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Sedgefield Rehabilitation Day Unit

RehabilitationDay HospitalService

(Monday, Tuesday, Thursday & Friday 8.30am - 4.30pm)

We are a step up, step down nurse led intermediate care Day Unit providing rehabilitation services to those that have difficulty accessing other rehabilitation services due to their complexity of need. Many of the patients that attend the Day Unit are elderly with a history of falls, reduced mobility, poor balance, and loss of confidence and have underlying medical conditions that have a significant impact on their rehabilitation needs. Typically this may be stroke, Parkinson's disease, falls, orthopaedics i.e. joint replacement, rheumatoid and osteoarthritis and similar debilitating conditions (neurological and musculoskeletal).

We are working in conjunction with the Franziska Willer Unit at Sedgefield Community Hospital to enable early discharge for those patients that no longer need to stay in hospital but have ongoing rehabilitation needs. This allows patients to continue with their physiotherapy and / or occupational therapy treatment that has been commenced on the ward, by attending the Day Unit as an out-patient rather than an in-patient. This is also giving the patient a continued link with the hospital allowing us to quickly address any medical or nursing needs if they arise with the aim to prevent any further admission.

The Day Unit provides rehabilitation for patients that have been referred from primary care, allowing early intervention and treatment with the aim of preventing deterioration in their condition and hopefully preventing admission to hospital

The Day Unit has access to physiotherapy, occupational therapy and nursing services within the multidisciplinary team providing care to patients with complex rehabilitation needs. We are currently running on a 6- 12 week program attending one day a week. This will depend on individual needs and the duration may increase as well as days attending, whichever is required.

Although the aim of the day unit is to improve patient mobility, we also provide social stimulation for those who have no other social outlet within their life (although this cannot be the primary reason for referral).

This nurse led service accepts referrals from any appropriate professional including; Physiotherapist, Occupational Therapist, RIACT, GP, Specialist Nurse, Falls Co-ordinator, Consultants and Nurses.

Referral Criteria

  • Be 18 years and over
  • Have given consent to be referred to the service
  • Have a willingness and cognitive ability to carry out an exercise programme as instructed by physiotherapist with minimal support. They will also need to be able to complete a home exercise plan
  • Have a need for the support from a multi-disciplinary team approach of rehabilitation rather than individual service needs (Please note that intermediate care is not a substitute for services provided by one professional group e.g. physiotherapy or social services)

Exclusion Criteria

  • The patient's primary need should be that of rehabilitation NOT medical or social need
  • Patient/clients unable to tolerate an exercise program with minimal support
  • Patients/clients that are unable to cognitively carry out and retain instructions
  • Patients/clients that require a hoist for transfer
  • Patients requiring assistance with administration of medication

Multi-Disciplinary Team

Our multi-disciplinary team comprises of Registered Nurses, Health Care Assistants, Physiotherapists and Occupational Therapists.

Transport

Transport can be arranged with the North East Ambulance Service, which affords easy access to those with mobility problems. This will be arranged for the patient/client as required by the Day Hospital.

Rehabilitation Program

  • Nursing assessment to identify any underlying conditions that may have an impact on their treatment options
  • Assessment and initial interview with a physiotherapist
  • Patient is asked to attend either once or twice weekly for a supervised exercise session in the Day Hospital
  • Patients generally attend for 6-12 sessions, although this can vary significantly according to individual needs
  • During these sessions, the patient will also receive an individually tailored home exercise programme and advice on falls prevention issues.
  • Patients are routinely given the "Staying Safe", "Care at Home" and "Staying Steady" information leaflets produced by Age UK, as well as additional written information pertinent to their individual needs e.g. footwear
  • If required the patient/client will be visited at home by the occupational therapy team to assess environmental issues which may impair their mobility or may be contributing to falls risks and recommendations made / equipment provided as necessary
  • Multi disciplinary team meetings are held to discuses and review treatment plans
  • Any problems identified are relayed back to their own GP for further investigation

Discharge

  • A home exercise plan as instructed by physiotherapist.
  • A multi disciplinary team meeting held to assess and evaluate treatments/interventions, any further interventions required are also reviewed
  • If requested a referral to a day centre will be made through Social Care Direct if required
  • A discharge summary will be sent to the initial referrer and to the patients/clients own GP highlighting improvements made, discharge mobility, treatment carried out, interventions and aids provided and adaptations made within the home

 

Email Address cdda-tr.SCHrehabUnit@nhs.net

 

'I feel it is important to relay my experience back to let the staff know they are doing a brilliant job! I would like them to know I appreciated all they did for myself, my family and our beautiful baby girl.'

Patient, Labour Ward, Darlington Memorial Hospital