Post on 07-May-2015
description
transcript
Major Trauma CentresUSA
Becky WilliamsonOccupational Therapist
Early Occupational Therapy rehabilitation within major trauma
centres of America
Introduction
bull Major Trauma - serious multiple system injuries
bull East Midlands Major Trauma Centrebull Queens Medical Centre - April 2012
bull America Major Trauma Centres amp Rehabilitationbull Much of the evidence from America
bull Nottinghamshire Roosevelt Scholarship
Objectives
bull Gain an international perspective
bull Compare and contact the use of OT core skills
bull Influence development of Major Trauma OT services at NUH
Methodbull Literature review of the existing evidence base
bull Examination of current practice amp services
bull Identification of key contacts and visits in America
bull Exploration of best practice building knowledge amp understanding of services in American
bull Dissemination of the scholarship findings to key stakeholders
Discussionbull Joint therapy promoted early mobilisation amp functional rehabilitation
bull OT role bull assessment of levels of awareness amp arousalbull splintingbull seating amp positioningbull cognitive amp early functional rehabilitationbull recommendations for managing behaviour bull support with emotional amp psychological wellbeing
bull Collaboration with bedside nurses facilitates 24 hour rehabilitation
bull OTs completed senior rotations across the acute setting
Evidencebull Department of Health
bull rehabilitation worst performing element of trauma pathway
bull Rehabilitation can reduce ldquosocietal cost significantlyrdquo (DOH 2009)
bull Rehabilitation prescriptions need to identify bull ldquoan appropriate programme of rehabilitation to assist their recoveryrdquo NHS Choices
(2012)
bull OT interventions needed in ICU stay to prevent deficits due to joint contracture amp initiate functional rehabilitation (Robinson et al 2006)
bull Early OT rehabilitation optimises functional outcomes (Hedges et al 2006)
Conclusion
bull OTs need specialist expertise to deliver best practice in early Major Trauma rehabilitation
bull OT role recruited to in the regional Major Trauma Centre
bull Opportunities for OT rehabilitation in ICU and HDU
bull Highlight the need for and benefits of rehabilitation bull Save money in the long term bull Better patient outcomes
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Early Occupational Therapy rehabilitation within major trauma
centres of America
Introduction
bull Major Trauma - serious multiple system injuries
bull East Midlands Major Trauma Centrebull Queens Medical Centre - April 2012
bull America Major Trauma Centres amp Rehabilitationbull Much of the evidence from America
bull Nottinghamshire Roosevelt Scholarship
Objectives
bull Gain an international perspective
bull Compare and contact the use of OT core skills
bull Influence development of Major Trauma OT services at NUH
Methodbull Literature review of the existing evidence base
bull Examination of current practice amp services
bull Identification of key contacts and visits in America
bull Exploration of best practice building knowledge amp understanding of services in American
bull Dissemination of the scholarship findings to key stakeholders
Discussionbull Joint therapy promoted early mobilisation amp functional rehabilitation
bull OT role bull assessment of levels of awareness amp arousalbull splintingbull seating amp positioningbull cognitive amp early functional rehabilitationbull recommendations for managing behaviour bull support with emotional amp psychological wellbeing
bull Collaboration with bedside nurses facilitates 24 hour rehabilitation
bull OTs completed senior rotations across the acute setting
Evidencebull Department of Health
bull rehabilitation worst performing element of trauma pathway
bull Rehabilitation can reduce ldquosocietal cost significantlyrdquo (DOH 2009)
bull Rehabilitation prescriptions need to identify bull ldquoan appropriate programme of rehabilitation to assist their recoveryrdquo NHS Choices
(2012)
bull OT interventions needed in ICU stay to prevent deficits due to joint contracture amp initiate functional rehabilitation (Robinson et al 2006)
bull Early OT rehabilitation optimises functional outcomes (Hedges et al 2006)
Conclusion
bull OTs need specialist expertise to deliver best practice in early Major Trauma rehabilitation
bull OT role recruited to in the regional Major Trauma Centre
bull Opportunities for OT rehabilitation in ICU and HDU
bull Highlight the need for and benefits of rehabilitation bull Save money in the long term bull Better patient outcomes
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Introduction
bull Major Trauma - serious multiple system injuries
bull East Midlands Major Trauma Centrebull Queens Medical Centre - April 2012
bull America Major Trauma Centres amp Rehabilitationbull Much of the evidence from America
bull Nottinghamshire Roosevelt Scholarship
Objectives
bull Gain an international perspective
bull Compare and contact the use of OT core skills
bull Influence development of Major Trauma OT services at NUH
Methodbull Literature review of the existing evidence base
bull Examination of current practice amp services
bull Identification of key contacts and visits in America
bull Exploration of best practice building knowledge amp understanding of services in American
bull Dissemination of the scholarship findings to key stakeholders
Discussionbull Joint therapy promoted early mobilisation amp functional rehabilitation
bull OT role bull assessment of levels of awareness amp arousalbull splintingbull seating amp positioningbull cognitive amp early functional rehabilitationbull recommendations for managing behaviour bull support with emotional amp psychological wellbeing
bull Collaboration with bedside nurses facilitates 24 hour rehabilitation
bull OTs completed senior rotations across the acute setting
Evidencebull Department of Health
bull rehabilitation worst performing element of trauma pathway
bull Rehabilitation can reduce ldquosocietal cost significantlyrdquo (DOH 2009)
bull Rehabilitation prescriptions need to identify bull ldquoan appropriate programme of rehabilitation to assist their recoveryrdquo NHS Choices
(2012)
bull OT interventions needed in ICU stay to prevent deficits due to joint contracture amp initiate functional rehabilitation (Robinson et al 2006)
bull Early OT rehabilitation optimises functional outcomes (Hedges et al 2006)
Conclusion
bull OTs need specialist expertise to deliver best practice in early Major Trauma rehabilitation
bull OT role recruited to in the regional Major Trauma Centre
bull Opportunities for OT rehabilitation in ICU and HDU
bull Highlight the need for and benefits of rehabilitation bull Save money in the long term bull Better patient outcomes
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Objectives
bull Gain an international perspective
bull Compare and contact the use of OT core skills
bull Influence development of Major Trauma OT services at NUH
Methodbull Literature review of the existing evidence base
bull Examination of current practice amp services
bull Identification of key contacts and visits in America
bull Exploration of best practice building knowledge amp understanding of services in American
bull Dissemination of the scholarship findings to key stakeholders
Discussionbull Joint therapy promoted early mobilisation amp functional rehabilitation
bull OT role bull assessment of levels of awareness amp arousalbull splintingbull seating amp positioningbull cognitive amp early functional rehabilitationbull recommendations for managing behaviour bull support with emotional amp psychological wellbeing
bull Collaboration with bedside nurses facilitates 24 hour rehabilitation
bull OTs completed senior rotations across the acute setting
Evidencebull Department of Health
bull rehabilitation worst performing element of trauma pathway
bull Rehabilitation can reduce ldquosocietal cost significantlyrdquo (DOH 2009)
bull Rehabilitation prescriptions need to identify bull ldquoan appropriate programme of rehabilitation to assist their recoveryrdquo NHS Choices
(2012)
bull OT interventions needed in ICU stay to prevent deficits due to joint contracture amp initiate functional rehabilitation (Robinson et al 2006)
bull Early OT rehabilitation optimises functional outcomes (Hedges et al 2006)
Conclusion
bull OTs need specialist expertise to deliver best practice in early Major Trauma rehabilitation
bull OT role recruited to in the regional Major Trauma Centre
bull Opportunities for OT rehabilitation in ICU and HDU
bull Highlight the need for and benefits of rehabilitation bull Save money in the long term bull Better patient outcomes
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Methodbull Literature review of the existing evidence base
bull Examination of current practice amp services
bull Identification of key contacts and visits in America
bull Exploration of best practice building knowledge amp understanding of services in American
bull Dissemination of the scholarship findings to key stakeholders
Discussionbull Joint therapy promoted early mobilisation amp functional rehabilitation
bull OT role bull assessment of levels of awareness amp arousalbull splintingbull seating amp positioningbull cognitive amp early functional rehabilitationbull recommendations for managing behaviour bull support with emotional amp psychological wellbeing
bull Collaboration with bedside nurses facilitates 24 hour rehabilitation
bull OTs completed senior rotations across the acute setting
Evidencebull Department of Health
bull rehabilitation worst performing element of trauma pathway
bull Rehabilitation can reduce ldquosocietal cost significantlyrdquo (DOH 2009)
bull Rehabilitation prescriptions need to identify bull ldquoan appropriate programme of rehabilitation to assist their recoveryrdquo NHS Choices
(2012)
bull OT interventions needed in ICU stay to prevent deficits due to joint contracture amp initiate functional rehabilitation (Robinson et al 2006)
bull Early OT rehabilitation optimises functional outcomes (Hedges et al 2006)
Conclusion
bull OTs need specialist expertise to deliver best practice in early Major Trauma rehabilitation
bull OT role recruited to in the regional Major Trauma Centre
bull Opportunities for OT rehabilitation in ICU and HDU
bull Highlight the need for and benefits of rehabilitation bull Save money in the long term bull Better patient outcomes
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Discussionbull Joint therapy promoted early mobilisation amp functional rehabilitation
bull OT role bull assessment of levels of awareness amp arousalbull splintingbull seating amp positioningbull cognitive amp early functional rehabilitationbull recommendations for managing behaviour bull support with emotional amp psychological wellbeing
bull Collaboration with bedside nurses facilitates 24 hour rehabilitation
bull OTs completed senior rotations across the acute setting
Evidencebull Department of Health
bull rehabilitation worst performing element of trauma pathway
bull Rehabilitation can reduce ldquosocietal cost significantlyrdquo (DOH 2009)
bull Rehabilitation prescriptions need to identify bull ldquoan appropriate programme of rehabilitation to assist their recoveryrdquo NHS Choices
(2012)
bull OT interventions needed in ICU stay to prevent deficits due to joint contracture amp initiate functional rehabilitation (Robinson et al 2006)
bull Early OT rehabilitation optimises functional outcomes (Hedges et al 2006)
Conclusion
bull OTs need specialist expertise to deliver best practice in early Major Trauma rehabilitation
bull OT role recruited to in the regional Major Trauma Centre
bull Opportunities for OT rehabilitation in ICU and HDU
bull Highlight the need for and benefits of rehabilitation bull Save money in the long term bull Better patient outcomes
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Evidencebull Department of Health
bull rehabilitation worst performing element of trauma pathway
bull Rehabilitation can reduce ldquosocietal cost significantlyrdquo (DOH 2009)
bull Rehabilitation prescriptions need to identify bull ldquoan appropriate programme of rehabilitation to assist their recoveryrdquo NHS Choices
(2012)
bull OT interventions needed in ICU stay to prevent deficits due to joint contracture amp initiate functional rehabilitation (Robinson et al 2006)
bull Early OT rehabilitation optimises functional outcomes (Hedges et al 2006)
Conclusion
bull OTs need specialist expertise to deliver best practice in early Major Trauma rehabilitation
bull OT role recruited to in the regional Major Trauma Centre
bull Opportunities for OT rehabilitation in ICU and HDU
bull Highlight the need for and benefits of rehabilitation bull Save money in the long term bull Better patient outcomes
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Conclusion
bull OTs need specialist expertise to deliver best practice in early Major Trauma rehabilitation
bull OT role recruited to in the regional Major Trauma Centre
bull Opportunities for OT rehabilitation in ICU and HDU
bull Highlight the need for and benefits of rehabilitation bull Save money in the long term bull Better patient outcomes
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Referencesbull Affordable Care Act (2010) Affordable Care Act Full Text [
httpwwwhealthcaregovlawfullindexhtml] Last Accessed 31042013 1700
bull Batalden P B amp Davidoff F (2007) What is ldquoquality improvementrdquo and how can it transform healthcare Quality and Safety in Health Care February 2007 16(1) 2ndash3
bull Brahmbhatt N Murugan R amp Milbrandt E (2010) Early mobilisation improves functional outcomes in critically ill patients Critical Care 2010 12321
bull DOH ndash Department of Health (2009) Rehabilitation of major trauma patients QIPP - NHS Evidence 27 November 2009 - Publisher Department of Health - Publication type Quality and Productivity Example [httpswwwevidencenhsukqipp] Last Accessed 31042013 1700
bull Frances Report (2013) Final Report of the Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust [httpwwwmidstaffsinquirycompressreleasehtml] Last Accessed 31042013 1700
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Referencesbull Hedges J Krog K Megargee T Porras-Monroe M amp Foisie Robinson E (2006) Chapter 4 ndash
Early Rehabilitation Interventions Located in Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull NHS Choices (2012) Major Trauma Services Reviewed by authors - 10042012 [httpwwwnhsukNHSEnglandAboutNHSservicesEmergencyandurgentcareservicesPagesMajortraumaservicesaspx] Last Accessed 19092012 1700
bull Nottinghamshire Roosevelt Travelling Scholarship (2012) [httprooseveltscholarshiporg] Last Accessed 30042013 1700
bull Robinson L (2006) Trauma Rehabilitation 1st ed Philadelphia PA Lippincott Williams amp Wilkins
bull Schweickert WD Pohlman MC Pohlman AS Nigos C Pawlik AJ Esbrook CL Spears L Miller M Franczyk M Deprizio D Schmidt GA Bowman A Barr R McCallister KE Hall JB amp Kress JP (2009) Early physical and occupational therapy in mechanically ventilated critically ill patients a randomised controlled trial Lancet 2009 May 30373(9678)1874-82
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Link to Report amp Blog
bull Report
httpwwwrooseveltscholarshiporgresourcesdocumentsRooseveltReport-RebeccaWilliamsonpdf
bull Blog
httpblogtravelpodcommembersbeckywilliamson
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT
Becky Williamson - OT
rebeccawilliamsonnuhnhsuk
_beckyOT