

The general Physiotherapy practice aims to provide high quality of services both in-patient and out-patient physiotherapy care for patients with the needs of physiotherapy treatment. A team of therapist with mixed skills delivers the services from different specialties. We strive to offer a comprehensive individualized patient focused care or practices that is evidenced – based. Every patient is managed with dignity, courtesy and passion irrespective of status of patient in the society. In summary, we attend to patients on referral basis from all clinical departments within the hospital, and other hospitals or from community health centers.

DESCRIPTION OF THE CLINIC

The department has 3 section; the main department, pediatrics site and P & O unit. There are 2 staff offices and Head of Department Office. We have three treatment cubicles and a mini medical gymnasium. There is also an open and closed patient waiting area.

DETAILS PATIENTS/CLIENTS

Patients are referred from all departments within the hospital and other health centres; they include but not limited to the following:-

1. Medicine/Neuromedicine-patient diagnosed of neurological conditions e.g Stroke, Parkinson disease, and Transverse myelitis. Cardiopulmonary patients e.g Pleural effusion, atelectasis, Pulmonary TB, CHF.
2. Surgery/Orthopeadics – Post-operative physiotherapy care, Fracture rehabilitation, Head injury, Burns patient, Arthritis, Spondylosis etc.
3. Obstetrics and Gynecology – Urinary and faecal incontinent patients, Obstetric palsy, LBP in pregnancy, PGP, SIJ dysfunction, pelvic floor insufficiency, Pubic diastasis.
4. ENT/Opthalmology-Facial palsy, Ptosis, Trigeminal Neuralgia, Vertigo etc.

DESCRIPTION OF THE SERVICES

All working days are for patient consultation and treatments all through the working hours in a day. While call duty commences after closing hours till next morning and during weekends and public holidays. Every Wednesdays of every week is for departmental clinical presentation and surgery/orthopeadic grand consultant ward round. The clinic runs every day based on the three above units, the referring departments and the patient’s treatment diagnosis. Due to lack of man power, we operate our services on in-patient and out-patient basis for convenience sake. Monday: Adult Females/Pediaatric (Medical and Surgical Cases).
Tuesday: Adult Males (Medical and Surgical Cases).
Wednesday: Special cases, Surgical/Orthopedic Consultant grand Ward round, Departmental clinical meetings fortnightly.
Thursday: Adult Females/Pediatric (Medical and Surgical Cases).
Friday: Adult Males (Medical and Surgical Cases).

PHYSIOTHERAPEUTIC ADMINISTRATION

These services were rendered by the physiotherapists during working and calls hours. Physiotherapy treatment were given after thorough history taking and an assessment to arrive at a physical diagnosis. Generally, in-patient are treated in the wards and sometimes in the department. Those on out-patient follow up were treated in the cubicles and mini medical gymnasium by given appropriate therapeutic exercises, accurate physical modalities and other facilities as their conditions demand base on the available facilities.

PHYSIOTHERAPY CALLS

Call duty commence after closing hours till next morning, during weekends and public holidays. Some stroke patients with complication of respiratory distress, spasm of muscle of mastication and other complication are reviewed within the first 24 hours. Issuing and application of spinal orthosis to suspected spinal cord injured patient, head/neck injury and multiple injured patient.

Attending and application of arm sling to patient with shoulder complex injury. Attending to patients with painful syndromes, chest condition in medico-surgical cases. Attending to orthopedic day cases (post fracture immobilization) for ambulation and discharges not during working hours.

STAFF STRENGTH

-Deputy Director - 1
-Assistant Director - 2
-Chief Physiotherapist - 0
-Principal Physiotherapist - 4
-Senior Physiotherapist - 2
-Physiotherapist - 4
-Corper Physiotherapist - 3
-Intern Physiotherapist - 0
-Prosthetist/Orthotist - 2
-Health Assistants - 1
-Senior Health Attendants - 3

EQUIPMENT/MACHINES

The department is well equipped with modern and standard equipment which includes but not limited to:

-Shortwave diathermy
-Ultrasound therapy machine
-Combination therapy machine
-Infra-red lamp machine
-Multi-gym
-Quadriceps bench
-3.0HP Treadmill machines
-Bicycles Ergometer
-TENS Machine
-Parallel bars
-Shoulder wheel
-Stair Case
-Reciprocal Pulley

WAITING TIME

The average waiting time is 30 minutes

Hassan Sarafadeen Olawale

Head of Physiotherapy