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2016-bookofabstracts-300316
2016-bookofabstracts-300316
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Abstracts<br />
Posters<br />
and Haematology in a large NHS Trust undertaking a large<br />
service development project to expand the in-patient OT service<br />
in cancer care. At the beginning of 2015 Amber moved into<br />
complex neuro-disability management commencing a Senior<br />
I position at the Royal Hospital for Neuro-disability, and is<br />
currently based in the Long-Term Care unit.<br />
Natalie Meredith qualified in 2010 from the University of<br />
Cape Town, South Africa and has mainly worked within the<br />
field of neurological practice since – particularly in cognitive<br />
rehabilitation. Natalie later moved to the UK, and started<br />
working at the Royal Hospital for Neuro-disability in September<br />
2014. She is currently based in the Long-Term Care unit as a<br />
Senior II OT.<br />
P107<br />
Developing a successful therapeutic group<br />
programme in slow stream neurorehabilitation<br />
Jordan E, Jones M, Beesley-Banks M, Nottingham Brain<br />
Injury Rehabilitation and Neurological Care Centre<br />
Evidence (Kristensen, 2011 Wolf, Baum & Connor, 2009)<br />
demonstrates the importance of therapeutic groups within<br />
neurorehabilitation, however in a unit that was previously<br />
dedicated towards challenging behaviours Nottingham Brain<br />
Injury Rehabilitation ran a limited number of therapy lead<br />
groups, with the majority of therapy provided on a one to one<br />
basis.<br />
The <strong>Occupation</strong>al Therapists (OT) reviewed the current group<br />
provision on the unit and recognised a clear opportunity<br />
to identify opportunities to enhance the current and future<br />
therapeutic provision. The project aimed to promote therapeutic<br />
intention within the group provision on the Unit through<br />
providing specific therapeutic aims and outcomes.<br />
It was concluded that developing a clear therapeutic group<br />
programme in a slow stream neurological rehabilitation unit<br />
is key in promoting and facilitating the rehabilitation ethos.<br />
It was evident that a strong individual programme must be<br />
complimented with an enriching group programme addressing<br />
a gap to develop the current and future service provision. The<br />
array of groups provided through the innovative and creative<br />
skills of OT are essential in continuing to develop the services<br />
provided within slow stream neurorehabilitation such as<br />
Nottingham Brain Injury Rehabilitation.<br />
There is now a strong group programme across the whole unit<br />
providing clear and enhanced opportunities for achievement<br />
of personal therapeutic goals alongside social interaction and<br />
emotional wellbeing. Since successfully incorporating the OT<br />
lead groups into each personal weekly therapy timetable, a<br />
range of multidisciplinary groups have been developed to further<br />
enhance the service offered.<br />
When planning interventions OTs should consider maximising<br />
the therapeutic benefits to be gained from both individualised<br />
1:1 and group therapy, however also indentifying that they must<br />
also play a key role in promoting wider therapeutic gain from all<br />
group engagement to maximise therapeutic benefits.<br />
References<br />
Kristensen, H. K., Persson, D., Nygren, C., Boll, M., & Matzen,<br />
P. (2011). Evaluation of evidence within occupational therapy<br />
in stroke rehabilitation. Scandinavian journal of occupational<br />
therapy, 18(1), 11–25.<br />
Wolf, T. J., Baum, C., & Connor, L. T. (2009). Changing face<br />
of stroke: Implications for occupational therapy practice. The<br />
American journal of occupational therapy: official publication of<br />
the American <strong>Occupation</strong>al Therapy Association, 63(5), 621.<br />
Keywords<br />
Neurological practice, Service improvement or transformation,<br />
Practice – present and future, Independent Sector<br />
Contact E-mail Addresses<br />
elinor.jordan@huntercombe.com<br />
Author Biographies<br />
Junior <strong>Occupation</strong>al Therapist at the Nottingham Brain Injury<br />
Rehabilitation and Neurological Care Centre, recently graduated<br />
from the University of Derby having studied the MSc (pre<br />
registration) course.<br />
Senior <strong>Occupation</strong>al Therapist at the Nottingham Brain Injury<br />
Rehabilitation and Neurological Care Centre<br />
P108<br />
Using assistive technology with severe brain injury<br />
patients<br />
Fuller S, Candela M, Uppal A, Royal Hospital for Neurodisability<br />
<strong>Occupation</strong>al Therapists (OTs) bring a specialist set of skills to<br />
brain injury rehabilitation but their role in severe cases is less<br />
recognised. This case study illustrates the significant role OTs<br />
played in a patient with severe brain injury in optimising quality<br />
of life and enhancing any potential functional abilities through<br />
the assessment, education and provision of assistive technology<br />
(AT).<br />
A male patient in his forties with a severe stroke was admitted<br />
for assessment in our unit. His complex physical presentation<br />
included global limb contractures, increased tone and no active<br />
movements of his limbs. He demonstrated inconsistent nonfunctional<br />
spontaneous head movements and tracking people<br />
with his eyes. He had no reliable means of communication hence<br />
was completely dependent for all his needs.<br />
Detailed assessments of his awareness highlighted potential<br />
functional head and eye movements. Following this, the OT<br />
team identified AT as a tool to establish a consistent cause and<br />
effect movement. Working simultaneously with a specialist AT<br />
team, a variety of software and equipment was trialled within<br />
the context of leisure, applying the bio-psycho-social model.<br />
A simple switch was identified using head rotation. Through<br />
careful task adaptation and grading, AT enabled the patient<br />
to consistently press the switch on verbal command, allowing<br />
him to access simple computer games with his family present.<br />
Through this activity we were able to educate his family about<br />
his physical presentation and level of awareness. He gained<br />
functional movements that are maintained through meaningful<br />
occupation and could be used in the future should he develop a<br />
functional communication system.<br />
AT should be considered for patients as a medium for<br />
assessment and as a tool for optimising quality of life even if it is<br />
not used for functional communication.<br />
OTs’ holistic approach, specialist skills and expertise allow us to<br />
use AT even in a severe case as a method of finding ability in<br />
disability.<br />
References<br />
Currie, H., Paterson, H. and Bloch, S., 2015. An overview of<br />
current augmentative and alternative communication trends,<br />
services and experiences. Advance in Clinical Neuroscience and<br />
Rehabilitation, 15 (2), pp20–21.<br />
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