Reflection on patient centred care in osteopathy (850 words 10%, excl references)

Objectives: 1. To explore and elaborate the biomechanical model of osteopathic diagnosis and treatment in contemporary practice and reflect on the usefulness of this model given the evidence for patient-centred care. 2. To demonstrate professional written communication skills.
Instructions: Please read the following excerpts and address the associated questions in a written essay format.
‘Recent research has demonstrated unreliability of biomechanical palpatory skills and diagnostic reasoning. Many evidence-based summaries have drawn together evidence of the inaccuracy of palpation, unreliability of postural tissue-based diagnosis and ineffectiveness of manual therapy techniques to achieve significant changes in posture, tension and mobility’ (Smith, 2019)
Smith, Deborah. “Reflecting on New Models for Osteopathy – It’s Time for Change.” International Journal of Osteopathic Medicine 31 (2019): 15-20. Web.

‘The effects of manual techniques are, in the best cases, short-lived and are largely redundant (Lederman, 2011). It can, however, be argued that manual techniques permit the recovery of force and resistance, mobility and postural balance.’ (Lunghi et al, 2016)
Lunghi, Christian, DO, ND, Tozzi, Paolo, MSc Ost, DO, PT, and Fusco, Giampiero, DO, PT. “The Biomechanical Model in Manual Therapy: Is There an Ongoing Crisis or Just the Need to Revise the Underlying Concept and Application?” Journal of Bodywork & Movement Therapies 20.4 (2016): 784-99. Web.

• READ and CRITICALLY ANALYSE the articles that the excerpts are taken from
• DEFINE and DISCUSS the biomechanical model; and its current use in osteopathic practice. You may use your research skills to find other articles to strengthen your discussion
• INTEGRATE your discussion of the biomechanical model within the biopsychosocial model
• REFLECT on the current usefulness of this diagnostic model, and whether this is sufficient as a form of patient-centred care

Some extra things to think about which may help stimulate your reflection:
• Discuss the biopsychosocial approach and how you, as the practitioner, can use this knowledge to develop your own treatment philosophy
• Does this change your view of traditional osteopathy? <link is hidden> osteopaths you have seen in the past
• How can you start to incorporate patient centred care at this part of your career?
• Does this change your perspective on what osteopaths do day-today?
• You may wish to locate additional peer-reviewed papers that discuss patient experiences and discuss how this also shapes your perspective on your role as a healthcare practitioner in the Australian healthcare system

Overall Structure, Presentation and Referencing:
• Use APA referencing – within-text and bibliography
• University standard of resources/reference material (minimum 5 references) already provide 2 above.
• Use of diagrams, tables and/or figures if necessary
• You will be assessed on your; clarity of expression, clarity of communication, grammar and spelling, and adherence to scientific writing principles and assignment guidelines.
• Use Arial font, size 12 and double spacing

(20%) Sets context and purpose of the essay • at a level RUBRIC:
The introduction appropriate to a non-expert reader and • moving from broad concepts to specifics of the topic • Appropriate length and detail (10%) The focus and purpose of the essay is clearly and succinctly expressed in 125 to 275 words. The introduction starts from broad and simpler concepts moving fluently towards the topics to be discussed. It uses plain language phrases and explanations to convey the importance of the topic matter with no jargon or discipline specific terminology
Indicates scope, breadth of essay body in an engaging manner. (10%) The introduction fully encompasses and reflects the topics of discussion in a balanced way and provides a clear outline of how the narrative unfolds. The paragraph captures the reader’s interest or imagination in a compelling and articulate way
Body of essay Body paragraph structure (10%) Consistently clear and appropriate structure of a body section that aligns with introduction and/or conclusion. Paragraphs consistently have clear and relevant topic sentences and are coherent, logical and well developed.
Written expression (10%) Meaning is communicated clearly and effectively through consistent and sophisticated use of academic style, unambiguous language and correct and appropriate grammar, vocabulary, punctuation and spelling.
Use and integration of academic sources and referencing (20%) Consistently clear, well-integrated evidence from academically credible sources using accurate paraphrase and summary. In-text and bibliographic reference
Summarises or overviews the body content without introducing new information, clearly, and succinctly (20%) The conclusion is of length 125 to 275 words and references concepts already discussed with a broad overview. The conclusion accurately reflects the content of the body. It gives an excellent overview or summary. No new information is introduced in the conclusion. The conclusion articulately brings together ideas presented in the introduction and body into a new viewpoint

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