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Annual Report 2011 - Calvary Health Care Bethlehem

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<strong>Calvary</strong> <strong>Health</strong> <strong>Care</strong> <strong>Bethlehem</strong> 2010 – 11 <strong>Annual</strong> <strong>Report</strong> 32<br />

Projects & Partnerships<br />

Project for Improving<br />

<strong>Care</strong> for Patients with<br />

Huntington’s Disease<br />

The purpose of the project was to develop an improved<br />

model of care for Huntington’s Disease patients during their<br />

inpatient admission. We focused on this group of patients<br />

because they often experienced difficulties settling into the<br />

ward environment, due to their complex combination of<br />

disorders of movement, thinking and behaviour.<br />

One of the major outcomes of the project was the<br />

development of a Diversional Therapy program. The<br />

results of this program have proven to be a sound success.<br />

A diversional therapist was employed, who managed<br />

to create meaningful relationships with the patients and<br />

guide them with an array of activities which engaged each<br />

individual in an unique manner. Activities included music,<br />

exercise, painting and conversation.<br />

Most importantly there was a sense of confirmation of<br />

the worth of each patient who participated. Families also<br />

noticed the positive effects of the program and experienced<br />

comfort that their loved ones were being supported and<br />

cared for in an atmosphere that optimised their ability to<br />

function and engage with life.<br />

The Spirit of Life – Leaders in Our Work<br />

‘Social Communication Changes in Progressive<br />

Neurological Conditions: The Impact on <strong>Care</strong>rs’.<br />

This research project emerged from our clinical<br />

observations within the specialist progressive<br />

neurology service.<br />

It was consistently observed that carers of patients<br />

with Motor Neurone Disease (MND), Huntington’s<br />

Disease (HD) and advanced Multiple Sclerosis<br />

(MS), noticed alterations in behaviour and emotional<br />

functioning. <strong>Care</strong>rs found reduced empathy, loss<br />

of emotional reactivity and increased aggression,<br />

the most difficult changes to adjust to. Such<br />

changes were often significant causative factors in<br />

relationship stress and breakdowns.<br />

From these observations we felt committed to lead<br />

research in this area. The research received funding<br />

from the <strong>Bethlehem</strong> Griffiths Research Foundation<br />

and Motor Neurone Disease Research Institute of<br />

Australia.<br />

Over 100 of our patient and carer couples<br />

participated in the research. Data collected from 49<br />

patients with MND and their nominated carers, 30<br />

with HD and 20 with MS. Thirty control participants<br />

also completed the research.<br />

Preliminary analysis demonstrated that individuals<br />

with distinct progressive neurological conditions<br />

displayed different levels of impairment in emotion<br />

recognition and social communication.<br />

To date our research has been presented at the<br />

Speech Pathology in Sub-Acute <strong>Care</strong> Meeting,<br />

the 4th Pacific Rim Conference of the Australian<br />

Society for the Study of Brain Impairment and<br />

the International Neuropsychological Society.<br />

Our research continues to lead advancements in<br />

social communication in progressive neurological<br />

diseases in Australia.<br />

St Teresa’s ward<br />

continues to be a<br />

world<br />

leader<br />

in care of patients with<br />

Huntington’s Disease.

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