Rebuilding Lives Through Teamwork - A stroke Patients Experience of CSSD
Summary
TLDRThe video features Su Potter, the Matron for Stroke Services at Chester Royal Hospital, discussing the comprehensive stroke care provided by her team. They meet patients at admission, conduct early swallowing assessments, and involve various therapists for treatment. A new early supported discharge service will allow therapy teams to support patients at home post-discharge. Bob, a patient, shares his experience, highlighting the team's support and his progress in relearning daily activities with their help.
Takeaways
- 🏥 The Specialist Stroke Matron, Su Potter, oversees stroke services at Chester Royal Hospital, highlighting the integration of acute and rehab care since April 2011.
- 👩⚕️ The stroke team attends the Accident and Emergency (A&E) department to meet patients upon arrival, providing early assessments and family involvement.
- 🗣️ Swallowing assessments are conducted promptly to ensure patient safety in terms of nutrition and hydration.
- 👨⚕️ A multidisciplinary team including physiotherapists, occupational therapists, and speech and language therapists is involved in the patient's care from the outset.
- 🏠 An early supported discharge service is being introduced to assist patients transitioning from hospital to home, enhancing continuity of care.
- 👨🍳 Bob, a patient, recounts his experience of having a stroke and the challenges he faced, including mobility loss and the need to relearn basic tasks.
- 💊 The hospital's pharmacy services play a role in managing medication and conducting blood tests for stroke patients.
- 🧍♂️ Bob's rehabilitation involved learning to walk again with assistance, using a quad stick, and practicing transfers to improve mobility.
- 🍲 Occupational therapy included relearning daily activities such as cooking and making a cup of tea, which Bob found challenging but progress-enhancing.
- 👨⚕️ Bob praises the hospital's team for their support, professionalism, and the positive impact they've had on his recovery.
- 📈 Bob's experience illustrates the importance of a comprehensive rehabilitation program that includes both physical and occupational therapy.
Q & A
Who is Su Potter and what is her role at Chester Royal Hospital?
-Su Potter is the Matron for stroke services at Chester Royal Hospital on the Eastwood Ward stroke unit. She has worked there for several years, including more recently with the new units that were combined in April 2011.
What is the benefit of the stroke team meeting patients at the point of admission?
-Meeting patients at the point of admission allows the stroke team to hear firsthand about how patients have been managing at home, meet relatives early on, and start planning the care they will receive, which is seen as beneficial for providing a seamless service.
Why is the swallowing assessment crucial for stroke patients?
-Swallowing assessments are crucial because they determine whether patients can swallow safely at an early stage, which is vital for their care and recovery.
What happens within the first 24 hours after a stroke patient is admitted?
-Within 24 hours of admission, stroke patients are seen by physiotherapists, occupational therapists, and speech and language therapists if needed. They may also involve a dietician and the nursing team.
How does the stroke team at Chester Royal Hospital define a successful stroke team?
-A successful stroke team at Chester Royal Hospital is defined by people working very closely together, with the strength of the team being dependent on these close working relationships.
What is the duration of rehabilitation for stroke patients at Chester Royal Hospital?
-The duration of rehabilitation varies; some patients require a short period of time and minimal therapy input, while others may need prolonged rehabilitation that can extend into weeks or even months.
What is the new early supported discharge service starting in October?
-The new early supported discharge service starting in October will involve therapy teams and nursing going out to patients' homes to support them post-discharge, aiming to enhance the care provided and make the transition home less daunting for patients.
What was Bob's experience when he first realized he had a stroke?
-Bob's experience was frightening as he lost mobility, couldn't move, and had to crawl to reach a phone to call for help. He was conscious but unable to stand, and his limbs felt like jelly.
What kind of therapies did Bob undergo during his rehabilitation?
-Bob underwent various therapies including physiotherapy, occupational therapy, and speech and language therapy if needed. He also had to relearn basic tasks like sitting, standing, and transferring from a wheelchair.
How did Bob find the support from the physiotherapy team at Chester Royal Hospital?
-Bob found the support from the physiotherapy team to be excellent, noting that they helped him progress significantly and made a positive difference in his rehabilitation.
What simple tasks did Bob manage to do during his rehabilitation that he considers significant?
-Bob managed to make cheese on toast and boil a kettle to make a cup of tea, which he considers significant progress as these are tasks he used to do easily before his stroke.
Outlines
🏥 Stroke Services at Chester Royal Hospital
Su Potter, the Matron for stroke services at Chester Royal Hospital, discusses the comprehensive care provided to stroke patients. The stroke unit, which combines acute and rehabilitation care, admits patients and conducts swallowing assessments immediately. The team, including medical professionals and therapists, works closely to provide a seamless service. The process begins in the Accident and Emergency department and continues on the ward. The multidisciplinary team includes dieticians and nursing staff, and they aim to support patients both during their hospital stay and after discharge with a new early supported discharge service starting in October.
🚑 Bob's Stroke Recovery Experience
Bob, a stroke patient, shares his experience of recovery. He recalls the sudden loss of mobility and the frightening realization of his condition. Bob discusses the various therapies he underwent, including physiotherapy, occupational therapy, and speech and language therapy. He mentions the importance of learning to perform daily tasks again, such as making a cup of tea, which he found challenging but ultimately rewarding. Bob praises the hospital's team, noting their support and the positive impact they've had on his recovery process.
Mindmap
Keywords
💡Stroke
💡Clinical Specialist Services Division
💡Specialist Stroke Matron
💡Acute and Rehab
💡Swallowing Assessments
💡Therapy Teams
💡Early Supported Discharge Service
💡Physiotherapists
💡Occupational Therapists
💡Speech and Language Therapists
💡Dietician
Highlights
Introduction to the Specialist Stroke Matron role at Chester Royal Hospital
Combination of acute and rehab units in April 2011
Early involvement in patient care upon admission
Importance of meeting relatives early in the care process
Conducting swallowing assessments immediately upon patient arrival
Seamless service provision from admission to ward care
Involvement of multidisciplinary team within 24 hours of admission
Role of physiotherapists, occupational therapists, and speech and language therapists
Importance of dieticians in stroke care
Collaboration among team members for successful stroke care
Variability in therapy duration based on patient needs
Introduction of early supported discharge service in October
Pilot success of the early supported discharge service
Therapy teams and nursing support post-discharge at home
Patient's personal account of experiencing a stroke
Impact of stroke on mobility and the fear it instills
Patient's experience with the medical team and therapy sessions
Importance of relearning basic skills post-stroke
Progression from assisted walking to using a quad stick
Patient's experience with therapy and the support received
Patient's perspective on the importance of the therapy team
Patient's progress and the positive impact of the therapy
Transcripts
[Music]
you've had a chance to look at how the
clinical specialist services division is
involved in the care of the stroke
patient now let's hear from The
Specialist stroke matron and Bob a
patient who has recently used our stroke
Services my name is Su Potter I'm the M
for stroke services at Chester Royal
Hospital on the Eastwood Ward stroke
unit I worked here for a number of years
more recently with the new two units
were combined uh in April 2011 so we
have acute and Rehab on the same site
now the process here for when the
patient is admitted is that we uh will
attend AE and we will see all the
patients at the point of them arriving
which is very beneficial we get the
chance to hear firsthand of how of how
the patients been managing it home we
get to meet the relatives from an early
stage and it generally um feels that
that this is beneficial to the service
you know providing a seamless service we
also do the uh swallowing assessments as
soon as a patient comes in which is
absolutely vital for patients that you
know to be able to swallow at a very
early stage um and then once they come
onto the ward we can then we we already
know them we've already met them in A&A
and we've already started the um
planning of the care that they're going
to receive whilst they're with us and
have ched to the relatives at that time
as well to keep them informed of what
we're
doing when the patients first admitted
they are dealt with by the medical team
but then very quickly within 24 hours
they will be seen by the
physiotherapists and and very soon
afterwards also by the occupational
therapists and also the speech and
language um therapists if the patient
needs assessment with swallowing or
communication uh there at that point
then we very often have to involve the
dietician uh and the fotus obvious
involved because uh they routinely take
the Bloods um and any other disciplines
uh that work within the team uh
including the nursing team as well it's
a large team and the the strength of the
successful stroke team um are dependent
on people working very closely together
so whilst the medical model is the
initial part of a patient's care the
bulk of the patient's care is relating
to therapy and it requires very close
working relationships within that team
and we do have a very very strong team
here who work closely together um some
patients are here only for a short space
of time and require sometimes very
little therapy input uh whilst other
patients can require a prolonged period
of Rehabilitation that can go into weeks
and sometimes months and that obviously
involves us getting very close to the
patients and the families and everybody
that's involved uh with that level of
care uh what is due to start in the
beginning of October is the new early
supported discharge service and from our
perspective this will um enhance the
care that we already give and we
previously piloted it and it was very
successful and it will involve our
therapy teams nursing going out to the
patients at home and supporting them at
home on discharge and at the moment that
that's uh quite daunting for the patient
to go home with uh unfamiliar people and
we see this will be the gold standard
for the service that we now provide
[Music]
all I can remember getting up one Sunday
morning probably about what 8 week ago
and everything fine about half 7 in the
morning I got up out of bed walked along
the side of the the bed to to make him
my way to the toilet and I came back out
again and I felt all funny next thing I
know but I won't Flor I was still
conscious and I knew what were
happening but I I couldn't I couldn't
move i' lost my Mobility I couldn't
stand up and out my legs are just like
jelly my arms right I floor on carpet I
thought right back to the
bedroom we cordless telephone on a shelf
and I crawled along shuffled along I bet
it took me an hour to get to that phone
and I'm talking a distance of only a few
yards L and just I could just reach
phone it's C the phone and i r neighbor
of mine he he pick phone straight away
and out paramedics come and they come to
me well I to be honest I little bit this
is a bit I can't remember a lot of
really I know they were there in the
bedroom I don't know a lot about it
coming in here I can remember the
ambulance coming in and dropping me off
and taking me into accident emergency
place first thing I thought and I
thought B what's up with me I can't sh
my arm I was like if it were if it
didn't belong me my leg and that like
you know I'm in trouble here and then of
course had to tell me what Happ i' go
idea what would happened to me but um
it's a very frightening experience you
know well I've
had right from just know I've had the
nutrition people got some people out
understand when they have a stroke
sometimes they have difficulty in
swallowing but luckily that that's not
affect me at all and I've also had the
uh I'm from the
pharmacy and um that's what took the
blood had them and uh down to a doctor
come to see me you know and he got me
doing various things which touching you
in various places could you feel this
and you know and I can although not got
to use in me arm and me
hand everything sensitive little thing
like that where he touched saying are
you I'm am I touching your left or right
you know and all that I knew I knew
exactly what we were doing they do a lot
of things you know trying to get your
arm going moving it to where you would
like it up in there where you would be
able to normally learning how to get oh
I mean I know that might sound stupid
saying that
but it's like it's like relearn
everything again you've got to sitting
in this chair and go in right position
feed in right position to make it easier
for you to finally stand first of all it
started off with just AED walking where
you Vis either side of you and that and
then we progressed on to using a one of
these what they call a quad stick which
I've been using they do what they call a
lot of trans transfers that's like going
back with your stick and turning into
your wheelchair like a either left from
left or right to make sure you can
control your sitting and that like and
everything and that like it's been a
good experience to me really well it's
it's certainly moved me on a lot there's
no question about that I want to get
right together as soon as as possible as
far as I'm concerned but I mean this
this phys team they've got here the
excellent I've been in here this morning
and I've been using that cooker and we
sat at as breakfast here how and here
over there I just only a bit of cheese
on toast that s simple little thing like
that you know only the other things I've
done in here is just simply boiling it
Kettle to mash a cup a cup of tea I've
done that two or three times you know
but I mean it's something that you just
You' have done normally as a matter of
course is it that anybody would have
done like you know if you want to drink
you make a drink don't you but to when
you're like this it's not might laugh
but it's not it's like climbing the
mountain try to do trying to do
something but they tell me I've
progressed reasonably well I mean I'd
like to think that I could do
better but you know but they seem to
think I've all right they've been all
right with me and you know everything
been been fine really I suppose it
couldn't have been better really you
know they've tra me all right you know
and all that and everything you can have
a laugh and a joke with them and they
they have a good team here h
[Music]
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