Established in 2002, HomeCare Physiotherapy specialises in providing physiotherapy care to clients in their place of residence, whether that be at their home or aged care facility. We cater for those people who cannot, or find it difficult to attend a physiotherapy practice due to their condition or social situation, or when it is more appropriate to see them at home.
We have a holistic, goal-oriented approach to treatment and are dedicated to providing an individualised and function-focused service for each client. We aim to be the provider of choice for private domiciliary physiotherapy in Perth.
There are many factors that may affect our ability to move about as we get older. Loss of strength, flexibility, tactile sensation and vision all decline over time. Pain, illness, injury and a variety of health problems may also contribute. Staying mobile is critical to our overall health and our quality of life. Physiotherapists are best placed to advise on how to maintain a good level of mobility or improve mobility if it has declined.
Falls risk assessment and prevention
Falls are a major and very common problem amongst older people. In fact, one-third of healthy 65 year olds will have at least one fall each year. Falls can result in serious injuries and can even be life-threatening.
A quick test to tell if you have reduced balance reactions, is to see if you can stand on one leg for 10 seconds. You should be able to. If you can’t, your balance is reduced and you are of an increased risk of falling, and will benefit from a program designed by your physiotherapist to improve your balance.
Prescription of walking aids and equipment
As our mobility declines with age or illness, we may require the use of a walking aid to enable us to stay safe when getting about, and reduce the risk of falling. There are many aids available, such as a walking stick (which come in many varieties), a walking frame or a 4 wheeled walker to name a few. These aids can significantly improve your walking ability, duration and your ‘functional capacity’. They also act as a safety measure to reduce your risk of falling and all the complications associated with a fall. We understand accepting the use of an aid can sometimes be a difficult. We assess and discuss your case on an individual basis, and advise you if an aid is required and on the most appropriate aid for your circumstances and your goals, and the reasons why.
Strengthening programs following hospital admission
Did you know that bed rest in older adults results in a significant decline in lower limb strength, power, aerobic capacity and a reduction in physical activity?
35% of older people discharged from hospital have a decline in their functional ability compared to when they were admitted. Often, this ability does not return on its own. An individualised exercise program is important to help regain this ability.
All musculo-skeletal conditions
Physiotherapists are experts in treating a wide range of acute and chronic pains. These include muscle and joint strains, back and neck pain and arthritic pain. Please call us to discuss how we may be able to help your particular problem.
Neurological rehab such as stroke, Parkinson’s disease, spinal cord injuries and TBIs
Stroke: Strokes come in varying degrees of severity and consequently have varying effects on people. They can affect movement, vision and/or speech. Some people have only short term symptoms while others are long-term or permanent. The aim of physiotherapy is to maximise a person’s ability to perform functional tasks such as walking and upper limb activities. This is achieved largely through movement retraining and strengthening. Sometimes muscle stretching and splinting may be required. The earlier rehab is commenced following a stroke, the greater the chance of a good outcome.
Parkinson’s Disease: Parkinson’s Disease affects functional activities of daily life as it affects movement and balance. An individualised exercise program can be designed by a physiotherapist to maintain muscle length and joint range of movement, improving initiation and co-ordination of movement and maintaining good heart and lung function.
Some other neurological conditions which benefit from physiotherapy management include Guillain-Barre Syndrome, Acquired Brain Injuries, Huntington’s Disease, Spinal Cord Injuries and Post-Polio Syndrome.
Many operative procedures require physiotherapy to regain full strength, range of joint movement and function following surgery. Common conditions we treat post-operatively include total hip and knee replacements, post-fractures and general surgical conditions. Being seen by a physiotherapist promptly is associated with good long-term outcomes.
Cardio-Pulmonary rehabilitation and management
Common cardio-pulmonary conditions we see include:
Chronic obstructive pulmonary disease: This is a common condition characterised by shortness of breath due to reduced flow of air to and from the lungs. It is not reversible and generally deteriorates over time. Physiotherapists can help you manage this condition with a specific pulmonary exercise program designed to meet your individual needs.
Bronchiectasis: This is another obstructive lung disease characterised by excessive production of yellow/green sputum. Physiotherapists can teach you self-management strategies and assist in the clearance of these lung secretions with postural drainage and chest physio.
Arthritic conditions such as osteo-arthritis and rheumatoid arthritis are painful conditions that can affect your movement and ability to perform daily tasks. Managing this pain is important so that you can maximise your functional ability. There is good evidence that aerobic exercise within ones tolerance of pain is strongly associated with good outcomes in terms of pain management and function. A tailored exercise program by a physiotherapist can help you manage your arthritic symptoms that affect you.
Chronic disease management
Long term disease and chronic pain will invariably have an adverse effect on a person’s lifestyle. Conditions such as diabetes and osteoarthritis, among others, can be managed better with an appropriate program devised by a physiotherapist consisting of appropriate exercise and learning self-management strategies.
Nearly 4.8 million Australians over the age of 15, including 1 in 3 women, and 1 in 10 men suffer from incontinence. The proportion of Women suffering is higher in those who have had children. The proportion of Men is significantly higher in those who have had prostate or Urinary tract problems. Most people are unaware that Physiotherapists can effectively treat these problems. Indeed, Physiotherapists can treat a large number of a conditions often helping to avoid surgery. There is now a considerable amount of research to show how effective this form of treatment can be. Not only can Physiotherapists assist with continence problems, but they can also help you avoid these problems before and after Surgery and/or Pregnancy, through effective and safe exercise programs.
Consumer Directed Care packages
Physiotherapy can be accessed with funds from a Consumer Directed Care (CDC) package. We are a preferred provider for number of care providers who administer CDC packages and are experienced in providing appropriate physiotherapy care within the budget constraints of a care package. We pride ourselves on providing a client-centred approach, with an emphasis on ongoing communication between all key stakeholders in the clients’ care. If you are on a CDC package and require physiotherapy, please contact us or speak to your Case Manager/Care Coordinator.
Other Allied Health services we provide for CDC packages are:
- Occupational Therapy
- Reablement Program
- Falls Prevention Program
The traditional model of care, is to provide someone with assistance to perform a task. Either this is to assist them do the task or do it for them. One of the current initiatives of WA Health is to move from this traditional community care services model towards a ‘wellness/capacity building’ model of care, through Reablement programs. This is replacing the focus from illness and dependence through passive help for individuals, with encouraging independence in performing activities of daily living. There is an increasing body of evidence that this shift produces more favourable outcomes for consumers with improved wellness, through achieving greater independence, and consequently reducing the amount and cost of care. In keeping with this evidence-based best practice, LifeCare has developed its Wellness and Reablement Program for individuals receiving community care.
Reablement is the process of helping people regain, or re-learn, skills required for daily living which have been lost due to deteriorating health or advancing frailty. It is distinct from addressing specific health care issues. Reablement programs are led by Allied Health professionals and are time-limited (6-12 weeks) with specific goals set around activities required for daily living. The focus is on engaging individuals in a program designed to improve their ability to perform specific activities of daily living, and minimise the amount of care required for these activities. For example, making a cup of tea, dressing themselves, independent showering.
Benefits to the Individual
Increased feelings of independence, empowerment and autonomy in managing their health and abilities.
- Improved physical and emotional well-being
- Improving their ability to self-care and to perform everyday activities of daily living
- Reducing the need for ongoing home care services
- Reducing the risk of falls and falls related injuries
- Avoiding hospital admission for reasons directly addressed by this program, for example, falls, medication or chronic disease mismanagement
If you are a client or a care manager of a care provider, please call us on 9335 7744 to discuss how we can help you.
National Disability Insurance Scheme (NDIS)
We are registered providers under the NDIS for:
- Occupational Therapy
We pride ourselves on working with our clients, to achieve mutually set goals and get more out of life. Please contact us to find out how we can provide services to you under NDIS.
For more information on NDIS, please visit: www.ndis.gov.au
Falls Prevention Clinics
- Run by physiotherapists, the LifeCare Falls Prevention Clinic (link to website) provides assessment and management programs for over 65s and others at risk of falling. We have a number of clinics across Perth.
- Provide a detailed one hour initial assessment to assess the multitude of factors which contribute to falls risk for each individual.
- Formulate a management plan and undertake goal-setting with the patient.
- Provide tailored exercise program options depending on the individual needs. This includes:
- Individual supervision of exercise program for more dependent patients who require close supervision due to safety concerns.
- Falls Prevention exercise groups
- Provide home exercise programs for those not requiring or not suited to a supervised program.
- Educate and advise on falls risk factors such as vision, medication, vitamin D supplementation, clothing/footwear, home environments, nutrition and continence.
- Promote self-management and empower the patient to take ownership of this significant health issue, whilst providing encouragement and support.
For more information, please visit www.thefallspreventionclinic.com.au