Aged Care & Rehabilitation Clinical Services Plan 2007 Ã¢Â€Â“ 2012

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Aged Care & Rehabilitation Clinical Service Plan 2007 - 2012assistance with medication within the Unit during the day. A review of the impact on other serviceswould be required after a period of time. Ideally the unit would offer a home-like atmosphere withprivate bedrooms and a shared bathroom, kitchen and living area, thus enabling the patient to returnto activities of daily living at the earliest possible time within the continuum of care. The length ofstay in such a unit would be anticipated as ranging between two weeks and two months, dependingon the circumstances of the patient.The benefits will be reduced length of stay in the acute Burns Unit, reduced dependency andinstitutionalisation effects resulting from long periods of hospitalisation, increased empowerment toenable a person to take control of their activities of daily living, and to start to socialise andreconnect with their families in a more homely environment.Where practical, patients should then be transferred to receive outpatient services from their localhospital if possible.Recommendation – Burns RehabilitationContingent on the outcomes of the state-wide planning for Burns Services, establish a four bedBurns Step Down Unit at CRGH in the style of a transitional living unit, supported by noninpatientservices7.3 Non-Traumatic Spinal Cord Injury RehabilitationAcute spinal cord injury (SCI) services are based at Prince of Wales and Royal North ShoreHospitals. These services also offer specialist SCI rehabilitation, predominantly for people withtraumatic SCIs. SSWAHS manages patients with a non-traumatic SCI in general rehabilitationwards.7.3.1 Current and Emerging Issues• Increasing prevalence – particularly associated with population ageing;• Expertise required – there is particular expertise required to meet the needs of peoplewith non-traumatic SCI’s, including the need for close relationships with neurology,urology and plastics services;• Interaction with traumatic spinal cord injury services – existing outreach therapyservices associated with traumatic SCI services are unable to meet the demand;7.3.2 Future Model of CarePatients with a non-traumatic SCI and those requiring post-acute spinal injury rehabilitation shouldbe managed in a single unit for SSWAHS. An inpatient unit should be established to provide thisservice, ideally located on a site with access to neurology, urology and plastics services. Theestablishment of a dedicated unit would require a higher level of nursing and allied health expertiseto provide the required care for this group of patients. Additional outpatient clinics and non-inpatienttherapy services are also required to support this service. Specialised spinal cord injury outpatienttherapy services would facilitate the maintenance of gains made through the inpatient episode andfurther improvement of functioning and independence in the community.Recommendation – Non-Traumatic Spinal Cord Injury RehabilitationSubject to the outcomes of state-wide planning for Spinal Cord Injury Services, investigate thedevelopment of a 14 bed non-traumatic spinal cord injury / post-acute injury rehabilitation unitwithin SSWAHS, supported by outpatient and non-inpatient therapy servicesPage 60
Aged Care & Rehabilitation Clinical Service Plan 2007 - 20128. PARTNERSHIP AND ASSOCIATED SERVICESAC&RS do not operate in isolation and, to ensure the highest possible level of care is provided topatients and clients, work closely with a range of other services and service providers. The complexfunding, monitoring and service delivery environment associated with aged care and rehabilitation,adds to the reliance of AC&RS on the development and maintenance of cooperative partnershipswith other organizations.Some of these service providers are internal to SSWAHS, whilst others are external. In some cases,as a result of local service development initiatives, SSWAHS is also a provider of some servicetypes generally operated by the non-government sector. Key service partners include:Section 8.1 - Health PromotionSection 8.2 - Mental HealthSection 8.3 - Other Sub-specialty Medicine and SurgerySection 8.4 - Allied HealthSection 8.5 - Community HealthSection 8.6 - Palliative CareSection 8.7 - Biomedical EngineeringSection 8.8 - Program of Appliances for Disabled PeopleSection 8.9 - Carer Support ServicesSection 8.10 - Ventilator Dependent Quadriplegic ProgramSection 8.11 - General PractitionersSection 8.12 - Residential Aged CareSection 8.13 - Community Care ProvidersSection 8.14 - Aboriginal Health ServicesSection 8.15 - Multicultural Health Services and Interpreter Services8.1 Health PromotionHealth promotion activities have benefits in improving the health and wellbeing of AC&RS clientsand the wider community. In conjunction with the Health Promotion Unit, a targeted response tohealth promotion and injury prevention programs, such as falls prevention, is required. Appropriatespaces should be provided in hospitals and community health centres to support such initiatives.These programs should involve acute and community based services, residential care and nongovernmentorganizations in their implementation.Whilst AC&RS manages the Area Falls Prevention and Management Program, specific initiatives arealso being managed by the Health Promotion Unit. For example, the Central Sydney Tai Chi studyhas established that a simple, once a week program of Tai Chi over 16 weeks can reduce the falls incommunity living older people (people aged over 60 years) by 36%. Health Promotion, through theActive over 50 Program and through SHARE, is establishing community-based Tai Chi classes,making Tai Chi more accessible to older people.AC&RS has a major prevention role in health and wellbeing, appropriate support and care, andresearch and information. It also works with other parts of the health system and external agenciesto extend options and choices for older people. Examples of this focus include the work of TACSwith the residential care sector, increasing support for people with dementia, and providing olderpeople and their carers with information and practical advice about care options.Recommendation – Health PromotionAC&RS participate in the implementation of the SSWAHS Falls Prevention and ManagementProgram and other relevant Health Promotion initiatives8.2 Mental HealthClinical care for older people which focuses upon disturbances of their mental health, cognition, orbehaviour is provided by both AC&RS and Area Mental Health Services (AMHS) in SSWAHS.Page 61
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Aged Care & Rehabilitation Clinical Services Plan 2007 Ã¢Â€Â“ 2012

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