COPD Team in Swansea Bay University Health Board; Service Progression and Evaluation
Chronic Obstructive Pulmonary Disease (COPD) is characterised by breathlessness, wheeze, cough and sputum production. Symptoms frequently worsen, known as exacerbation, which can lead to hospital admission. COPD admissions are costly for the NHS and patients alike, but are considered avoidable by effective preventative care. Since data analysis in 2017 there has been further investment in the team owing to positive outcomes. An additional physiotherapist, exercise technician and occupational therapist (OT) have joined. Since July 2021, the Welsh Ambulance Service can refer exacerbating
A low-cost solution for the collection, scoring and use in real-time of the Musculoskeletal Health Questionnaire (MSK-HQ) as an electronic patient recorded outcome (ePRO) measure.
This project was undertaken to provide a low-cost solution for the collection, scoring and use in real-time of the Musculoskeletal Health Questionnaire (MSK-HQ), a tool that has been co-produced with patients to measure prioritised outcomes for a variety of musculoskeletal conditions (Hill et al. 2016). Secondary objectives were to; 1) provide immediate MSK-HQ data for clinicians, as a tool for facilitating clinical assessment, and 2) allow for completion of the MSK-HQ remotely prior to either face-to-face or remote physiotherapy consultation, or in the reception area or clinic room using a
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.