Montgomery County InfirmaryDay Hospital
Operational Procedure
Mondays and Thursdays Evidence Based Up to 8 users (depending on wheelchair access) Full multi-disciplinary approach 6 Week rehab programme All users reviewed by MDT weekly.
Day Hospital Good Practice
The National Service Framework for Older People focuses on:
Providing person-centred care promoting older people's health and independence.
Intermediate care
Aim: to provide integrated services to promote faster recovery from illness, prevent unnecessary acute hospital admissions, support
timely discharge and maximise independent living.
Hospital Wards
GP
Consultant
Primary Care Team
District Nurse
Social Services
Referrals from
Example of Conditions Seen In Day Hospital
Orthopaedic Rheumatoid ArthritisOsteo-ArthritisTotal hip replacementsFractures
Neurological C.V.AM.S. ParkinsonsCognitive Problems
Patients with a history of Falls.
General poor mobility.
Cardiac and Chest conditions.
Multi-Disciplinary Team
Improvements for the future
Transport. Medical Cover. Audit process. Opening a third day. Improve Profile. Improve physical environment. Develop facility user group for the venue.
The Role of Physiotherapy
1) Maintenance exercises for half an hour at each session given by a Physiotherapist Technical Instructor III.
This is a Chairobics Class following the Extend programme of `Movement to music for the over 60's or the less able of any age'.
The Role of Occupational Therapy
Full assessment of the service users ability focusing on
Environment
Occupations
Performance
Group work where appropriate – purposeful activities
The Role of the Nursing team.
Ongoing assessment of service users. Promoting communication within the MDT, involving family and carers Effective referral system Development of junior staff Providing a stimulating environment Undertaking evidence based practice Team working
Staff Nurse is the team leader
2) Individual assessment.
3) Appropriate individual treatment:
Stroke rehabilitation (as well as O.P. Physiotherapy) Maintenance of progressive Neurological conditions (eg.
Parkinsons, M.S.) Balance re-education Gait re-education and progression of walking aids. Specific strengthening and mobilising exercises. Pain relief (I.F.T. and heat) and Wax
4) Attend M.D.T. meetings.
5) Re-assessments - and refer to O.P. Physiotherapy if necessary.
At present we are unable to refer to Community Physiotherapists or
Re-ablement as this is not available in this area
Individual Treatment Programme includingKitchen assessment and practiceLeisure activities
Home visits
Lead planning of the group sessions in the afternoons which includes sessions of:
Fall preventionCreative activitiesQuizzesOutside Speakers
Leisure activities – such as gardening
The activities are all planned following the users completing leisure activity check lists so that the programme is suitable and appropriate to the service user.
Role of the Healthcare assistant
Planning preparation of environment for the day hospital service users. Assisting clients with mobility Rehabilitation under guidance of MDT Providing stimulation and orientation. Assist qualified nurse with baseline observations and glucose levels. Assist with activities of daily living
