Contextualizing care is the process of adopting your treatment approach to a patient specific life context. The failure to do so is called a contextual error, which often results in a care plan that is not likely to achieve its intended aim or produce a positive outcome. In this episode, Dr. Joe Tatta discusses how to contextualize care for improved outcomes with Gail Jensen, PT, PhD, FAPTA, Vice Provost for Learning and Assessment, Dean Emerita and Professor of Physical Therapy at Creighton University. She is internationally regarded as a scholarly expert in clinical practice, clinical reasoning, professional ethics, as well as into professional education within and outside of the physical therapy profession. Join in for more powerful information.
Physiotherapists have a role to play when it comes to saving the environment. You can tell your clients to drive less. You can try to start influencing public policies to be more environment-friendly. There are a lot of ways physios can help save the degradation of the planet. Join Dr. Joe Tatta as he talks to Filip Maric, Ph.D., and Todd Davenport, PT, DPT, MPH, OCS. They discuss the state of the environment today when it comes to carbon emissions and environmental contaminations. Find out how you, as a physiotherapist can help save the environment. If you want to learn more, check out Integrative and Lifestyle Medicine in Physical Therapy, where Filip and Todd have a whole chapter dedicated to this. Find out how physiotherapy relates to the environment today!
Cardiovascular disease is the number one killer of both men and women in the United States. Despite its severity, it is still a preventable and reversible condition. Nolan Peacock, PT, DPT of St. John's Health joins Dr. Joe Tatta to discuss how primary care can better treat heart diseases through physical therapy. She explains why PTs must go beyond being movement experts and start providing lifestyle interventions to heart disease patients. Dr. Nolan discusses how this setup can help promote physical activity to the aging population and empower patients to actively improve their quality of life, all while keeping the impact of cardiovascular disease at bay.
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Pelvic girdle pain is typically caused by unevenly moving joints, making the bones less stable and mobile. Pregnant women often experience this painful sensation, but it must never be treated the same way as non-pregnant people. Dr. Joe Tatta reframes pregnancy-related pelvic girdle pain beliefs with Dr. Sinéad Dufour, Associate Clinical Professor in the Faculty of Health Sciences at McMaster University in Canada. She discusses why this chronic pain still has a lot of misconceptions and continues to be mistreated despite the mounting evidence around its psychosocial and physiological factors. Dr. Sinéad also explains how women can stay resilient throughout pregnancy by paying more attention to biomechanics than their individual (and potentially incorrect) beliefs.
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The relationship between autism and pain sensitivity is something that we have not covered in this show, mainly because it’s also a relatively new area in pain literature. How does pain management look like in cases where communication might be a challenge? Bethany Donaghy, MSc, BSc And Michelle Failla, PhD join Dr. Joe Tatta in this episode to explain. Dr. Failla is Research Assistant Professor in the College of Nursing at The Ohio State University whose research focuses on understanding the role of social communication in pain responses and management. Bethany is an autistic PhD student at Liverpool John Moores University, UK. Her current PhD project explores pain in autistic children and young people. Tune in and listen to the insights of two trailblazers in this emerging field.
Here are some links for two papers and a review on pain in autism:
• Increased pain sensitivity and pain-related anxiety in individuals with autism - PubMed (nih.gov)
• Initially intact neural responses to pain in autism are diminished during sustained pain - PubMed (nih.gov)
• Acute pain experience in individuals with autism spectrum disorders: a review - PubMed (nih.gov)
Michelle Failla’s website:
Michelle Failla | The Ohio State University College of Nursing (osu.edu)
If you have a need in the future, Michelle’s other line of work is in pain in Alzheimer’s Disease, and she works with a number of people trying to understand pain perception and differences in dementia. If that’s ever of interest to you and your podcast, reach out and Michelle can connect you with some great people in that work.