vera mcgrath st finbarr’s hospital cork
TRANSCRIPT
Vera McGrathSt Finbarr’s Hospital Cork
Large campus in Cork City! 71 bed rehabilitation unit. Primary care hub for
OTs/Physios south lee. Day hospital. Clinics; falls, memory. Ambulatory outreach team. Memory technology
resource centre. Memory café. Cork stroke support group. ESD. Etc etc etc………..
4 full time OTs. 71 beds. Including12 bed stroke
unit. Ratio of OT: patient,
1:18. No cover for annual
leave. Weekday service. No dedicated stroke
OT staffing.
85% of stroke survivors will have upper limb deficits (Stroke Association UK, 2016).
National Stroke Audit 2016 recommends 45 minutes of occupational therapy to be completed daily (Irish Heart Foundation).
Only 23% of stroke units actually achieve this. Importance of early functional mobilisation of
upper limb = neural pathways = functional return = >QoL (Bell et al., 2014).
Neuroplasity = repetition = recovery. However upper limb treatment accounts for 24%
of total OT time, (8 MINUTES per session!) (Serrada et al., 2016).
Understaffed service. Upper limb rehab
deprioritised! Upper limb rehab occurs
in context rather than focus.
Therapists practice differ!
Patient goal = mobility. Patients want to do more,
families want to be involved.
Our stroke therapy gym
1. Optimize occupational therapists treatment time.
2. Create a better experience for patients.
3. Offer individualized therapy programs.
4. Increase self-directed therapy on evenings and weekends: 7 day service?
Pic copyright: sstrehab.club
Claims: provides therapists subjective feedback on interventions, increase patient engagement and enhance therapy provision in comparison to conventional means (Burke, et al. 2009).
COST €€€€€€€
Literature review.
Photo with consent.
Trial!
Patient feedback “that was fun”.
Staff feedback “patients participated longer”.
Cognitive retraining (bonus!).
Built in biometrics –outcome measures.
Price.
VIDEO!
Evidence based patient toolkit involving mainly household objects with a FREE exercise manual.
Pic copyright: slideserve.com
Details of expenditure Material Capital €
Beechfield Medical Kinestica BIMEO system
10,888,79
Beechfield Medical Height adjustable table
1936.00
DAOL Office Supplies 36 GRASP boxes 1920,20
Miscellaneous printing GRASP instruction books
215.01
Total €15,000
Evidence
Trial
TEAM!
Transferability
Outcome measurability.
