Major trauma
The therapist was very friendly and helpful and made me fell less nervous and scared about using specialist equipment .”
Major trauma
Feature
The therapist was very friendly and helpful and made me fell less nervous and scared about using specialist equipment .”
Information was collected on : the type of injury sustained , for example orthopaedic , head injury , or both ; if there was a requirement for equipment provision for discharge , and if this was in place for discharge ; and those offered and those who accepted a follow-up phone call and the outcome of this .
The Parent Care Measure ( PCM ) can be used to gain the views of the child or parent attending AHP services . It is a patient centred measure of relational empathy and a score given anonymously by the parent or child .
In occupational therapy it is routinely given out to gain the views of the child or parent on the quality of interaction with their occupational therapist .
A process folder was compiled for the occupational therapy team , which included information on initial triage and assessment documentation , equipment ordering processes , including crisis delivery , contact information for local authority areas and outcome measure information .
The multidisciplinary team met to compile relevant documentation and review outcome measures . The admission rehabilitation plan was established , to be completed within the first 72 hours , and the discharge rehabilitation plan , with information for parents , child and community staff .
Outcome measures were reviewed and agreed to collate the scoring of the PTA , Rehab Complexity Scale , Therapy Outcome Measures ( TOMs ) and Goal Attainment Scaling ( GAS ) goals .
A satellite store for equipment provision was identified as a requirement to aid discharge planning in particular same day or next day discharges .
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89 %
Instead of asking parents / carers to drive to the equipment store to collect or have it delivered to their home , a store was set up indicated that the
within the department therapist was excellent in to house a small stock showing care and compassion of equipment and a and being positive process developed to have pieces reimbursed from the Edinburgh Council Store .
In line with the Scottish Ready to Act framework , prevention ideas were tested . First , testing a home safety talk to parents whose child attends an Edinburgh Early Years Centre ; this was completed in conjunction with the Royal Society for the Prevention of Accidents ( RoSPA ).
It is delivered in the form of a 30-minute faceto-face presentation , covering the risks around falls , burns , choking and suffocating , poisoning , drowning and how to prevent these .
The aim being to highlight risks and inform parents / carers of ways in which they can reduce the risk of accidental injury in the home . At the end of the session , attendees are given a ‘ Keeping Kids Safe ’ pack and invited to fill out a feedback form .
Results and outcomes from the first year
In year one , there were 67 new trauma cases , where 80 % were identified by occupational therapy staff screening wards on the electronic patient management system ; some of these cases could have potentially been missed prior to the setting up of the major trauma service .
We also found that 72 % of cases that required occupational therapy input had a lower limb injury and 90 % of these cases required adaptive equipment for discharge to facilitate independence in activity of daily living skills and functional transfers .
We therefore concluded it ’ s essential that children or young people who have sustained a
June 2023 OTnews 43