FYSIOTERAPEUTEN 4/23 35 forbund NFF; 2012. Retrieved fromhttps://fysio.no/Hva-er-fysioterapi/Hva-erfysioterapi-utdypet . 18. Heggen K. Profesjon og identitet. Profesjonsstudier. 2008:321-32. 19. Dahl-MichelsenT. Gender in physiotherapy education. A study of gender performance among physiotherapy students and changes in the significance of gender. 2015. 20. Langaas AG. Å berøre og bli berørt - å bevege og bli beveget: om fysioterapeutstudenters læring omog gjennom kroppen: Det medisinske fakultet, Universitetet i Oslo; 2013. Retrieved fromhttps://books.google.no/ books?id=9zxRoAEACAAJ 21. Da Silva JL, Agbangla NF, Le Page C, GhernoutW, Andrieu B. Effects of chronic physical exercise or multicomponent exercise programs on the mental health and cognition of older adults living in a nursing home: a systematic review of studies from the past 10 years. Frontiers in Psychology. 2022;13. 22. Arrieta H, Rezola-Pardo C, Gil SM, Irazusta J, Rodriguez-Larrad A. Physical trainingmaintains or improves gait ability in long-termnursing home residents: A systematic review of randomized controlled trials. Maturitas. 2018;109:45-52. 23. Marcant D, Rapin C-H. Role of the physiotherapist in palliative care. Journal of pain and symptommanagement. 1993;8(2):68-71. 24. Kelemen A, Anderson E, Jordan K, Cates LC, Shipp G, Groninger H. “I Didn’t KnowMassages Could Do That:”A qualitative analysis of the perception of hospitalized patients receivingmassage therapy from specially trainedmassage therapists. Complementary Therapies in Medicine. 2020;52:102509. 25. Sterke S, Nascimento da Cunha AP, Oomen H, Voogt L, Goumans M. Physiotherapy in nursing homes. A qualitative study of physiotherapists’views and experiences. BMC geriatrics. 2021;21(1):1-9. 26. McLeod KE, Norman KE. «I’ve found it’s very meaningful work»: Perspectives of physiotherapists providing palliative care in Ontario. Physiotherapy research international : the journal for researchers and clinicians in physical therapy. 2020;25(1):e1802. https://doi.org/10.1002/pri.1802 27. Kinley J, Hockley J, Stone L, Dewey M, Hansford P, Stewart R, et al. The provision of care for residents dying in U.K. nursing care homes. Age and ageing. 2014;43(3):375-9. https://doi.org/10.1093/ageing/aft158 28. Høgdal N, Eidemak I, Sjøgren P, Larsen H, Sørensen J, Christensen J. Occupational therapy and physiotherapy interventions in palliative care: a cross-sectional study of patient-reported needs. BMJ supportive & palliative care. 2020. https:// doi.org/10.1136/bmjspcare-2020-002337 29. Forskrift omnasjonal retningslinje for fysioterapeututdanning. Forskrift om nasjonal retningslinje for fysioterapeututdanning. 2019. Retrieved fromhttps:// lovdata.no/dokument/SF/forskrift/2019-03-15-410 30. Kvale S, Brinkmann S. Det kvalitative forskningsintervju. 3 ed. Oslo: Gyldendal akademisk; 2015 2015. Title: Physiotherapy in Norwegian nursing homes – a qualitative study of physioterapists’ experiences Abstract Aim: The purpose of this study is to explore the experiences physiotherapists have in providing physiotherapy treatment to residents with long-term care in Norwegian nursing homes, and to look at how physiotherapists are involved in the treatment of residents in the end-of-life phase. Method and material: This article is based on exploratory qualitative interviews with six physiotherapists who work in nursing homes. The interviews were semi-structured and the data was analyzed with systematic text condensation. Findings: The participants largely adopt a traditional physiotherapist role with focus on physical exercises. They recognize that physiotherapists have knowledge and skills that are relevant to residents at the end of life but are scarcely involved in the interdisciplinary team that care for the dying person. Conclusion: Physiotherapists who work in long-term wards in nursing homes spend most of their time on traditional physiotherapy. The participants are not involved in end-oflife treatment or care, but believe that physiotherapists have relevant knowledge and are thus an unexploited resource. The lack of physiotherapists in the multidisciplinary palliative team is a result of the physiotherapists themselves not expressing that they want to contribute, and doctors and nurses not requiring their knowledge in this area. The organization of the physiotherapy service in nursing homes also influences interdisciplinary collaboration. Keywords: Physiotherapy, nursing homes, palliation, end-oflife. Oppfordrer til kritisk bruk av BMI- skala I USA oppfordres leger nå til enmer kritisk bruk av BMI sommål på sunn vekt. Skalaen anbefales kun til bruk i kombinasjonmed andre måleverktøy. Kroppsmasseindeks (KMI), eller BMI på engelsk, er et velkjent mål ved vurdering av helsemessig vekt. Skalaen gir en numerisk verdi som klassifiseres innenfor ulike kategorier: Grad av undervekt, normalvekt eller grad av overvekt. På Norsk Helseinformatikk (NHI) sine nettsider for utregning av KMI presiseres det at verdien må ses i sammenheng med andre faktorer som alder, kjønn, kroppssammensetning, blodtrykk og kolesterolverdier. En rapport fra den Amerikanske legeforeningen (AMA) peker på betydelige begrensninger i klinisk bruk, og beskriver BMI-skalaen som en unøyaktig målemetode for kroppsfett i forskjellige grupper. Blant annet mener de det er problematisk at skalaen ikke tar høyde for forskjeller mellom etniske grupper, kjønn og aldersgrupper. Den nye rapporten oppfordrer derfor å kombinere skalaen med andre målemetoder, som målinger av visceralt fett, kroppsfettindeks, kroppssammensetning, relativ fettmasse, midjeomkrets og genetiske/metabolske faktorer. Les mer på fysioterapeuten.no.
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