Research Week Abstract Book - Northern Health

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Aged Care ProVISION OF HOME BASED REHABILITATION TO IMProVE FUNCTIONAL inDEPenDenCE AND ABILITY TO MANAGE AT HOME FOLLOWING HOSPITAL DISCHARGE Hull S, Gale J, Gibson A, Hill K, Hutchison A, Lawlor V, McLoughlan A, Penberthy L, Tully N. Background The Extended Rehabilitation in the Home (ERITH) service was developed to provide patients with timely access to home based rehabilitation to prevent readmissions to the emergency department. Aim To evaluate the effectiveness of the ERITH service in improving client’s functional independence and ability to manage at home following hospital discharge. Methodology Provision of home based Occupational Therapy and/or Physiotherapy following discharge from the emergency department, short stay unit or the acute geriatric unit. Pre and post Timed Up and Go (TUG) outcome measures were recorded. Phone interviews were completed at one and twelve months post intervention. Results 113 clients consented to take part in the evaluation. A mean improvement of 11 seconds (33%) was recorded in the TUG. 82% of participants showed a decrease in emergency department presentations. 10% of participants reported having had a fall(s) within one month post intervention, which increased to 28% by 12 months. At twelve months 89% of participants felt they were managing at home, 76% were compliant with therapist recommendations, and 78% rated the ERITH service as beneficial. 10% of participants were excluded from the evaluation due to readmission within the intervention period. Conclusion The ERITH service is effective at improving client’s functional independence and ability to manage at home following hospital discharge evidenced by a decrease in emergency department presentations. A clinically significant improvement was recorded in the TUG and participants reported a high level of compliance with therapist recommendations, ability to manage at home, and satisfaction with the ERITH service. 14 Research Week Abstract Book Northern Health 2013
Aged Care Aged Care FALLS TRENDS WITHIN PhysioTHERAPY: A RETROSPECTIVE ANALYSIS Lam J, Chapman S, Penberthy L & Tzerefos R. Background Falls are a common problem in hospitals. Although strategies are in place to minimise falls in physiotherapy interventions, they still occur. Aim To examine what happened when patients fell during Physiotherapy and to identify trends in falls within physiotherapy interventions. Methodology A retrospective observational descriptive study was conducted. Reports of patients who had falls while performing physiotherapy interventions with a physiotherapist during the period of October 2010 to September 2012 and were recorded in Victorian Health Information Management System (VHIMS) were thematically analysed. Descriptive data were compiled and reported in aggregated numbers or themes. Results A total of 30 records of falls related to physiotherapy were identified. Most falls were reported by junior staff (50%) and occurred whilst the patient was mobilising, transferring, practicing steps or doing squats. 47% of falls occurred in subacute wards. 93% of falls occurred during individual physiotherapy interventions, only 7% falls occurred during group exercise setting. Sliding forward when sitting on edge of bed/chair/wheelchair and knee/leg giving way were the most common cause/mechanism of falls. Fatigue was the main contributing factor. Secondary contributing factors were lower limb weakness, behavioural component and impulsiveness. Possible minimizing factors reported by reporters were having a second person to assist, education of patient and staff, resting patient, closely supervising/monitoring patients and modifying task/intervention. Conclusion This study shows that performing functional activities and lower limb giving way are the main causes of falls occurring within physiotherapy. Patient fatigue appears to be a main contributing factor to falls during physiotherapy interventions. 15
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Page 5 and 6: Introduction Health Literacy And Cl
Page 7 and 8: Introduction cont’d IntRODUCTION
Page 9 and 10: Event Schedule cont’d event sched
Page 11 and 12: ABSTRACTS Abstracts 9
Page 13 and 14: Aged Care Aged Care Does physiother
Page 15: Aged Care Aged Care A COMParison OF
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Page 21 and 22: Chronic Disease Management A SYSTEM
Page 23 and 24: Chronic Disease Management APProPri
Page 25 and 26: Chronic Disease Management INTRODUC
Page 27 and 28: CHROnIC DISEASE Management 25
Page 29 and 30: Haematology HaematOLOGY THE IMPleme
Page 31 and 32: Haematology HaematOLOGY HIGH-DOSE M
Page 33 and 34: Haematology HaematOLOGY Intermitten
Page 35 and 36: HaematOLOGY 33
Page 37 and 38: Women’s Health and Paediatrics MU
Page 39 and 40: Women’s Health and Paediatrics TH
Page 41 and 42: Women’s Health and Paediatrics IM
Page 43 and 44: Women’s Health and Paediatrics SA
Page 45 and 46: Health Service Evaluation ESTablish
Page 47 and 48: Health Service Evaluation EValuaTIN
Page 49 and 50: Health Service Evaluation INNOVATIV
Page 51 and 52: Health Service Evaluation EMERGENCY
Page 53 and 54: Health Service Evaluation Northern
Page 55 and 56: Orthopaedics ORTHOPAEDICS DisTAL RA
Page 57 and 58: Orthopaedics ORTHOPAEDICS RETURNING
Page 59 and 60: Orthopaedics ORTHOPAEDICS THEATre S
Page 62: Broadmeadows Health Service 35 John

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