1. #GetUpAndGo
Implementation of an Inpatient ‘Get Up and Go’ Reablement Programme- The Therapist’s Role.
Ashleigh Goulding and Natalie Kitchener
The Ipswich Hospital has recognised the importance of promoting reablement on all wards within our hospital.
Recognition is just the start, now we all need to work together to implement a change in our working practices.
We believe that through shared training goals we can start to enable ourselves as a team to make that change.
Psychological effects including;
Depression, anxiety, decreased motivation, decrease in independence and
motivation
Risk of developing respiratory problems
May lead to reduced appetite causing malnutrition and constipation
Reduced muscle strength and stamina leading to functional disability
Higher risk of developing cardiac and circulatory problems
Increased likelihood of skin breakdown
Impact of
reablement
Decreases length of stay in hospital and assists with patient flow
Potentially reduces need for extra care or new placements in the community
Increases mood and confidence, reduces anxiety and increases self-esteem
Increases appetite and energy levels
Maintaining mobility and decreased falls
Empowering patients to achieve personal goals
Impact of
bedrest
Outcomes
Our outcome measures address deconditioning, length of stay (LOS) and patient satisfaction.
Since starting the 'Get Up and Go' programme, one wards’ LOS has reduced from 9.1 days to 7 in 4 months. We therefore save time for us and our patients.
Future directions
Train all ward staff
Prompt cards
Promote trial huddles
Reablement champions
Social dining
Bay exercises
The Suffolk Show and other events
On tour mannequin to improve public recognition
My reablement pledge is….
To encourage patients to care for themselves ready for going home.
My reablement pledge is….
To share the importance of reablement across the hospital and community services.
My reablement pledge is….
To challenge the ‘always have done it this way’ by leading, motivating and role modelling to staff that small changes can make a huge impact on patient recovery and their patient journey.
My reablement pledge is….
To always inspire to reable patients by demonstrating reablement each day.
References
 Brian Dolan (December 2016) The value of patients’ time: Last 1,000 days NHS Improvement.
NHS Right Care (August 2016) The variation between standard and optimal pathways – Janet’s story. NHS England.
Authors
Ashleigh Goulding Band 6 Occupational Therapist, Ipswich Hospital NHS Trust.
Natalie Kitchener Band 6 Occupational Therapist, Ipswich Hospital NHS Trust.
Follow us on twitter
@IHTreablement
@IHT_Therapies
@Team_Ipswich .
© The Ipswich Hospital NHS Trust, All rights reserved. Not to be reproduced in whole, or in part, without the permission of the copyright owner.