ReablementRedefining care pathways for improved outcomes
Homecare
*NHS England **Department of Health
1,042,434 Since August 2010, the first month
this data was published, the number of delayed days per month has doubled
Each excess bed day costs £275
Over the past 12 months the number of days lost due to patients being unable
to be discharged has risen by 19% to
The clock is ticking...
Choice
Dignity
Wellbeing
Independence
Improving outcomes
Reducing costs
100% British
*
**
The Department of Health said that between 2011-12 and 2013-
14, the total number of days of delayed transfers rose by 2.9 per
cent, but over the same period hospital admissions grew by about
3.5 per cent. In that time the delayed days attributable to social
care fell by 13.6 per cent.
The Government has given an extra £37m to local authorities to
tackle delayed discharges from hospitals to the social care system,
and has set up a new national “Helping People Home” team to
provide support to local areas in reducing delayed transfers.
As the demands on the care systems increase, maintaining the
service which gives clients independence and quality of life can
seem like an impossible juggle.
Time and resources are a huge factor in the implimentation
of effective care. Providing an effective package of care that
speeds up the rehabilitaion process benefits all involved.
The Helping Hand Company’s decades of experience in
providing cutting edge pressure management, class leading
moving and handling and the creation the country’s favourite
ADL tool selection, has been brought together to provide a
24/7 care system which delivers improved outcomes for all:
client, care team and trust.
The ‘heart’ of the package are two profoundly effective,
beneficial technologies and an unrivalled service and
commitment. Including practical training and education
of the most up-to-date clinical findings. A combination that
over-delivers on every level: Class leading rehabilitation,
improved client independence, a more knowledgeable care
team and substantial mid to long term cost savings.
Margret was confined to her bed
and due to her pressure sores, was unable to
sit out for any period of time
Clinical testimony (Margret’s Therapist)
As an occupational therapist I am often seeing
patients who are seated in chairs which do not
fit their needs and do not need provision of a
new chair, simply a modification to their
existing, often well loved, chair.
Margret refused to get out of bed as she found her armchair
so uncomfortable.
She was at risk of pressure damage after healing from a
grade 2 sore, she did not move position and did not like sleeping
on a pressure mattress as it made her overheat.
We requested an assessment by Helping Hand company, the
representative was very knowledge about her products and had
an excellent manner with the patient. A thorough assessment was
conducted and Margret now uses the Posturite system prescribed.
She can now sit in her favourite chair every day, and feels well
supported and extremely comfortable. She is now reading and
engaging in other activities that she could not do from bed.
The nurses are happy that her pressure areas are well under control
and the patient has been discharged from Occupational Therapy
after finding such a great solution.
Katrine Occupational Therapist , Southern England
The Posturite System has
enabled Margret to sit in
comfort, fully supported.
Allowing her to maintain
her independence
(with local support)
Customer experience
SYSTEM
With every increasing demand on services faced
by the NHS and an ageing population, reablement
offers long term sustainable solution, guaranteed
to deliver savings and real benefits to clients and
their carers: encouraging active involvement in
delivery of care, maintain level of independence,
empowerment of managing own care. Combining
the Cricket and the Posturite has increased
flexibility and reduced level of care required in
many different setting.
Day long supportMany of our clients have conditions that
do not allow them to stand for great
lengths of time but as humans this is how
our body’s function best. Supporting the
upper body helps our internal organs and
muscles to function such as swallowing,
breathing, healthy digestion. Fitted into
many different types of chairs, the Posturite
delivers support, comfort and reduces the
risk of sliding out/falls.
Comfort is KingHumans are endotherms – meaning
we can thermoregulate. However, an
inability to maintain a healthy skin
temperature can lead to discomfort and
significant skin concerns. Build up of
moisture increases the risk of infection
and skin damage. Check out our patented
Coolover technology – available in
seating, cushions, slings
Supportinghome reablement
The Cricket enables one member of staff to transfer/toilet a person rather than two. This enables a quicker response to a transfer need and frees the second member of staff to deal with another person maximising efficiency.In a domestic situation it could be used by a family member to transfer and assist a person with very brief familiarisation and training, avoiding waiting or possibly need for as many home care visits.
Also in a domestic situation with only a single person operation planning and connecting on time for a joint visit can be avoided or reduced depending on other care needs.
Additional items such as a transport chair or wheelchair are not required so reducing the amount of space taken by equipment plus the additional cost of said equipment and its cleaning, delivery, collection and maintenance.
Overall investment in appropriate and suitable equipment can in a very short time recoup the initial expenditure and commence to bring in efficiency savings with reduced staffing and care costs.
I hope this will encourage hospitals, care homes and Community Equipment Stores to invest in this as core stock. Funding for suitable equipment will overall help to reduce costs in staffing and care agency use following the initial investment.
Marilyn BeerManual Handling Training and Development AdvisorRN. BSc Health Studies. Dip Higher Ed. Cert Ed.
Posturite adapts seating to manage changing needs.
SYSTEM
AdaptableEasy to custom fit into a wide range of seating. From wheelchairs
to well loved home chairs. Encourages and supports getting out
of bed. Sit out comfortably and safely with peace of mind.
To cover the range of service users and understanding clients
seating needs can change over time, there are four levels of
support to choose from:
Combined approach to the management
and prevention of pressure soresPressure creates stability, but sustained over long periods of
time,pressure can lead to pain and discomfort. We understand
the need to change our sitting position – for those who can’t,
the Posturite system is more efficient at managing pressure
distribution over a larger area
The way the back is supported, dictates the stability of the upper
body and overall balance – as we get older our ability to balance
deteriorates. Feeling safe and secure when seated leads to
increased comfort and time seated – active and resting.
Excessive moisture and relative humidity has a huge impact on
skin strength – at 30˚C the stratum corneum is 75% stronger
than it is at 35˚C, increasing the risk of skin damage at higher
temperatures.
Improving outcomes and reducing costs• Better client wellbeing
• Supporting Hospital discharge and home reablement
• Reducing demand for ongoing carer support
Freedom
of the feet
How should we sit?
Stable
support
surface
Support of
the back
Pressure
distribution
Ability to lean
forwards
High Risk Medium Risk Low risk Comfort
The Cricket Driving down the cost of care Save £10,000 every year per client
Empowerment to live independently at home
Provide continuity of care on discharge from hospital into the community (and quicker too)
Reduce incidence of falls and hospital readmissions (and back injuries for carers)
For clients and their carers, the Cricket supports quick and easy transfers around the home
(bed - chair – toilet – stairlift – commode) in one simple move, it is environmental and cross
equipment compatible. The Cricket supports continued rehab/exercise at home* and in many
cases, only needs support of a partner/one carer. Benefits include stability of movement,
maintain/regain physical strength to balance, stand, walk, posture, not forgetting personal
exerciser trainer. Person centred care and with the ability to participate in transfer, the customer
experience in terms of dignity, well being and quality of care can be dramatically enhanced.
Fully supported education and training program for prescribers, carers and clients available.
*Medical benefits of standing include:Psychological/self esteem
Facilitates respiration
Normalise bowel function
Reduce risk of pressure sores through changing positions
Increase circulation
Maximise weight bearing ability on long bones
Increase range of movement
Example based on 3 times a day with total
time of 2 hours (carer cost based on £15 per
hour). The extra savings on costs of client falls,
hospitalisation and carer back injuries are not
included in example shown
Adaptations
include extended sling seat and raised foot plate for smaller clients
Typical users
MS, Stroke, Parkinson, CP, Epilepsy, Heart
conditions, Amputee, Falls, Accidents RTA,
Brain injury
Applications
Wards, Step down, Therapy units, Day care,
Day hospital, Residential, Community nursing
(Hidden savings: reduce falls; reduce readmissions; reduce
number of carers; reduce secondary home care provision)
Case studies
Jan 15 - Bradford 2 clients
HB young client living at home with neurological metabolic conditions Jo living in residential care; Congenital hydrocephalus, Osteoporosis, Cerebellar ataxia, Decompression of cervical spinal cord and fusion.
AHP worked with: Specialist PTCurrent equipment prescribed: HB Hoist; Jo Hoist and Rota stand
“Better transfer from bed, chair. Particularly well supported with the visual cues of the Footplates. Previous transferring client felt very insecure and lacked confidence”
The cricket is a useful rehabilitation tool to maintain and encourage standing and ensuring that the stand service user do are functional which for those who have cognitive difficulties in important as this increases compliance.Both clients improved with their stand and lower limb strength to the point with Jo now trying standing transfers without specialist equipment and is using a dynamic walker to mobilise with.
Nov 13 - Staffordshire
62 yr old gentleman living at
home, CVA 10 years ago, right side
severally affected.
“I find the Cricket to be an
excellent assessment tool to
decide what the client can
achieve. On many occasions it
works but the assessment with
this equipment also helps me
to decide if a more supportive
stand aid would benefit the
client more dependent on if they
can support themselves from a
sit to stand transfer”
The Cricket is more compact therefore more
practical in the home environment Very
useful as this can be used as a full transfer
aid between rooms not just transferring from
one seat to another.
One carer can use easily saves the cost
of having two carers or as in this case the
relative could manage alone.
Dec 14 - Derbyshire ADAPTATIONS - foot block and padded barYoung client in school. Client has CP, upper body collapses – hence need to pad barWant to be able to build up quads to improve standing strength, pushing up but also able to pull up – lower and upper body working together
AHP worked with: M&H lead, Paediatric OT, School head
Alison,
Community Therapist, Cumbria
At weekends we run on skeleton staff and to
train our patients on ‘sit to stand’, in the past we
have used a zimmer frame, secured with carers
foot to keep it from moving, and worked hands
on with the patient. The Cricket eliminates all
this and allows for a much safer exercise.
Nicci, Band 7 OT Neurosciences: We are using the Cricket for clients with a range of medical conditions incl COPD, Arthritis, Stroke, Brain injury, Spinal Injury, Oncology, Trauma and OrthopaedicsThe Cricket can mean the difference between full hoisting with multiple carers or being able to transfer
with the assistance of one. Opportunity to practice sit to stand outside of traditional therapy sessions. E.g. when going to the toilet.Promote a more normalised situation when washing/dressing
(through sit to stand) rather than having a ‘bed bath’Particularly manoeuvrable between rooms and within confined spaces of a ward bathroom or when we have used it within the home, it is compact enough for use within small properties. The main advantage is that – due to the castor mechanism - it is able to turn within it’s own space and does not require a large circumference to so.Yes, the cricket requires some training but is so easy to use and maintain.Enabled carers within the home environment between ‘care calls’ to assist the patient with toileting or other needs. In some situations even negating care package, giving the patient and their carer/family the opportunity to undertake caring full time independently Reduction in carer burden both within the hospital environment and the community setting.Enabled the rehabilitation process and has influenced earlier
patient discharge in many instancesPromotes ongoing maintenance and rehabilitation of a patients functional status through the patient participation in the use of the aid.
Aug 14 - Nottingham
Paediatric client
Cricket 1 or 2 provided for use at
home in 08/14. Met at School setting
01/15, strength in arms/legs and
general confidence in all activities
has been significant
Although the Cricket frame is a transfer aid, it was prescribed to me by my neurology specialist as frame to stand within to build up my strength. My recovery has baffled quite a few! I was very lucky to be lent a Cricket It has aided my recovery terrifically.Laurence - BristolRead the full story at:
http://standup4ms.blogspot.co.uk/2012/04/standing-with-cricket-frame.html
Daily livingEvery day bending & reaching
Comfort and support seated
Mobility around the home
Printed on recycled paper
Tel: 01531 635678
Fax: 01531 [email protected]
www.HelpingHand.co.uk
www.ADLEssentials.com
www.Lowzone.co.uk
BedroomComfort and support at night
Getting in/out of bed
Dressing made easy
BathroomAssisted support on/off toilet
Getting in/out of bath
Self care washing
‘Invest to save’ is the strongest argument to support reablement for the NHS today.
“It is not enough for a nation merely to have added new years to life – our objective must also be to add new life to those years”
President John F Kennedy, Feb 21, 1963
We have a rapidly growing elderly
population, however less than 4% live in
communal settings (Age Concern England
2008) – the majority of us live in our own
home and we want to stay there. Whilst many
carry out their daily activities with little effort or
difficulty, for some, this can become a challenge.
Simple adaptations can be empowering for
families, carers and seniors; help
to maintain freedom & function to live freely and safely
independently, and support staying at home.
Assessment, prescription, supply, education and service –
100% British manufacturing direct to your door. Contact your
local sales advisor to arrange your free assessment today.
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