vera mcgrath st finbarr’s hospital cork
TRANSCRIPT
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Vera McGrathSt Finbarr’s Hospital Cork
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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………..
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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.
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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).
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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
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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?
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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.
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Photo with consent.
Trial!
Patient feedback “that was fun”.
Staff feedback “patients participated longer”.
Cognitive retraining (bonus!).
Built in biometrics –outcome measures.
Price.
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VIDEO!
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Evidence based patient toolkit involving mainly household objects with a FREE exercise manual.
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Pic copyright: slideserve.com
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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
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Evidence
Trial
TEAM!
Transferability
Outcome measurability.
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