CONTENTS

NO CONTENT PAGE

1 INTRODUCTION 2

2 TITLE 3

3 RATIONALE 4

4 PURPOSE 7

5 TARGET GROUP 8

6 VENUE 9

7 FLOOR PLAN 11

8 MANPOWER PLANNING 13

9 TASK AND RESPONSIBILITIES 14

10 BUDGET 17

11 CONCLUSION 21

12 REFERENCES 23
1.0 INTRODUCTION
Paediatric physiotherapy is the treatment, by physical means, of conditions
seen in children, which affect or compromise normal childhood development. The
paediatric community Physiotherapy services provides specialist assessment
and a range of interventions to enable the children with physical difficulties to
reach their full potential by maximising function and independence and promoting
normal movement; aiming to prevent limit contractures and deformity, and
thereby improving quality of life.

The physiotherapist teach the families and carers about the child presents
with the programme of activities required to either maintain or to develop skills.
Partnership with parents and education staff is essential.

Chronic pain can be so disabling that it can prevent a child from participating
or join other children or family doing normal activities in their age range such as
doing outdoor activities, going to school, join the social events, and sports that
they like. It also can lead to isolation and also some got in depression as the
child has to grow up with abnormalities with their family and friends.

When a child facing the worse condition and situation, their family also
involved to their problem. Instead the parents are trying finding ways to help their
child, in the same time they also facing the stress of the work and also other
disruptions of daily living.

So this one stop paediatrics rehabilitation centre can help the parents to solve
their child problem. We carry the hope that those children and families can
coping with the chronic pain and related functional disability, even after standard
therapies, surgeries and medication have been exhausted. This rehabilitation
centre are built to help the children and also the families to reclaim their lives
same as other normal families.

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 This rehabilitation department provide services to children who have
difficulties with gross motor skills including delayed development, balance and
co-ordination. At this centre, all therapies work together in treating acute and
chronic of respiratory conditions, elective orthopaedic injuries and some neuro-
rehabilitation cases. This centre also will help to treat the premature babies
including the babies who are born with Cerebral Palsy and Brachial Plexus Palsy.

At our paediatric treatment room will be open only on weekdays which is from
Monday till Friday. This department will be opened at 10a.m. 5p.m. and the
registration counter will be opened starting on 9.30 a.m. during morning session
and on 2 p.m. for evening session.

This department also provide the experiences therapies to treat the children.
Total of our therapies are five which consist of the two experience
physiotherapies and also work as physiotherapys lecturers and three
experiences and skilful alumni Physiotherapy students from University Kuala
Lumpur Royal College of Medicine Perak. This therapies will work according to
the shift which is 3 on the morning till 1p.m. on the lunch shift and 2 will be
replaced on evening session that is from 2 p.m. till 5.p.m. Our department also
open the chances to physiotherapy students that want to gain the experiences
and skill at our paediatrics treatment room but limit only to 3 students for a
month. We opened to all medical college that have interested to let their students
to do the clinical posting at our department.

2.0 TITLE
Proposing Twinkle Physiotherapy Centre

3.0 RATIONALE
The children that face the health problem should get the proper treatment to
help them continue their live same as other normal children. These kind of
children can be help by the physiotherapist that actually work with people of
varying ages from premature babies to adolescents to ensure optimal physical
function and development. We are very concerned with movement, co-

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ordination, body posture. Also, in paediatric cases is to provide a program that
the children and families will enjoy and encourage them to participate with other
normal children and become independent in daily lives.

The aims of physiotherapist is to minimise the effects of physical impairment

to promote optimum function and musculoskeletal development. Advice to
parents and children on activities and stretches offered by the physiotherapists
can be assist by maintaining full range of movement and prevention of
contracture.

Benefits of get assess and treat infants and children with a range of conditions
such as Cerebral Palsy (from mild hemiplegia to severe quadriplegia),
Developmental delay (due to hypotonia with/without diagnosis and may be gross
motor or global), Posture problems (torticollis, scoliosis, talipes, metatarsus
adductus), repiratory problems such as Cystic Fibrosis or asthma and more
others.
The physiotherapist in paediatric is to assess the referred child and give parents
and/or carers advice regarding handling, positioning and treatment through play
and/or exercise. Physiotherapist work closely with families, carers, teachers and
doctor and other health professionals. The approach is holistic and practical, with
an emphasis on gross motor function and posture. For better outcomes and most
effective treatment results, early referral is the key (before eight months). Infants
and children can be seen at home, day care centre, early intervention programs,
schools or clinics on a regular basis.

Advice will be given on appropriate handling and equipment including methods

may be used such as neurodevelopmental therapy, motor learning and
hydrotherapy. Physiotherapist are often the firs therapist to see the child amd are
well received by parents.
Paediatric physiotherapist also work with a range of conditions to help older
children and adolescents, including:
Acquired brain injury and spinal injury
Neurological diseases
Post trauma injuries, such as fractures, sport injuries, post orthopaedic
surgery

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 Burn and plastic surgery
Limb deficiency conditions
Chronic pain
Fractures
Musculoskeletal conditions such as soft tissues injury, back pain,knee
pain, postural problems, and also joint problems
Neurodevelopmental problems
Neuromuscular conditions

Physiotherapist role as help to maintain and develop functions skill level and range
of movement in order to minimise joint contracture and postural deformities. They
encourage children to partake in wide range of activities and communities to
maintain physical fitness and provide opportunities for socialisation with their peers.
They also prescribe and monitor the use of aids such as orthotics, walking aids, and
wheelchair to maintain independence.

The physiotherapist also manage

The children/ young people that referred to the therapist by the doctor
from hospitals or clinic
The assessment and provision of Orthothics for the children and young
people that we can see with some of neurodevelopmental and
neuromuscular conditions to facilitate improved gait patterns and
minimise deformity
Assessment and ordering of mobility and postural support equipment.

The pie chart below shows the statistic of paediatric cases involving of
musculoskeletal and neurological problems in our country

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Statistic of Musculoskeletal System and Neurology Problem in Paediatric Cases

3.2; 28.07%

1st Qtr
2nd Qtr

8.2; 71.93%

Statistic 1 shows of problem between Musculoskeletal and Neurology in Paediatric

Cases

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4.0 PURPOSE
The purpose of this Paediatric Department are:
To provide the specialist assessment, intervention, advice and guidance
for children and their families where the delay is attaining the childrens
gross motor skills such as late sitting or walking due to variety of reasons
Also to minimise physical disabilities and maximise physical abilities and
independence of our patient.
Will work as part of the multi-agency team that providing our support and
education on physiotherapy issues to our patients, their parents and/or
families.
Provides rehabilitation services to children in aged 0-12 years that having
neurological - developmental conditions such as cerebral palsy, muscular
dystrophy, spinal bifida, neurological syndromes, chromosome disorders,
developmental delay, toe walking, gait anomalies and children with
cardiorespiratory problems.

We also has provided the spinal physiotherapist who will give the best
treatment to patients with range of spinal deformities that been referred by
our spinal consultants.

At this paediatric department, we as the physiotherapist will provide both

elective (planned) and non-elective (emergency) inpatient care to infants,
children and young people such as:

Outpatient services
Children assessment unit, where the children are first seen and
assessed when referred by doctors of other hospitals or nearest
clinics.
Ambulatory care for planned care, including specialist immunisation
and vaccinations.
Treatment and care for children that involved with surgical condition.
What parents can expect from us as the therapist are their children will be
offered an appointment at our centre. One of our physiotherapist will assess their
child and planning the next treatment together with the parents depending on
their child needs.

5. TARGET GROUP

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As the number of patients will be precise, we divided the patient for musculoskeletal
case and neurological case for a day and during weekend.

No Number of patients Per day Weekend

(Saturday)
1.
Total per
Musculoskeletal case 12 6 day: 18

Total per
weekend:10
2.
Neurological case 6 4

Total number of patients targeted for a day: 18 children/ babies

Total number of patients targeted during weekend (Saturday only): 10 children/

babies

Each patient treatment time: 1 hour

As department will open (weekday): 9.00 am until 6.00 pm

(Weekend): 9.00 am until 1 pm

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 6. VENUE

Our aim is to make patients easy to find our centre. Paediatrics centre is located at
second floor, Manual room of physiotherapy, New building of UniKL Royal College of
Medicine Perak, 3, Jalan Greentown, 30450 Ipoh, Perak, as it is well-known campus.
It near to the town that have lots of facilities and accommodation such as:

Angsana Mall

Hospital Raja Permaisuri Bainun

Masjid Hospital Ipoh

KWSP

Angsana mall and KWSP was opposite to the main campus of UniKL Royal College
of Medicine Perak while Hospital Raja Permaisuri Bainun and Masjid Hospital Ipoh at
the back of campus. Many facilities such as parking was also provided. The place we
choose is strategic and scenery is beautiful and not so much hectic that patient will
satisfy.

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 Picture 1 shows the maps for parents to reach the exact place

For any enquiry, our customer can make a call to:

Office Number: +60 5-243 2636

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 7. FLOOR PLAN

MONKEY BAR
CABINET 1
FIRE EXTINGUISHER
EMERGENCY DOOR

TABLE
STEP CLIMBER SINK
MAT

BALLS PANTRY
POOL
MIRROR

TRAMPOLINE
MAT

SINK
BED 2
GYM BALL

PLAY AREA TV
PARALLEL BAR

SINK
BED 1

CABINET 2 CABINET 3

COUNTER

WAITING AREA

IN WINDOW OUT

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 8. Manpower Planning

Business hour:

Monday Friday (weekdays): 09.00am 06.00pm

Saturday (weekend): 08.30am 01.00pm

Workers:

Therapist:
- Lecturer- they can join during free time
Assistant therapist:
- Student- to polish out their manual and practical skills
- Available for UniKL alumni students who want to assist physiotherapist
Receptionist- will call the therapist if patient come
Cleaner- shift: early morning, 8.30am and at the end of the shift, 5.30pm

Quantity workers:

The quantity of workers we need is 5 people per day.

Our services also provide shift services which are morning and evening shifts due to
their having a specific schedule.

9. Schedule of task and responsibilities

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 Position Main Task
Company Manager Charge of all things staffing
Aside from interviewing, hiring,
promoting and firing
employees, they also schedule
the employees so that staff is
always available to provide the
right mix of services to meet
customers demand.
Oversee staff training and
development and make sure
that advanced training
opportunities are available to
employees
Must create an atmosphere
where customers are
comfortable and are satisfied,
To ensure all company
operating progress well
Company Assistant Manager Leadership: They should
represent themselves and the
company well by acting as role
model to people reporting to
them.
Organization: They should be
able to stay focused during
busy times and delegates tasks
to employees to make sure
services running smoothly
Recruiting and training: They
need to be good teacher that
will keep tries to help the
employees who are having
difficulty to catch up any new
skills.
Being friendly and outgoing:
Sometimes they also in charge

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 to assist the customers when
they have questions, concerns
or complaint. That is the reason
why they always put on a happy
face and lead these in a
professional manner.
Staying attentive: Their role is
to be attentive to other people
such as the employees in the
surrounding by motivating them
to gain success and get
improve.

Financial Manager Providing and interpreting

financial information
Monitoring and interpreting
cash flows and predicting future
trends
Liaising with auditors to ensure
annual monitoring is carried out
Marketing Manager Managing all marketing for the
company and activities within
the marketing department
Co-ordinating marketing
campaigns with sales activities
Planning and implementing
promotional campaigns
Monitor and report on
effectiveness
Logistic Manager Organize the storage and
distribution of goods

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 PROJECT MANAGER
NUR IZZATI BT OTHMAN

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 ASSISSTANT MANAGER
NURUL AUNI BT AZEMI

FINANCE MANAGER MARKETING MANAGER LOGISTIC MANAGER

NORAINI IZZATI BT ZAINI NURRUL NABILLA BT FAUZI NUR IZZATY BT MD DIAH

NO ITEM PRICE/UNIT QUANTITY TOTAL (RM)

(RM)

1 Large Cabinet 350 1 350

2 Medium Cabinet 200 1 200

3 Small Cabinet 125 2 250

4 Kids Round Table With Chairs 138 2 276

5 Fire Extinguisher 30 3 90

6 Led Television 1000 1 1000

7 Plastic Fence 17.90 1 17.90

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 8 Alphabet Foam Mat 89.40 1 89.40

9 Single Bed 650 2 1300

10 Long Mirror 109 1 109

11 Parallel Bar 710 1 710

12 Wood Staircase 165 1 165

13 Monkey Bar 122 1 122

14 Kids Plastic Pool 49.90 1 49.90

15 100pcs Small Plastic Ball 31.80 1 31.80

Total RM 4 761.00
10. BUDGET

DECORATION

EQUIPMENT

NO ITEM PRICE/UNIT (RM) QUANTITY TOTAL (RM)

1 Tens 150 2 300
2 Hot And Cold Pack 15 5 75
3 Rollator Walker 334.50 2 669
4 Wheelchair 285 2 590
5 Trampoline 865 1 865
6 Weighing Scale 25 1 25

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7 Massage Oil 15 3 45
Gym Ball (Big) 58 2 116
8 (Medium) 40 2 80
(Small) 20 2 40
9 Kinetic Slime Sand 25/1kg 2 kg 50
10 Putty Plasticine 10 3 30
11 Toys - - 100
12 Stopwatch 75 3 225
Total RM 3 210

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NO ITEM TOTAL (RM)

1 Interior design 5,000

Total = 5,000.00

INTERIOR

ADVERTISING

Items Fixed Assets Monthly Other Expenses

Expenses (RM) Expenses (RM) (RM)

Banner 100
Advertising:
- Health
magazine 200
- Radio 200
- Brochures 70

Promotions 200
Total 770

Grand Total

N
CLASSIFICATION PRICE (RM)
O
1 DECORATION 4 761.00
2 EQUIPMENT 3 210.00
3 INTERIOR DESIGN 5 000.00
4 ADVERTISING 770.00
GRAND TOTAL 13 741.00

GRAND TOTAL: 13 741.00

11. CONCLUSION

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 The conclusion is children that facing the health problem or paediatric problem
usually has the development or growth problem. Their daily life activity also limited
not like the others normal children. Physiotherapies treatment very helpful in
improving resolving or reduce problem in paediatric cases. Finding the good
rehabilitation centre is important, that is the reason why we proposing to open the
Twinkle Centre to help parents in treating their children without puts any limitation.

Location we choose are strategic and easy for patients to find the exact place. It
is near to the town that many facilities is provided. Such as, parking place, Angsana
Mall, Hospital Raja Permaisuri Bainun and also got KWSP. Patients are also can find
beautiful scenery and can gain calmness as it is not hectic place. So, we can
conclude that the place we choose is right and suitable for our patients.

Also, our centre will operate on weekdays as well as Saturday so that parents
who are busy can spend time sending their children to the centre. The employees
involved in this centre are therapists which is lecturers, therapist assistants
consisting of students and alumni, cleaner and receptionist.

Based on our floor plan, our center will provide enough equipment and suit for
neurology and musculoskeletal cases. We also provide 3 fire extinguisher for the
safety of children and parents. Besides, we provide television as an additional
attraction to attract the attention of children during the treatment.

We try to minimize the budget will be used for Twinkle Physiotherapy Centre. We
chose the best price from our searching. For decorations, we thought to use RM4
761.00. While, for equipment RM3 210.00. Interior designs and advertising are from
RM5 000.00 and RM770.00. So, for the grand total is RM13 741.00.

Last but not least, we want to maintain a friendly, fair, and creative work service,
which respects diversity, ideas, and hard work. Therefore, we wish we could carry
the hope that those children and families can coping with the chronic pain and
related functional disability, even after standard therapies, surgeries and medication
have been exhausted. This rehabilitation centre are built to help the children and
also the families to reclaim their lives same as other normal families

20
Proposed by:

Name: (Project Managers Name)

Position: Project manager of Paediatrics Physiotherapy Centre

Date: 27th of October 2017

Advised by:

Name : Mdm Nurul Husna binti Mohd Nasir

Position : Lecturer of Paediatric Care subject, UniKL RCMP

Date: 27th of October 2017

Recommended by:

Name: Mdm Siti Norziehan binti Mohd Nawi

Position: Lecturer of Paediatric Care subject, UniKL RCMP

Date: 27th of October 2017

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12. REFERENCES
https://my.clevelandclinic.org/pediatrics/departments/pain-rehabilitation
http://www.northamptongeneral.nhs.uk/Services/Our-Clinical-Services-and-
Departments/Childrens-services/Childrens-Physiotherapy.aspx
https://www.bedfordhospital.nhs.uk/our-departments/clinical-
departments/paediatrics-2/paediatric-services-at-bedford-hospital/
http://www.lnwh.nhs.uk/services/ealing-community-services/physiotherapy-
paediatric/
http://www.bhamcommunity.nhs.uk/patients-public/children-and-young-
people/services-parent-portal/paediatric-physiotherapy-service/
https://www.walsallhealthcare.nhs.uk/paediatric-physiotherapy.aspx

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