Re-open Sask at Warman Physio

The Saskatchewan Government announced the plan to re-open Saskatchewan on April 24 at 11am. We are so grateful to have been included in Phase 1 and Phase 2 with the services provided at the clinic. Many of our clients and community members reached out and flooded us with calls, emails, and messages asking what the plan was. We are happy to have an initial first announcement of our re-opening plans available.

Waiting patiently for the regulations from our licensing bodies after the announcement was difficult but necessary to ensure that we are able to meet the required protocol changes at the clinic in order to re-open. We will continue to monitor the requirements, as they are continually changing as well!

We will note that at this time we are still awaiting guidelines for the Massage Services. Once we have this information we will evaluate the ability to provide services and what the time line looks like. At this time all counselling and nutrition services will remain virtual services only as well.

Slow and Steady

We have been working diligently since the announcement to procure personal protective equipment (PPE) and creating policies and procedures to ensure that we meet, and exceed, the standards set. The health and safety of our clients, community, and staff are of the utmost importance. We are taking this re-opening seriously, ensuring that we are moving slowly, making significant adjustments, and allowing for as much physical distancing as we can allow.

This being said, physiotherapy and massage are a hands-on in-person appointment. If you are coming into the clinic we will be unable to maintain physical distancing. Having appropriate PPE and sanitization protocols between each client is how we will be mitigating the risk of the inability to maintain social distancing. We have been providing telehealth appointments to our current client base for over a month, and we are confident in the quality of the service that can be provided remotely to our clients. With the indication that physical distancing options are still considered the best options we will continue to have a primary focus on telehealth options. Telehealth services will remain a permanent offering at the clinic and will be utilized extensively during this time of re-opening in combination with in-person appointments as needed.

Just because we are permitted to re-open doesn’t mean it will be back to business as usual for us. There are going to be some significant changes moving forward, and some of these changes may remain well into the future.

What to Expect

Prior to booking an appointment you will be asked to complete a screening tool to determine the best-fit assessment/treatment option. This will help us to determine who is going to be seen in-person and who is ideal to be seen remotely. Having strict guidelines will ensure that everyone will receive the most appropriate and safest option for booking at this time. Once you have been deemed appropriate for in-clinic care you can expect to see the following measures in place:

  • Everyone will receive a COVID screening questionnaire via email prior to their appointment
  • Clients will be asked to wait in their vehicle and not come into the building until after your therapist calls you; they will ask you the screening questions again prior to entering the building
    • Should a client not pass the screening questionnaire they will not be permitted in the building
    • It is paramount for the health and safety of our staff and community that everyone answer the questions truthfully
  • Prior to entering the building please put on your face mask
  • Upon entering the building the client will sanitize hands appropriately
  • Your therapist will have all appropriate PPE in place and has been trained and tested on their ability to don and doff PPE
  • The therapist will guide you as to what PPE is required of you prior to your appointment
  • At the end of the appointment you will be able to pay online, or utilize the tap function on the machine at the clinic
  • Please do not attend an appointment if you are feeling sick or unwell
  • At this time the clinic will not be providing public washroom use
  • We are encouraging anyone who has the option to come alone to please do so, however, we understand that there are some limitations to this
    • If the client must come with additional individuals, the COVID questionnaire needs to be filled out for each person attending the facility

How we are protecting you

In addition to our usually stringent cleaning protocols, personal hygiene, and overall cleanliness, we at Warman Physio want you to know some of the additional measures we will be taking:

  • The door will be locked between clients to reduce the amount of foot traffic in the clinic
    • Contact us via phone (306-373-9355) or email (info@warmanphysio.com) to discuss booking an appointment
  • Clinicians will be completing the COVID questionnaire prior to coming into the clinic and will be unable to work if they are unsuccessful at completing it
  • Proper PPE has been procured and will be utilized appropriately throughout the appointment
    • All staff and therapists will be trained and tested in their ability to don and doff PPE properly and can instruct their clients in appropriate usage as well
  • The therapists are spreading out appointments to allow for physical distancing; there will be no overlap in clients in the clinic to allow for a complete sanitization of the common spaces
    • This may lead to some delays despite planning in advance and providing additional time between appointments, please be patient as we figure out the best practices!
  • All unnecessary items will be removed from the counter surfaces
  • We are only allowing scheduling of therapists at specific times and in specific combinations to allow for physical distancing
    • This may mean that until further notice that you may not be able to schedule appointments with different providers back to back as we are typically accustomed
  • At this time there is a significant increase in required PPE to provide appointments for TMJ and pelvic health. As such these appointments  will not be appropriate for in-clinic care at this time

Cautiously Optimistic

We cannot express enough how much providing care to our community and returning to in-person services means to us. We have been missing the connection and interaction that comes with in-clinic care. Of course we hope that the re-opening of Saskatchewan goes smoothly and we are able to maintain a controlled spread; and we understand the role that we play in making this dream a reality. Should there be indication or recommendation that we must again eliminate in-clinic care we of course will follow any and all recommendations. Knowing that our community supports us in our slow re-opening has been a huge weight lifted off our shoulders and for this we will be forever grateful.

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Tele-wha? Telehealth Services

When we think of paramedical services such as counselling, dietetics and physiotherapy the first thought that comes to mind is not necessarily virtual or telehealth appointments.

The healthcare world has been firmly grounded with in-person service as the ‘gold standard’ of evaluation and treatment of patients… until now. In these uncertain times where we are trying our best to follow physical distancing recommendations, government guidelines, and new ways of being it has launched all business and healthcare in an entirely new direction. Where third party payers and benefits providers would previously have not covered telehealth services, covering these remote services is critical to people as they continue to need assistance through this experience.

As much as change is difficult for everyone, we believe that telehealth services will be here to stay. This is why we have taken our time ensuring that the client experience will be as seamless as technology will allow. We see and hear the difficulties our clients and community are continuing to experience through this crisis, and we want to be able to show up in a tangible and reliable way. Just because we are safe at home doesn’t mean we don’t still experience pain, mental distress, and gut issues!

But … how can Physio be provided remotely?

Telehealth Appointments

Often our clients come to see us thinking that the best things we can provide are through our hands on treatment. Hands on treatment and evaluation can be extremely beneficial, however, that hands on evaluation and treatment comes backed by years of education and an intimate understanding of the processes of the body, stages of tissue healing and rehabilitation, movement analysis, and the biopsychosocial components to pain management.

At Warman Physio we see a wide variety of individuals and understand that injuries, incontinence, pain, and movement dysfunction does not only continue to occur or develop, but can in many cases get worse with added stress. We are here to help you, help yourself in a safe and effective manner.

Remote Counselling? How?

Counselling is often thought of as sitting on a couch with a box of kleenex next to the counsellor and pouring out all your problems. During this uncertain time feeling like you have no where to turn or talk to can increase many difficulties you were already facing. Connecting through a secure video link will give you the option of sharing your thoughts and feelings, and developing new strategies to support your mental health.

 

Want to access some more details? Check out our information we have available on our telehealth services – including how we are ensuring we are doing our best to keep your appointment information safe and secure!

 

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Counselling Services – Jennifer King RSW

Hello, I’m so glad to share with you what I do to help people.

For the past 17 years, I have worked as a social worker, mostly in counseling services as well as in the hospital with acute care.  In the last few years, I have focused on pain management, specifically in the psychological aspect.

What does this mean?

If you or your child are experiencing big reactions to seeming small issues or emotions; anxiousness; defensiveness; impulsivity; risk-taking; flat affect; low energy; passiveness; difficulty connecting with others; we can work together.
These reactions can happen when we experience chronic stress or trauma (life situations that are just too much, medical situations, car accidents, or even sports injuries).
When we work together we focus on bringing together your physical reactions and your emotions to create safety and connection.  Then we find more playfulness, good eye contact, initiative, follow-through and wanting to be with others.
You can book your next appointment here https://warmanphysio.janeapp.com or phone the clinic at 1-306-373-9355.  Online sessions are available if preferred.  Please email me at jking@jenniferkingrsw.com for more information (subject – online session).

Jennifer is a registered social worker with over 17 years of experience working in education and healthcare. Currently, she is completing a graduate degree in social work knowledge of pain management. She provides counselling in pain management strategies for adults and children and general mental health. Using a range of strategies, she works with you to develop a pain management strategy that works for you.
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2020! A Year of Change

Is anyone else really looking forward to all the bad ‘dad’ jokes about eye sight that will be part of 2020? As we reflect on 2019, both personally and professionally, we try to bring forward our lessons learned into the New Year and set some new goals.

“You cannot change anyone, but you can be the reason someone changes.”
― Roy T. Bennett, The Light in the Heart

There are many ideas and thoughts about change that can result in so many various feelings, excitement and sorrow, elation and defeat. The perspective with which we see change, and how these quotes resonate (or don’t) with us is key. At Warman Physio we are striving to hold excitement, wonder, hope and joy in the changing seasons.

As such, we are celebrating a change in year, starting a new calendar, setting fresh goals and a feeling of starting new with an optimism of new beginnings. This year at Warman Physio we want to let our clients know:

  1. We are going to continue to advocate for our clients through our collaborative relationships within the community, as well as through continued education of our providers
  2. Providing our family friendly atmosphere, supporting in particular new and expecting mothers, is not going anywhere!
  3. We will continue to strive to provide personable, comprehensive, compassionate care to each and every client that comes through our doors
  4. Warman Physio – Saskatoon will continue to grow over the next year to provide improved access to those that are unable to make the trek out to Warman

These core values will not change. To help hold steady the trust and understanding we share within our clients and the community. We find that often the New Year will also bring change. Change happens whether we want it to or not, so we choose to be prepared for the opportunities that change will bring. This year we have a couple changes that will be heading your way.

New Disciplines

Warman Physio is proud to be a multidisciplinary clinic in both Warman, and Saskatoon. It is fun to reflect on where we started in 2014 in Warman, with a single Massage Therapist and Physiotherapist, as this is our starting point in Saskatoon!

The Warman location has now grown to include: 4 physiotherapists, 2 massage therapists, an occupational therapist, and a registered dietitian on staff.

Our Dietitian, Heather Tulloch, is our newest staff member and discipline to the clinic! She is looking forward to providing this much needed service in Warman, as there currently are no RD services in the city!

Change

“Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.”
― Margaret Mead

We continue to think of ways in which we can assist our community to build relationships, and provide necessary services. We hear you, our clients and the residents of the communities we are in, when you say you want to be supported, to have your providers actually listen to and hear you, to understand what you are going through. It is our top priority to help our clients, help themselves through individual treatment and value through the content on our sites. We are committed to being authentic, vulnerable and real as a company; and we hope to bring more of this to you, our clients throughout the coming years.

Leave

Haylie will be taking a step away from clients to start of the New Year. She writes:

This is a difficult decision to make but I feel it is the right one. The team of therapists at the two clinics can provide outstanding care and support to all of our clients, and it will give me the opportunity to work on the clinic. I am always looking for ways to ensure the best client experience, and taking a step back from clients and dive into working on efficiency now at this pivotal moment is going to allow us to be positioned for long-term success. You’re going to see me around as I’m working on Warman Physio from a new angle.

Here is to 2020 and all the new and exciting changes it will bring!

 

 

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Being Backed-up: how constipation is related to the pelvic floor

Everyone dreads being constipated. It’s never fun to be backed-up to the point of difficult, often painful bowel movements. How we often think of constipation, and what constipation can look like may not always be the same!

Constipation is often described as having 2 or fewer bowel movements in a week. These bowel movements will often be difficult to evacuate or require effort. So anything outside of this (more frequent, and easy to get out) would be considered normal… right?

Not necessarily! Our ability to consistently evacuate the bowel may not mean that you aren’t constipated! Some individuals that are constipated evacuate the bowel several times a day. BUT HOW?! In this instance, usually we are getting out several smaller stools throughout the day, and not completely emptying the bowel. These stools may in fact be “easy” to pass, and for some people they will find that they will sit down to go pee, and some stool will come out as well, without any urge to go number 2 in the first place.

So beyond the “usual” signs of constipation, what else should we be watching out for?

  1. Large diameter stools: for adults and children we should not be thinking “whoa! I hope that doesn’t plug the toilet” or “I can’t believe it’s THAT BIG!”
  2. Cracked or dry stools: bowel movements that look cracked or dry, or like little bunches of small balls stuck together
  3. Urge to go with no results: if you have the urge to evacuate, get to the bathroom and just nothing seems to come out… this could be a sign
  4. You wipe and wipe and it never gets “clean”: this could mean that you aren’t fully evacuating the rectum
  5. It feels like there is still some in there: likely that the bowel is not being fully evacuated
  6. Belly aches and bloating: can be signs of constipation
  7. Itchy rear-end (or the wiggles) is common to see in children as well

Being constipated will put a strain on the pelvic floor, as often evacuating the bowel will require effort in the form of pushing of some sort. Sometimes we are spending significant amounts of time sitting on the toilet attempting to get stool out. Development of hemorrhoids, pelvic pain, and pelvic floor dysfunction can be a result of persistent or chronic constipation.

 

Constipation starts young for many people “I have always been like this for as long as I can remember”. With seeing many children with constipation, they have struggled with bowel movements often since starting solids, or when they began potty training. Often other issues start to arise such as bed wetting as well.

 

Helping people to re-educate the pelvic floor to improve coordination, improve evacuation, and go through bowel hygiene tips are all part of our pelvic health assessments. Some things you can start thinking about now:

 

are you getting enough water?

when you go are your feet well supported with knees above hips?

do you take enough time (but not too much!)?

when you get the urge to go, do you make time?

 

These can be some things to consider with your bowel hygiene to help you begin to get things sorted. Determining the abdominopelvic coordination and function, overall pelvic floor muscle strength and ability to relax, as well as a variety of other technical factors will be what we want to dive into with you.

Issues with constipation isn’t just a problem for children, but also men and women alike!

Book in Saskatoon                                                                       Book in Warman (Kendra, Maja)

Haylie has been practicing pelvic health and focused in prenatal and post-partum care since graduating from the U of S MPT program in 2011. Officially adding to her practice pediatric pelvic floor therapy in 2017. She has been advocating for treatment for women, ensuring appropriate and effective care throughout pregnancy and post-partum, and helping all expecting and post-partum moms ultimately brought her to open her family-friendly clinic. At Warman Physio clients are encouraged to bring their infants and children to treatment. Warman Physio has been nominated as a finalist for the 2018, 2017, & 2016 WMBEXA, is a WMBEXA award recipient of 2017 New Business Award, and a finalist in the ABEX 2018, 2017 & 2016, and Haylie was recognized as YWCA Women of Distinction for Health & Wellness in 2017, and has been nominated for the 2019 SABEX and WMBEXA Awards.
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