Complex Decision-making Managing Patients with Comorbidity course for Nurses



The aim of this session is to provide clinically relevant information surrounding the initial and follow-up encounters in first contact practice primary care consultations. This will include aspects of communication, clinical reasoning and the use of social prescribing through real case study examples.
By the end of the session you should be able to:
- Develop communication styles using ideas, concerns and expectations (ICE) framework
- Develop pattern recognition and adductive reasoning skills to strategically elicit, identify and manage patients who present with multi-morbid and complex conditions
- Create links between physiological, psychological, social and pathological contexts
- Understand the wider aspects of social care including the third sectors
- Increase your confidence in the effective sign-posting of patients with complex conditions whilst reflecting on one’s own scope of practice
Amanda has specialised in orthopaedics and MSK physiotherapy for 24 years, with a particular interest in innovation, mentorship and teaching around person centred care and complex clinical decision making for comorbidity.
Amanda has published articles and presented nationally and internationally on redesigning the care pathway for postoperative total knee replacement patients and direct access first contact physiotherapy in primary care. She is currently supporting the development of FCP nationally, alongside the Chartered Society of Physiotherapy and Health Education England; has developed a standardised national electronic template to prove the effectiveness, governance and sustainability of the role, and is involved in the national mentorship for emerging FCP models for physiotherapists and other allied health professionals.


Matt is a consultant physiotherapist at the Royal Bournemouth and Christchurch Foundation NHS Trust and is a visiting associate at the Orthopaedic Research Institute at Bournemouth University. He qualified from the University of Southampton and is a member of the Musculoskeletal Association of Chartered Physiotherapists (MACP) following completion of his Master’s degree in Neuromusculoskeletal Physiotherapy at the University of Brighton.
Matt has lectured and examined for pre-registration and post-registration students at a number of Universities in the South of England. He has lectured on subjects such as motor control, spinal manipulation and clinical reasoning skills. He has interests in compassionate person-centred care, the theory of causation within the healthcare setting, philosophy, reflective practice and critical thinking skills.
Affiliation (organisation where work undertaken) Royal Bournemouth and Christchurch Foundation NHS Trust.

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