Your Visit

What to expect

Your appointment will last about 30 minutes. An initial visit will include taking a full case history about your current complaint and a medical history. The medical history is required as some conditions will alter the techniques and treatment available for you to reduce possible adverse effects. This is a friendly and informal conversation. A number of questions relating to various areas of the case history are likely. Please be as complete and open as possible.

I am is a firm advocate of “writing it down” a bullet list of where it hurts, what caused it, what makes it better or worse or has no effect, whether you have had it before, what you have tried in relation to treating it and how effective that was. Any questions you have can be added and avoids thinking that a question should have been asked after you have left.

Shoes and some clothing will need to be removed for the examination, see appropriate dress, below; once completed you will be presented with a working diagnosis the meaning and implication of which will be explained along with treatment options and expected outcomes, if you agree to be treated this can be started in the first appointment. I will explain what I’m doing as I go along. If you are uncomfortable with any part of this, you have the right to ask me to stop at any stage without prejudicing your future treatment, please do not worry about doing so.

The number of treatments needed vary greatly and some indication of this can be made at the time of the appointment.

If I am unable to help or you do not wish to be treated then alternate courses of action can be suggested and discussed.

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Regular treatment / ongoing treatment / follow up treatment

The primary treatment method I use is to treat what I find after discussion and consent is given; I then suggest that patients call at need without necessarily booking a followup appointment. In some cases further treatment is necessary after the body has time to heal. This is taken on a case by case need.

The basic osteopathic thinking is about promoting movement mainly in the sense that the fluids and joints all freely move in the body. This allows for good nutritional supply and good removal of spent resources, helps the maintainance of good skeletal and organ function which is in itself promoting your health.

It may be that the sense of freedom of movement is the outcome measure one would make rather than the resolution of a pain or painful condition. Increasingly people are visiting to access this form of treatment.

If this interests you as an ongoing form of care then please discuss this with me during your appointment.

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In some cases exercises are given to aid you in your recovery or in the prevention of a return of the symptoms. These will be demonstrated and the rationale given. An information sheet is available to download here.

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Appropriate Dress

In order to fully inform you about the condition you present I will need to be able to see your spine and pelvis level. Patients are advised to wear a t-shirt and leggings / sport shorts with a divide at the waist which allows for modesty for you as a patient and allows the practitioner to work to your best interest.

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Applied Kinesiology Appointments

Applied Kinesiology, manual muscle testing, is used as an adjunct to evaluation in many cases. The additional information making the opinion offered and treatment recommended more specific. Applied Kinesiology testing for gut health, allergy and biochemical needs is also offered please see the Applied Kinesiology page for more information.

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Time Keeping

Patients are allotted approximately 30 minutes for their first and any subsequent follow up appointments. Allotted times are not fixed and I may spend more or less time during your appointment. Time spent on treatment is dependent on the complexity of the problem or how much can be realistically and comfortably achieved on each visit. Time is also required for patient clinical notes, providing exercises (if appropriate) and advice. If there is a delay please bear with me and understand the need.

If you know you will be late please let me know, this may not have an impact on other appointments and can be accommodated but there are circumstances that rebooking will be necessary as there would be insufficient time to provide a safe or effective treatment.

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All patients under 18 years of age will need to be chaperoned for treatment. Anyone wishing a chaperone to be present is requested to either bring someone with them or let me know at the time of booking so a chaperone can be arranged.

I am unable to arrange instant chaperoning and if this request is made then the appointment will need to be rebooked at a time suitable to all parties.

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Decisions about your care and treatment need to be made with you. This means that I will continually keep you informed of the care/treatment I propose, the benefits of that care/treatment, any risks that may be associated with it and any alternatives to you having osteopathic treatment. This will help you make informed decisions about your care/treatment. The information I give will be specific to you, your age, current health and presenting symptoms.

Please tell me if the information I give is unclear or you do not understand what has been explained.

It is also important that you keep me informed of any changes to your state of health or changes to any medications your taking. If you wish to take time considering your course of action then a booking can be made for treatment at another time.

Regular review of the consent regulations is undertaken as part of Continuing Professional Development.

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Disabled access

Coombedene has limited access for disability, but patients with severe mobility impairment and those in a wheelchair are unable to access the building. In these cases alternative arrangemets can be made including the organising of a Home Visit.

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Bringing Children to your appointment

Your appointment is an opportunity for you to discuss issues about your healthcare and wellbeing. It is requested that you make provision for your children to be looked after so you can fully focus on your appointment and the decisions and consents you will need to make at the time.

If it is necessary to bring your children then please make sure they have an activity to do whilst they are here and have been told what will occur so they are not concerned by what they see or hear. The treatment room is not “child proof” and presents opportunities for toddlers that will draw your attention away from making informed choices for yourself.

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Payments / Fees

Payment for the appointment becomes due and should be made at the end of the appointment, on every occasion.

Payment methods accepted are cash, cheque and BACS to 20-99-40 70558184 with the appointment date as a reference. Receipts are given on request once payment is received.

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Contact after the appointment

If you have any questions or concerns or wish to let me know that you have recovered please be in touch – I would much rather support and reassure you than not get a call, text or email and its always nice to know that you are happy with the outcome of your treatment.

It may not be possible to answer a voice call immediately, usually because I am with someone else. Please leave your name and telephone number to ensure a call back.

Email is the preferred method of support offered to those on the Dysbiosis/Allergy programme as the reply will be written and can be added to your take home information.

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General Data Protection Regulation (GDPR)

A full copy of the GDPR policy wording is available here which details how your data is collected, processed and stored. You will be asked for your consent to this at your next appointment.

Your personal details are private to you and will not be disclosed unless a legal application is received.

Records and details are stored electronically in a bespoke program designed for the purpose which contains data security measures as part of the program. This is only accessible from the office location.

Your personal data will only be used in pursuance of your care or contact relating to practice management needs. I am registered with the Information Commissioner.

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Feedback is welcome when constructive as it means we can act to improve. Often even small changes can make a huge difference. If you don’t tell me I cannot do anything about them.

Please email or leave a comment on the Facebook page and for more general feedback on Osteopathy you can relate your experiences to the Osteopathic Research team at NCOR via their feedback site – many thanks.”

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