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Montgomery County Infirmary Day Hospital
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Montgomery County Infirmary Day Hospital

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Transcript

  • 1. Montgomery County Infirmary Day Hospital
    • Operational Procedure
    • Mondays and Thursdays
    • Evidence Based
    • Up to 8 users (depending on wheelchair access)
    • Full multi-disciplinary approach
    • 6 Week rehab programme
    • All users reviewed by MDT weekly.
  • 2. Day Hospital Good Practice
    • The National Service Framework for Older People focuses on:
    • Providing person-centred care promoting older people's health and independence.
    • Intermediate care
    • Aim: to provide integrated services to promote faster recovery from illness, prevent unnecessary acute hospital admissions, support timely discharge and maximise independent living.
  • 3.
    • Hospital Wards
    • GP
    • Consultant
    • Primary Care Team
    • District Nurse
    • Social Services
    Referrals from
  • 4. Example of Conditions Seen In Day Hospital
    • Orthopaedic
    • Rheumatoid Arthritis
    • Osteo-Arthritis
    • Total hip replacements
    • Fractures
    • Neurological
    • C.V.A
    • M.S.
    • Parkinsons
    • Cognitive Problems
    • Patients with a history of Falls.
    • General poor mobility.
    • Cardiac and Chest conditions.
  • 5. Multi-Disciplinary Team
  • 6. Improvements for the future
    • Transport.
    • Medical Cover.
    • Audit process.
    • Opening a third day.
    • Improve Profile.
    • Improve physical environment.
    • Develop facility user group for the venue.
  • 7. The Role of Physiotherapy
    • 1) Maintenance exercises for half an hour at each session given by a Physiotherapist Technical Instructor III.
    • This is a Chairobics Class following the Extend programme of `Movement to music for the over 60's or the less able of any age'.
  • 8. The Role of Occupational Therapy
    • Full assessment of the service users ability focusing on
    • Environment
    • Occupations
    • Performance
    • Group work where appropriate – purposeful activities
  • 9. The Role of the Nursing team.
    • Ongoing assessment of service users.
    • Promoting communication within the MDT, involving family and carers
    • Effective referral system
    • Development of junior staff
    • Providing a stimulating environment
    • Undertaking evidence based practice
    • Team working
    Staff Nurse is the team leader
  • 10.
    • 2) Individual assessment.
    • 3) Appropriate individual treatment:
      • Stroke rehabilitation (as well as O.P. Physiotherapy)
      • Maintenance of progressive Neurological conditions (eg. Parkinsons, M.S.)
      • Balance re-education
      • Gait re-education and progression of walking aids.
      • Specific strengthening and mobilising exercises.
      • Pain relief (I.F.T. and heat) and Wax
    • 4) Attend M.D.T. meetings.
    • 5) Re-assessments - and refer to O.P. Physiotherapy if necessary.
    At present we are unable to refer to Community Physiotherapists or Re-ablement as this is not available in this area
  • 11.
    • Individual Treatment Programme including
    • Kitchen assessment and practice
    • Leisure activities
    • Home visits
    • Lead planning of the group sessions in the afternoons which includes
    • sessions of:
    • Fall prevention
    • Creative activities
    • Quizzes
    • Outside Speakers
    • Leisure activities – such as gardening
    The activities are all planned following the users completing leisure activity check lists so that the programme is suitable and appropriate to the service user.
  • 12. Role of the Healthcare assistant
    • Planning preparation of environment for the day hospital service users.
    • Assisting clients with mobility
    • Rehabilitation under guidance of MDT
    • Providing stimulation and orientation.
    • Assist qualified nurse with baseline observations and glucose levels.
    • Assist with activities of daily living

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