Path of Positivity
To develop an environment where our staff and patients can connect with nature in a safe and accessible space, giving them the chance to breath, to decompress and improve their mental and physical wellbeing. A place for the rehabilitation of our patients in an organic, holistic, and real-life situation.
Development and Evaluation of a Training Package to support the Remote Assessment and Management of People with Movement Impairment and Disability
Telerehabilitation is a feasible, acceptable and potentially effective alternative to face-to-face rehabilitation. However, there was limited specific guidance, training and support for physiotherapists and other practitioners who undertake remote assessments in people with physical disabilities and movement impairment (Anil et al 2021). The aims of the project were to: Understand practitioners’ and patients’ experiences of telerehabilitation, including challenges and facilitators in successful implementation of telerehabilitation; Explore practitioners’ self-perceived competence and
Treatment of low back pain in 2020: monitoring clinical practice through audit
The physiotherapy management of low back pain (LBP) has changed over the past few decades. The most recently published UK audit of physiotherapy practice in this area (Sparkes 2005) now looks very outdated: an update is required.
Guildford and Waverley Working Together WhoseShoes? Coproduction Event
The reason why I organised and facilitated a WhoseShoes? Coproduction event was because I wanted to give citizens the opportunity to influence and improve the Guildford and Waverley Integrated Care System. We acknowledge that older people living with frailty often access multiple services that don’t talk to each other, this creates confusion, duplication and poor patient experience for our citizens. We wanted to explore the use of WhoseShoes? Coproduction tool as an approach to improving services. I want to share this activity to highlight how important it is to involve patients in the
Medicines optimisation for the treatment of spasticity and neuropathic pain led by a Physiotherapist Independent Prescriber
The purpose of this project was to improve medicines optimisation for the management of patients with spasticity or neuropathic pain who attended specialist neuro outpatient clinics at West Midlands Rehabilitation Centre. The secondary purpose was to identify how much input would be required to optimise medication and if this input could be adequately carried out by a Physiotherapist Independent Prescriber. Historically the Consultant (prescriber) would review and make changes to a patient’s medication for managing their spasticity and neuropathic pain. Patients could contact in case of
'Bikes for Dialysis': A service improvement project introducing intradialytic exercise to a satellite haemodialysis uni
It is widely accepted that exercise is beneficial in patients with end-stage renal disease as in the general population, and meta-analytical evidence supports the benefits of intradialytic exercise (IDE) for the improvement of several heath related outcomes including physical performance and mental health. Research demonstrates patient adherence to an exercise programme is improved if delivered during haemodialysis (HD). However, it remains a challenge to incorporate exercise programmes into routine clinical practice. Our service improvement project aimed to demonstrate a safe, tailored IDE
Development of the Advanced Physiotherapy Practitioner In Managing Acute Orthopaedic Injuries Previously Managed by Orthopaedic Consultants
The development of this post in Orthopaedics was to assess whether patients with acute Orthopaedic trauma, traditionally managed by an Orthopaedic Consultant, can be independently managed by an Advanced Physiotherapy Practitioner who can also provide timely, effective and appropriate physiotherapy based interventions. The aim of this development of this post was to: · Allow patients with certain conditions to be assessed, investigated and treated by a clinician who would provide appropriate advice. · Allow patients to receive immediate and appropriate early rehabilitation exercises. · Decrease
An evaluation of the current assessment methods used within a District General NHS Trust spasticity service
The management of spasticity in specialist clinic has not been evaluated objectively. One of the barriers to conducting an audit is the lack of a robust patient centred assessment framework. The aim of this study was to audit the existing patient notes and from this develop a patient centred assessment framework that provides objective data that can be used to audit the service.
Amplifying the impact of a NIHR clinical trial, knowledge translation and service development of one stop diagnostic ultrasound clinic
1.Primary purpose is To disseminate the amplifying impact of participating in a single national NIHR portfolio study in improving patient care pathway and service improvements 2. Secondary purposes is: To share the importance of research grants and its return on investment To share the amplifying impact of NIHR portfolio stud
Length of stay following an accelerated knee arthroplasty pathway is age dependent
The emphasis on reducing the number of days patients spend in hospital is growing. Performing procedures with shorter stays using enhanced recovery pathways is one method of tackling this issue. We introduced a non-selective accelerated pathway that would allow all patients having knee replacements the opportunity to have day surgery with an option to transfer to the current inpatient pathway if required. This paper describes the outcome of the new pathway.