Rebuilding Lives Through Teamwork - A stroke Patients Experience of CSSD

00:08:36
https://www.youtube.com/watch?v=NpXPL-gG4HE

Summary

TLDRThe video discusses the stroke care process at Chester Royal Hospital's Eastwood Ward stroke unit. Sue Potter, the stroke matron, explains the integrated approach where acute and rehab services are combined, allowing seamless services from arrival through to post-discharge. Patients are first seen in AE where initial assessments, including crucial swallowing evaluations, take place. Once on the ward, patients receive care from a multidisciplinary team including physiotherapists, occupational therapists, and dieticians, aimed at rehabilitation. The newly introduced Early Supported Discharge Service allows patients to receive continuity of care at home, reducing anxiety and improving outcomes. Bob, a stroke survivor, shares his experience of suddenly losing mobility and his journey through intensive rehabilitation, highlighting the skilled therapy team and the small achievements like making toast, which signify significant recovery progress. The video emphasizes the importance of cohesive teamwork and patient-family communication in enhancing stroke recovery.

Takeaways

  • 👩‍⚕️ Specialist stroke matron ensures seamless care for stroke patients.
  • 🏥 Integration of acute and rehab services on-site enhances care.
  • 🗣️ Early swallowing assessment is crucial for stroke patients.
  • 🤝 Multidisciplinary team approach is vital for rehabilitation.
  • 🏡 Early Supported Discharge enhances home care continuity.
  • 👐 Patient-family communication supports recovery.
  • 🧑‍🤝‍🧑 Close teamwork among specialists strengthens patient care.
  • 🥣 Simple tasks in therapy symbolize significant recovery steps.
  • 🚶‍♂️ Rehabilitation may involve relearning everyday activities.
  • 👨‍🔬 Timely medical and therapy interventions aid recovery.

Timeline

  • 00:00:00 - 00:08:36

    The stroke services at Chester Royal Hospital have been enhanced by combining acute and rehabilitation units, allowing for seamless patient care that begins from the moment patients are admitted to A&E. This involves quickly performing vital assessments like swallowing, and starting early care planning and involving family members. Patients benefit from interdisciplinary teams, including physiotherapists, occupational therapists, and speech and language therapists, who are crucial for therapy-focused recovery. The successful collaboration of these teams is essential, as patient needs range from brief stays to extended rehabilitation. An upcoming Early Supported Discharge Service aims to provide continuity of care by assisting patients at home post-discharge.

Mind Map

Video Q&A

  • What is the role of the Specialist stroke matron in patient care?

    The Specialist stroke matron ensures seamless patient admission, care planning, and early assessments for stroke patients at Chester Royal Hospital.

  • How are patients evaluated upon admission to the stroke unit?

    Patients are evaluated by medical teams, and within 24 hours, they are seen by physiotherapists, occupational therapists, and speech and language therapists for necessary assessments.

  • What is the Early Supported Discharge Service?

    It is a service where therapy teams and nurses support patients at home post-discharge to improve continuity and quality of care.

  • What challenges did Bob face during his stroke experience?

    Bob experienced mobility loss and struggled to reach a phone for help, later undergoing therapy and rehabilitation to regain movement.

  • How do the therapy teams assist in stroke patient rehabilitation?

    Therapy teams provide targeted exercises and activities to help patients regain movement and function, using tools like quad sticks for mobility.

  • Why is early swallowing assessment important for stroke patients?

    Early swallowing assessment is crucial to ensure stroke patients can safely swallow, preventing complications like aspiration.

  • How does the stroke unit ensure communication with patient families?

    The stroke unit communicates with families early on to keep them informed about the patient's care and progress.

  • What are some rehabilitation activities Bob participated in?

    Bob practiced activities like making cheese on toast and boiling a kettle, which helped him regain everyday skills.

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  • 00:00:00
    [Music]
  • 00:00:10
    you've had a chance to look at how the
  • 00:00:12
    clinical specialist services division is
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    involved in the care of the stroke
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    patient now let's hear from The
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    Specialist stroke matron and Bob a
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    patient who has recently used our stroke
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    Services my name is Su Potter I'm the M
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    for stroke services at Chester Royal
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    Hospital on the Eastwood Ward stroke
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    unit I worked here for a number of years
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    more recently with the new two units
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    were combined uh in April 2011 so we
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    have acute and Rehab on the same site
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    now the process here for when the
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    patient is admitted is that we uh will
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    attend AE and we will see all the
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    patients at the point of them arriving
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    which is very beneficial we get the
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    chance to hear firsthand of how of how
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    the patients been managing it home we
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    get to meet the relatives from an early
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    stage and it generally um feels that
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    that this is beneficial to the service
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    you know providing a seamless service we
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    also do the uh swallowing assessments as
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    soon as a patient comes in which is
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    absolutely vital for patients that you
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    know to be able to swallow at a very
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    early stage um and then once they come
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    onto the ward we can then we we already
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    know them we've already met them in A&A
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    and we've already started the um
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    planning of the care that they're going
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    to receive whilst they're with us and
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    have ched to the relatives at that time
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    as well to keep them informed of what
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    we're
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    doing when the patients first admitted
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    they are dealt with by the medical team
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    but then very quickly within 24 hours
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    they will be seen by the
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    physiotherapists and and very soon
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    afterwards also by the occupational
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    therapists and also the speech and
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    language um therapists if the patient
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    needs assessment with swallowing or
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    communication uh there at that point
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    then we very often have to involve the
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    dietician uh and the fotus obvious
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    involved because uh they routinely take
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    the Bloods um and any other disciplines
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    uh that work within the team uh
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    including the nursing team as well it's
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    a large team and the the strength of the
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    successful stroke team um are dependent
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    on people working very closely together
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    so whilst the medical model is the
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    initial part of a patient's care the
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    bulk of the patient's care is relating
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    to therapy and it requires very close
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    working relationships within that team
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    and we do have a very very strong team
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    here who work closely together um some
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    patients are here only for a short space
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    of time and require sometimes very
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    little therapy input uh whilst other
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    patients can require a prolonged period
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    of Rehabilitation that can go into weeks
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    and sometimes months and that obviously
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    involves us getting very close to the
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    patients and the families and everybody
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    that's involved uh with that level of
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    care uh what is due to start in the
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    beginning of October is the new early
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    supported discharge service and from our
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    perspective this will um enhance the
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    care that we already give and we
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    previously piloted it and it was very
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    successful and it will involve our
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    therapy teams nursing going out to the
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    patients at home and supporting them at
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    home on discharge and at the moment that
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    that's uh quite daunting for the patient
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    to go home with uh unfamiliar people and
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    we see this will be the gold standard
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    for the service that we now provide
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    [Music]
  • 00:03:33
    all I can remember getting up one Sunday
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    morning probably about what 8 week ago
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    and everything fine about half 7 in the
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    morning I got up out of bed walked along
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    the side of the the bed to to make him
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    my way to the toilet and I came back out
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    again and I felt all funny next thing I
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    know but I won't Flor I was still
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    conscious and I knew what were
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    happening but I I couldn't I couldn't
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    move i' lost my Mobility I couldn't
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    stand up and out my legs are just like
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    jelly my arms right I floor on carpet I
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    thought right back to the
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    bedroom we cordless telephone on a shelf
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    and I crawled along shuffled along I bet
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    it took me an hour to get to that phone
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    and I'm talking a distance of only a few
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    yards L and just I could just reach
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    phone it's C the phone and i r neighbor
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    of mine he he pick phone straight away
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    and out paramedics come and they come to
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    me well I to be honest I little bit this
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    is a bit I can't remember a lot of
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    really I know they were there in the
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    bedroom I don't know a lot about it
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    coming in here I can remember the
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    ambulance coming in and dropping me off
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    and taking me into accident emergency
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    place first thing I thought and I
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    thought B what's up with me I can't sh
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    my arm I was like if it were if it
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    didn't belong me my leg and that like
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    you know I'm in trouble here and then of
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    course had to tell me what Happ i' go
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    idea what would happened to me but um
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    it's a very frightening experience you
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    know well I've
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    had right from just know I've had the
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    nutrition people got some people out
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    understand when they have a stroke
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    sometimes they have difficulty in
  • 00:05:27
    swallowing but luckily that that's not
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    affect me at all and I've also had the
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    uh I'm from the
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    pharmacy and um that's what took the
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    blood had them and uh down to a doctor
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    come to see me you know and he got me
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    doing various things which touching you
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    in various places could you feel this
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    and you know and I can although not got
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    to use in me arm and me
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    hand everything sensitive little thing
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    like that where he touched saying are
  • 00:06:02
    you I'm am I touching your left or right
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    you know and all that I knew I knew
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    exactly what we were doing they do a lot
  • 00:06:11
    of things you know trying to get your
  • 00:06:13
    arm going moving it to where you would
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    like it up in there where you would be
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    able to normally learning how to get oh
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    I mean I know that might sound stupid
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    saying that
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    but it's like it's like relearn
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    everything again you've got to sitting
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    in this chair and go in right position
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    feed in right position to make it easier
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    for you to finally stand first of all it
  • 00:06:37
    started off with just AED walking where
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    you Vis either side of you and that and
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    then we progressed on to using a one of
  • 00:06:46
    these what they call a quad stick which
  • 00:06:48
    I've been using they do what they call a
  • 00:06:51
    lot of trans transfers that's like going
  • 00:06:55
    back with your stick and turning into
  • 00:06:57
    your wheelchair like a either left from
  • 00:07:01
    left or right to make sure you can
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    control your sitting and that like and
  • 00:07:06
    everything and that like it's been a
  • 00:07:08
    good experience to me really well it's
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    it's certainly moved me on a lot there's
  • 00:07:13
    no question about that I want to get
  • 00:07:16
    right together as soon as as possible as
  • 00:07:19
    far as I'm concerned but I mean this
  • 00:07:21
    this phys team they've got here the
  • 00:07:23
    excellent I've been in here this morning
  • 00:07:26
    and I've been using that cooker and we
  • 00:07:28
    sat at as breakfast here how and here
  • 00:07:31
    over there I just only a bit of cheese
  • 00:07:33
    on toast that s simple little thing like
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    that you know only the other things I've
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    done in here is just simply boiling it
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    Kettle to mash a cup a cup of tea I've
  • 00:07:42
    done that two or three times you know
  • 00:07:45
    but I mean it's something that you just
  • 00:07:46
    You' have done normally as a matter of
  • 00:07:48
    course is it that anybody would have
  • 00:07:50
    done like you know if you want to drink
  • 00:07:52
    you make a drink don't you but to when
  • 00:07:54
    you're like this it's not might laugh
  • 00:07:58
    but it's not it's like climbing the
  • 00:08:00
    mountain try to do trying to do
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    something but they tell me I've
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    progressed reasonably well I mean I'd
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    like to think that I could do
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    better but you know but they seem to
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    think I've all right they've been all
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    right with me and you know everything
  • 00:08:18
    been been fine really I suppose it
  • 00:08:20
    couldn't have been better really you
  • 00:08:21
    know they've tra me all right you know
  • 00:08:23
    and all that and everything you can have
  • 00:08:25
    a laugh and a joke with them and they
  • 00:08:28
    they have a good team here h
  • 00:08:31
    [Music]
Tags
  • stroke care
  • patient rehabilitation
  • early assessment
  • multidisciplinary team
  • home support
  • therapy
  • recovery stories
  • hospital services