When best practice isn’t always best: Flexible approaches to deliver quality care for paediatric continence needs in remote Western Australia.
Karina Caldwell1 1Connect Paediatric Therapy Services, Karratha, Western Australia, Australia
Abstract
Best practice is something all allied health professionals strive to deliver. It is where research, funding and health strategy are focused. At times though, best practice doesn’t always fit, is not feasible, or is simply not available.
Reflections on over a decade of experience on the role of a Continence Physiotherapist in the remote WA Pilbara region will highlight how practice has needed to change and adapt, while still striving to provide quality, evidence-based care. There have been many shifts to adjust to: adapting from a primarily adult caseload to paediatric clients; transitioning from multiple disability funding models to the Australia-wide NDIS; and navigating challenges unique to our First Nations clients, Covid-19 and embracing Telehealth to support people farther afield in the Kimberley and Christmas Island.
It can be a balancing act. Expanding the lens of traditional community clinical service delivery is needed to see the client and their whole family and social situation, whilst remaining within scope of practice and expertise. The ability to be flexible, adaptable, innovative, resilient and boundaried are necessary tools. Being prepared to take risks, evaluate effectiveness and make necessary changes are essential. Initially there appeared to be minimal need for paediatric continence physiotherapy for children with disability in remote WA with only a few clients. Through education, interprofessional learning and striving for best practice this has changed.
This presentation dives into the challenges, strategies and potential solutions for modifying and delivering best practice care in remote areas that are applicable throughout all of Australia.
Biography
Karina has over 20 years experience as a physiotherapist and has spent the last 11 years working in Karratha as a Continence and Women’s Health Physiotherapist. Currently Karina focusses her work on paediatric continence for both NDIS and private clients. Access to high quality care regardless of where someone is geographically located is a key passion. Karina works with clients from a wide range of places including the Pilbara, Kimberley and Christmas Island. After initially moving to Karratha for “1-2 years” her family are still calling the Pilbara home – appreciating the outdoor lifestyle, community sports and camping.