Physiotherapists in ED: A city wide service supporting board performance, government targets, professional growth and most importantly patient careThe Scottish Government's Emergency Access Standard aims for 98% (95% target) of all patients to be admitted, transferred or discharged within 4 hours from arrival at Emergency departments. This is supported by a National Improvement Programme following collaborative methodology to dynamically spread best practice and learning nationally. Work to date in this area has focussed less on how MSK physiotherapists can support this and support optimum benefit across Scotland. Growing numbers of patients with acute MSK problems attend the Emergency Department (ED). These minor conditions are often
Implementation of an ED Direct Discharge for the Management of Specific FracturesThe purpose of the ED Direct Discharge was to redesign the pathway of care for the management of 6 specific fractures and injuries. All patients with acute fractures have traditionally been referred to a fracture clinic soon after injury. However, many simple stable fractures and injuries can be discharged from the Emergency Department (ED) with standardised advice leaflets, access to telephone advice and no further follow up in fracture clinic. In collaboration between the ED physiotherapist and Orthopaedic Consultants, a redesigned fracture management system with guidelines on treatment
Pulmonary Rehabilitation and the National Exercise Referral Scheme: A CollaborationTo evaluate the impact of the National Exercise Referral Scheme (NERS) being part of the Neath Port Talbot (NPT) Pulmonary Rehabilitation Service on patient's continued exercise adherence. Since the beginning of 2017, the NPT Pulmonary Rehabilitation Service has funded 1.0 WTE exercise instructor from NERS to assist in delivering the Pulmonary Rehabilitation courses in NPT and provide dedicated Pulmonary Rehabilitation follow-on exercise classes for patients that have graduated from the courses. Prior to this, patients were offered the option of a NERS referral without having met or developed
Literature Review of Information and Communication Technologies in the Management of Chronic Obstructive Pulmonary DiseaseChronic Obstructive Pulmonary Disease (COPD) is a chronic condition with burdensome symptoms and significant financial impact on healthcare systems. Although COPD is incurable, symptoms can be managed with inhaled and oral medications and appropriate self-care. COPD is a condition in which self-management is encouraged by health professionals. With the increase of digital technologies in all aspects of life, including healthcare, digital platforms that help support COPD self-management have been emerging. This narrative literature review examines the emerging field of digital health technology
Queen Elizabeth University Hospital Emergency Laparoscopic and Laparotomy Scottish Audit early mobility projectELLSA is the Emergency Laparoscopic and Laparotomy Scottish Audit. The aim of this audit is to reduce morbidity and mortality in a high risk group. The aim of this project was to ensure that ELLSA patients at Queen Elizabeth University Hospital (QEUH) Glasgow were mobilised at the earliest opportunity post operatively.
Raising awareness of Axial SpondyloarthropathyThe identification of patients with suspected Axial Spondyloarthropathy (AxSpA) came under the spotlight with the release of the NICE guideline NG65 in 2017. This service evaluation focused the outcomes of a training and awareness campaign designed to improve the implementation of NG65 in screening for AxSpA.
Greater Trochanteric Pain Syndrome in the UK National Health Service: A multi-centre service evaluation.Greater Trochanteric Pain syndrome (GTPS) is a debilitating condition causing lateral hip pain. A recent randomised controlled trial (LEAP) demonstrated that exercise interventions for GTPS provided superior outcomes, compared to cortico-steroid injection and wait and see approaches. However, participants were not patients seeking care and therefore may not represent the typical patient seen within the National Health Service. This service evaluation aimed to provide data on the characteristics of patients with GTPS presenting to NHS physiotherapy services to enable consideration of the
Ultrasound guided caudal epidural injections in the management of disc-related sciatica: Audit data from a Spinal Interface ServiceEpidural injections are recommended by NICE guidelines and commonly used for treating disc-related sciatica, as they might provide substantial pain relief and reduce the need for spinal surgery. They are delivered via one of three lumbar spinal routes: transforaminal (TF), interlaminar (IL), or caudal (C). In the UK, the most common epidural routes for disc-related sciatica are the TF and C routes, with almost equal numbers of each in recent years, indicating clinical practice variation. TF epidurals are considered, by some, to be clinically more effective than C epidurals, as in theory they
The Newcastle Deep Brain Stimulation Rehabilitation ProjectDeep brain stimulation (DBS) surgery is successfully used in people with Parkinson's disease (PwP) to manage symptoms. However, research has shown that activity levels post DBS often do not change significantly despite significant symptomatic improvement of motor symptoms. This two-year PD-UK funded project aims to provide an enhanced physiotherapy programme for PwP undergoing DBS surgery. Currently no other UK DBS service offers rehabilitation. Objectives are to: Develop an extended physiotherapy assessment to include innovative seven day monitoring of activity with accelerometer (Currently
Arthroplasty Class Innovation: "Taking efficiency steps together"As part of the team objectives for 2017 we wanted to look at a redesign of the Post-Operative Arthroplasty class to improve time efficiency of qualified members of staff and reduce the overall cost of treatment of this patient group. The aim was to do this without compromise of patient safety and patient satisfaction. Through a literature search we found multiple literature reviews that compared supervised to non-supervised exercise programs. They revealed that supervised exercise programs by physiotherapists yielded similar patient outcomes to home based exercise programs for post operative