Rehabilitation of People with Acquired Brain Injury Bournemouth University, Headway, Dorset - PowerPoint PPT Presentation

Loading...

PPT – Rehabilitation of People with Acquired Brain Injury Bournemouth University, Headway, Dorset PowerPoint presentation | free to download - id: 5c8f27-ZTRhM



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Rehabilitation of People with Acquired Brain Injury Bournemouth University, Headway, Dorset

Description:

Rehabilitation of People with Acquired Brain Injury Bournemouth University, Headway, Dorset & Dorset Healthcare NHS Foundation Trust . ENOTHE CORK October 2007 – PowerPoint PPT presentation

Number of Views:84
Avg rating:3.0/5.0
Slides: 21
Provided by: JenniferL98
Learn more at: http://www.enothe.eu
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Rehabilitation of People with Acquired Brain Injury Bournemouth University, Headway, Dorset


1
Rehabilitation of People with Acquired Brain
Injury Bournemouth University, Headway, Dorset
Dorset Healthcare NHS Foundation Trust .
  • ENOTHE CORK October 2007

2
Greetings from
Bournemouth!
Melissa Forsyth Theresa Weston
3
Where is Bournemouth?

4
Presentation Outline
  • Introductions
  • Target group
  • Acquired brain injury
  • Current service providers
  • Introduction to initial project
  • Summary of project outcomes July 07
  • What is an expert patient?
  • Content of generic expert patient programmes
  • Revised planned project outcome
  • Relevance to OT
  • Three key tasks
  • References

5
Target Group
  • Improved post-accident care, has resulted in an
    increased number of survivors with Acquired Brain
    Injury (Headway ca2006)
  • The majority of health, social and employment
    services have not yet adapted to meet the
    rehabilitation needs of people with hidden
    cognitive disabilities (Headway ca2006)
  • Potentially individuals within this client group
    are at risk from occupational deprivation as
    their complex needs are not being met
  • A need was identified in collaboration with our
    partner agency Dorset Healthcare NHS Foundation
    Trust

6
Acquired Brain Injury
  • What is an acquired brain injury?
  • An injury to the brain which has occurred since
    birth (Turner et al, 2002).
  • traumatic or non-traumatic ( tumours, infectious
    disease, toxins.)
  • What does it mean to have ABI?
  • Visual difficulties and fatigue are persistent
    often five years after the accident
  • Cognitive, behavioural and emotional difficulties
    persist
  • 32 of those working at 2 years were not working
    at 5 years post accident.
  • (Olver 1998).

7
Current Service Providers
Headway Dorset Voluntary charitable
organisation Established 1993 by carers of people
with acquired brain injury (Headway 2006) Dorset
Healthcare Trust Community Brain Injury Service
Multi-disciplinary Team, Occupational
Therapists, Physiotherapists, Psychologists,
Consultant Dorset Healthcare Trust Vocational
Rehabilitation Service Aims to assist people to
recover existing skills, learn new skills, enable
people to live satisfying and purposeful lives in
the community. May involve paid employment or
voluntary work. 30 of clients have a brain injury
8
Introduction to Initial Project
  • The project was established in 2006 and the
    proposal presented at the Ankara ENOTHE
    conference.
  • To deepen knowledge of community facilities that
    the individuals wished to access along with other
    complementary healthcare.
  • It consisted of three threads
  • It aimed to establish if the expert patient
    programme was suitable for this particular
    client group.
  • To research whether a book prescription service
    would be a viable venture.
  • Investigate potential for access to leisure
    activity.
  • Progress was recorded, presented at the end of
    the year and a report sent to ENOTHE.

9
Project Outcomes July 2007
  • Information on the book prescription service and
    a database format for accessing community
    facilities was completed within the academic year
    and handed over to our partner agency Dorset
    Healthcare NHS Trust.
  • In the case of the Expert Patient Scheme
    possible scope for further development had
    already been recognized and continued support was
    requested by Headway Dorset. This will be
    achieved through continuation of the project in
    regard to the Expert Patient Scheme into 2007-8
  • BUDGET
  • This project is based on time and involvement
    resources as opposed to financial

10
What is an Expert Patient?
  • Expert patients are people living with a
    long-term health condition, who are able to take
    more control over their health by understanding
    and managing their conditions, leading to an
    improved quality of life.
  • Expert patient programmes at present are generic
    and take place over 2 1/2 hours per week for six
    weeks and are led by people who, themselves, live
    with a long-term health condition.

11
Content of the Generic Expert Patient Programme
  • People learn a variety of relevant skills, which
    include
  • Setting goals.
  • Writing an action plan.
  • Problem solving skills.
  • Fitness and exercise.
  • Better breathing (participants are taught
    diaphragmatic breathing).
  • Fatigue management.
  • Healthy eating.
  • Relaxation skills.
  • Communication with family.
  • Working better with health care professionals,
    including communicating better with them.
  • Making better use of medications.

12
Revised Planned Project Outcomes
  • Identify if there are any expert patient schemes
    operating for people with traumatic brain injury
    and if this could be replicated in Dorset
  • Locate other expert schemes in our geographical
    area
  • Gather information on how to set up an expert
    patient scheme
  • Make an action plan for setting up a scheme
  • Present to the stake holders

13
Relevance to Occupational Therapy
  • We are aiming to work towards a just society and
    reduce the risk of occupational deprivation this
    will be achieved through
  • Empowering the individual
  • Providing choice and opportunity for involvement
    and social inclusion
  • To enable occupational rights and equality.
  • As OTs, we are well placed to offer support, help
    and education on the 3 key tasks identified in
    the expert patient leader manual.

14
THE 3 KEY TASKS
  • Managing the illness
  • Taking medications
  • Changing diet and exercise
  • Managing symptoms of pain, fatigue, insomnia,
    shortness of breath, etc.
  • Making best use of health care available
  • Managing daily activities and roles
  • Maintaining roles as spouse, parent, employment,
    etc.
  • Managing the emotional changes
  • Managing anger, fear, depression, anxiety, etc.
  • The Expert Patients Program Leaders Manual

15
Occupation is seen as a human right and
occupational deprivation as a violation of human
rights (COT 2006)
16
THANK YOU FOR LISTENING ARE THERE ANY QUESTIONS?
17
References and Further Reading (1)
COLLEGE OF OCCUPATIONAL THERAPISTS, 2006.
Statement on the relationship between occupation,
mental health and well being online. COT,
London. Available from http//www.cot.org.uk/new
public/practice/pdf/vision-statement.pdf
Accessed 4 October 2006. OLVER, J. H., 1996.
Outcome following traumatic brain injury a
comparison between 2 and 5 years after injury.
Brain Injury online. Volume 10 (11). Available
from http//ejournals.ebsco.com/direct.asp?Articl
eIDXR7UQRJFX9FUHY3N99GG Accessed 4 October
2006.
18
References and resources(2)
  • BRAKE, ca2006. Injuries from crashes online.
    Brake, Huddersfield. Available from
    http//www.brake.org.uk/index.php?p597 Accessed
    4 October 2006.
  • DEPARTMENT OF WORK AND PENSIONS, 2006. Pathways
    to work qualitative research on the Condition
    Management Programme online. London, DWP.
    Available from www.dwp.gov.uk Accessed
    04/10/06
  • DORSET HEALTHCARE NHS TRUST, 2006. Community
    Brain Injury Team online. Dorset, Dorset
    Healthcare NHS Trust. Available from
    http//www.dorsethealthcare.nhs.uk/Default.aspx?ta
    bid154 Accessed 4 October 2006.

19
References and Further Reading (3)
HEADWAY ESSEX, ca2006. Brain injury statistics
online. Essex, Headway. Available from
http//www.headwayessex.org.uk/facts/statistics.ht
ml Accessed 4 October 2006. HEADWAY NATIONAL
HEALTH SERVICE, 2003. Expert Patient Programme
online. http//www.expertpatients.nhs.uk/what.s
html Accessed 04/10/06. Expert Patients
Programme. Available from http//www.expertpatien
ts.co.uk/public/default.aspx Accessed 3 October
2007
20
References and Further Reading (4)
WHITEFORD, G., 2004. When people cannot
participate Occupational Deprivation. In C.
CHRISTIANSEN E. TOWNSEND (eds). Introduction
to Occupation the art and science of living. New
Jersey, Prentice Hall, 221-242. TURNER A.,
FOSTER M., JOHNSON, SE., 2002. Occupational
Therapy and physical dysfunction. Edinburgh.
Churchill Livingston.
About PowerShow.com