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Home Log book for Balance rehabilitation

Log book for Balance rehabilitation

Logbook | Balance rehabilitation

Candidate details

Contact Address
Contact Address
City
County
Post code

Supervisor details

Record of training

Clinical sessions

All of these sessions must be supervised by an appropriate staff member who meets all the requirements as required in the HTS regulations, and should be recorded in the table below. Additional sessions which do not meet the supervision requirements as outlined in the regulations cannot be counted towards the total number of minimum sessions for this module, and should not be include in this table.

Please note, these are sessions of approximately 3.5 hours, not individual patients.

Clinical sessions

Date

Supervisor
Supervision level
Direct / Indirect
Direct / Indirect
Direct / Indirect
Direct / Indirect
Direct / Indirect

Time spent on session

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Summary of HEI M level credits completed relevant to this module

Completion certificates award should be submitted with this portfolio insert when requesting examination.

Summary of HEI M level credits

Maximum file size: 73.4MB

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Tutorial Subjects

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Case Studies

Maximum file size: 73.4MB

Secondments

duration (in days) of the secondment

Maximum file size: 73.4MB

Maximum file size: 73.4MB

Clear
Signature only required if report not uploaded and signed already
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Placements

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Part A: Direct observation of clinical skills

Section

1. Preparation for appointment to include preparation of clinical facilities, collation of appropriate counselling tools and patient information, and room set up

Section

(Staff name /date)
(Staff name/date)

Section

2. Independently and succinctly obtains a relevant rehabilitation history in a logical but flexible progression:
a. Showing sensitivity to the patients’ concerns both in questioning and information giving
b. Recording relevant information whilst maintaining a rapport with the patient and being aware of their concerns, to include;
i. Referral information
ii. Medical history including medication
iii. Summary of test results so far (if patient has already undergone balance assessment)
iv. Overview of symptom duration, onset and chronology including precipitating/associated factors and motion/visual provoked symptoms and / or changes since last seen
v. Comorbidities, limitations and restrictions.
vi. Effect on quality of life and employment.

Section

(Staff name /date)
(Staff name/date)

Section

3. Utilises questionnaires to establish degree of symptoms and impact balance problems are having on patient and any co-morbidities, and which could be used to monitor outcomes e.g. Vertigo Symptom Scale, Dizziness Handicap Inventory, VRBQ, Nijmegen Questionnaire

Section

(Staff name /date)
(Staff name/date)

Section

4. Carry out testing and procedures as required, being aware of all contraindications, the safety of patient and tester, and the implication of the results. This may include any of the following
a. Clinical and bedside tests of functional evaluation of postural stability and gaze stability;
i. Romberg/Sharpened Romberg/Romberg on foam/mCTSIB
ii. Head impulse
iii. Implication and interpretation of results
b. Positioning testing (if indicated) to include:
i. Preparation and placement camera or direct observation
ii. Dix-Hallpike Testing (including side-lying where indicated)
iii. Horizontal roll test
c. Particle repositioning to include
i. Epley/modified Epley
ii. Semont
iii. Treatment for anterior and horizontal BPPV

Section

(Staff name /date)
(Staff name/date)

Section

5. Safely perform a balance rehabilitation exercise assessment to inform:
a. Appropriate level and grading of exercises.
b. Adjustment of short-term goals.

Section

(Staff name /date)
(Staff name/date)

Section

6. Develop a holistic and individualised vestibular rehabilitation plan for a routine patient including
a. Exercise-based vestibular rehabilitation
b. Treatment of BPPV with appropriate particle repositioning manoeuvre(s) if appropriate
c. Principles and application of shared decision-making.
d. Goal setting.
e. Outcome measures.
f. Holistic management approaches. (e.g. breathing, relaxation)
g. Sources of support (e.g. charities).

Section

(Staff name /date)
(Staff name/date)

Section

7. Management of associated problems, to include onward referral/sign-posting where appropriate e.g. anxiety and depression, physiotherapy, falls clinic (if available), ENT (persistent BPPV that does not treat for example).

Section

(Staff name /date)
(Staff name/date)

Section

8. Debrief to patient with regard to management plan to include:
a. Rehabilitation plan, patient's responsibilities and proposed monitoring and follow-up, using appropriate language
b. Responding to questions from patient in an appropriate way, showing sensitivity and rephrasing /re-explaining as necessary to ensure understanding
c. Backing up information given with information materials where possible 

Section

(Staff name /date)
(Staff name/date)

Section

9. Keep appropriate clinical records: record findings and interventions delivered clearly, in a consistent format, all of which must be dated and named.

Section

(Staff name /date)
(Staff name/date)

Section

10. Write reports on rehabilitation sessions, recommended treatment plans and / or outcome of treatment as required, suitable for the intended audience, to include a range of professionals.

Section

(Staff name /date)
(Staff name/date)

Part B - Periodic Appraisals of Competencies

New adult balance rehabilitation appointment

Internal Assessor/External Assessor in Home Department/External Assessor On Secondment

Please leave blank if not applicable

Competency 1:
Prepare clinical facilities, rehabilitation tools and room set up.
Competency 2:
Brief patients and/or carers appropriately with reference to their information needs and expectations of the appointment.
Competency 3:
Formulate and plan clinical approaches, using clinical reasoning strategies, with reference to identified purpose of assessment and information needs of others.
Competency 4:
Carry out a full and relevant rehabilitation interview.
Competency 5:
Carry out a rehabilitation assessment to include use of validated questionnaires, a balance rehabilitation exercise assessment and/or positioning testing, in a safe and effective manner adapting as required to ensure information gained is maximised within the time available.
Competency 6:
Show creativity, initiative and originality of thinking in tackling and solving practical problems.
Competency 7:

Collate relevant information, interpret and make an informed decision concerning management of individual cases
Competency 8:
Develop a holistic and individualised vestibular rehabilitation plan incorporating shared-decision making and goal setting, identifying where plans may need to change or adapt according to clinical or personal preferences.
Competency 9:
Recognise the need for and arrange onward referral to relevant professionals considering the holistic needs of the patient, such as referral to physiotherapy, a local falls clinic or to mental health services for support with anxiety/depression.
Competency 10:
Give clear information on rehabilitation plan, advice and recommendation for follow-up actions/interventions using appropriate language and communication strategies and an empathetic approach.
Competency 11:

Collate, and prepare resource materials (including patient information) including signposting to online resources, to complement their own interventions.
Competency 12:

Write reports on rehabilitation session and recommendations and / or outcome of treatment as required, suitable for the intended audience, to include a range of professionals.
Competency 13: Keep appropriate clinical records.

Competency 14:
Demonstrate the ability to, and articulate clearly through presentation and constructive discussion with colleagues:

a. Relate their own practice to a supporting knowledge base – including reference to evidence based and/or recognised good practice
b. Clearly justify any of their own clinical decisions made in the assessment or management of patients
c. Explain the local structures (i.e. care/treatment pathways) for processing patients and offer critical evaluation
d. Critically evaluate and reflect on their own actions
e. Show independent thought through evaluation and presentation of alternative (and justified) approaches to existing local practice

0: Does not currently meet examination requirements
1: Meets examination requirements
2: Exceeds examination requirements

Agreed to reassess inweeks
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Part B - Periodic Appraisals of Competencies

Review adult balance rehabilitation patient

Internal Assessor/External Assessor in Home Department/External Assessor On Secondment

Please leave blank if not applicable

Competency 1:
Prepare clinical facilities, rehabilitation tools and room set up.
Competency 2:
Brief patients and/or carers appropriately with reference to their information needs and expectations of the appointment.
Competency 3:
Formulate and plan clinical approaches, using clinical reasoning strategies, with reference to identified purpose of assessment and information needs of others.
Competency 4:
Carry out a full and relevant rehabilitation interview.
Competency 5:
Carry out a rehabilitation assessment to include use of validated questionnaires, a balance rehabilitation exercise assessment and/or positioning testing, in a safe and effective manner adapting as required to ensure information gained is maximised within the time available.
Competency 6:
Show creativity, initiative and originality of thinking in tackling and solving practical problems.
Competency 7:

Collate relevant information, interpret and make an informed decision concerning management of individual cases
Competency 8:
Develop a holistic and individualised vestibular rehabilitation plan incorporating shared-decision making and goal setting, identifying where plans may need to change or adapt according to clinical or personal preferences.
Competency 9:
Recognise the need for and arrange onward referral to relevant professionals considering the holistic needs of the patient, such as referral to physiotherapy, a local falls clinic or to mental health services for support with anxiety/depression.
Competency 10:
Give clear information on rehabilitation plan, advice and recommendation for follow-up actions/interventions using appropriate language and communication strategies and an empathetic approach.
Competency 11:

Collate, and prepare resource materials (including patient information) including signposting to online resources, to complement their own interventions.
Competency 12:

Write reports on rehabilitation session and recommendations and / or outcome of treatment as required, suitable for the intended audience, to include a range of professionals.
Competency 13: Keep appropriate clinical records.

Competency 14:
Demonstrate the ability to, and articulate clearly through presentation and constructive discussion with colleagues:

a. Relate their own practice to a supporting knowledge base – including reference to evidence based and/or recognised good practice
b. Clearly justify any of their own clinical decisions made in the assessment or management of patients
c. Explain the local structures (i.e. care/treatment pathways) for processing patients and offer critical evaluation
d. Critically evaluate and reflect on their own actions
e. Show independent thought through evaluation and presentation of alternative (and justified) approaches to existing local practice

0: Does not currently meet examination requirements
1: Meets examination requirements
2: Exceeds examination requirements

Agreed to reassess inweeks
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Supervisor’s Final Report and Sign-off

I confirm that this candidates training has been completed as per the module specification. I would like an exam to be arranged.

Maximum file size: 73.4MB

Please tick if resit is required

Resit information

Area below only for use when applying to resit the practical examination.

I confirm that I am satisfied the candidate is now ready to resit exam

Save / submit

If you have completed this module and are ready to submit this logbook check the box below, otherwise you can save your progress and come back to this later.

Assessors

Approval action