Integrated Care of Older People (iCOP): A Service Delivering Comprehensive Geriatric Assessment on the Acute Assessment Unit at Singleton HospitalThe Integrated Care of Older People ( iCOP) service is a fully integrated Multidisciplinary team that supports older people living with frailty. The demographic characteristics of this population commands a model of care tailored to the needs of people living with frailty attending Swansea's Singleton Hospital Assessment Unit (SAU). The original model did not deliver the high quality, integrated, person centred care that older people require. There are guidelines for the identification and management of frailty in the acute setting. These are set out in the British Geriatric Society (BGS) “Fit
Talkback: A co-designed educational resource for people with lower back painNICE recommends that people with back pain are provided with advice and information tailored to their needs and capabilities. However implementation of research evidence/guidelines into practice is not always successful. Co-production using creative co-design methods offers a different approach to intervention development. It aims to produce, with all relevant stakeholders, contextually sensitive solutions that are more likely to be acceptable and implementable into practice. This project aimed to co-design an educational resource for people with low back that would specifically facilitate
Identifying the Physiotherapy and Occupational therapy service provision for patients admitted with neurological conditions- are we coordinating care?During an acute admission early assessment and treatment provided by the Multi-Disciplinary Team (MDT) is a requirement of the National service frame work for long term conditions. Within our large London teaching hospital, we were aware that patients admitted who had a long term neurological condition, other than stroke, were not being treated with an integrated MDT approach. We were concerned that patients' needs weren't being best met in a timely way, joint goal setting was not happening and discharge planning might not be optimised. However, we had limited data to support these
Involving patients' relatives and ward staff in prompting of bedside exercises is well received.To promote rehabilitation throughout the day by involving patients' relatives & members of the multidisciplinary team (MDT) in prompting participation in bedside exercises, as physiotherapy sessions are daily at best & many of our patients have a poor memory.
Integration of primary and secondary care stroke rehabilitation into one continuous MDT pathway.To modernise segregated stroke rehabilitation teams working along a care pathway in line with current NHS strategic planning and best practice. Commissioner restructuring for Stroke Care in Rotherham NHS Foundation Trust amalgamated multi-disciplinary care teams from primary and secondary care. The new service was designed to allow staff to journey with their patients from entering to completion of the pathway. The preceding and updated services were evaluated using pre-existing quantitative and qualitative measures.
The effectiveness of Extracorporeal shock wave therapy (ESWT) in the treatment of lower limb conditions- a pilot Clinical Audit.To investigate the use of ESWT in advanced practitioner clinics for lower limb conditions (tendinopathies). The orthopaedic department procured an ESWT machine for use in orthopaedic clinics. This lead to a project aimed at setting up a package of care for treating lower limb conditions. It involved the utilisation of AHP's in orthopaedic clinic to manage this difficult group of patients in an orthopaedic setting.
An Evaluation of Emergency Department Patients Referred for Urgent Lumbar Magnetic Resonance Imaging with Suspected Cauda Equina Syndrome.Failing to correctly diagnose Cauda Equina Syndrome (CES) in the Emergency Department (ED) can have catastrophic consequences for the patient and be costly for the National Health Service (NHS). The ED clinician bears a weight of responsibility in the decision to refer for urgent Magnetic Resonance Imaging (MRI) in the presence of a plethora of potentially inconsistent Red Flags, whilst being mindful of limited MRI scanning resources. The purpose of this study was to calculate the number of cases of suspected CES referred from the ED of a large teaching hospital for urgent MRI scanning over a
Water Immersion Therapy in English Premiership Football and Rugby Union: A repeated survey of the 2007/8 and 2018/19 seasonsTo optimise athletic training and competitive performance, professional sports clubs use numerous techniques as part of a recovery programme, including water immersion therapy (WIT). The purpose of this study was to compare the rationale and use of WIT in elite level sports clubs between 2 seasons to determine if it had changed over time.