Occupation

Abstracts
Posters
Methodology: A new process was formulated: At the preoperative
assessment the OT team identify suitable patients
using the START criteria. Post operatively the OT team action
direct referrals. Once the patient is ready for discharge they
return home with START.
Results: 29 patients were involved from Oct 2014–April 2015:
Average Length Of Stay 5 days. If LOS was decreased by 1 day
the savings over 7 months would be £8700.
Outcomes: Time savings and Impact on Patients and staff:
Reduction in workload for nurses, hospital social care teams
and discharge team as well as duplications of assessments.
Reduced hospital length of stay, and increased bed availability.
Interdisciplinary working means a greater understanding of roles
and a joint aim.
Conclusions and Recommendations: Streamlining the process
enables the patient to be discharged home more timely. This
process will continue, with an aim to expand.
References
Community Care (Delayed Discharges etc.) Act (2003) available
from http://www.legislation.gov.uk (accessed 28.8.15)
Keywords
Adult physical health, Service improvement or transformation,
Pathways or models of service delivery, NHS
Contact E-mail Addresses
laura.waddington@nuh.nhs.uk
Author Biographies
I studied Occupational Therapy at Sheffield Hallam University
from 2000–2003. Since this time I have worked at Nottingham
University hospitals NHS Trust. As a basic grade I worked on
stroke, Orthopaedics and Paediatrics. I then specialised in
Orthopaedics and became a senior OT. Following this I was
promoted to work as a clinical specialist in the Nottingham Back
and pain team. I then worked as a Practice Development OT
for two years. My current role, as a team Leader within Elective
Orthopaedics. Within this leadership role, my team assess and
treat patients having a range of elective Orthopaedics surgeries.
P15
Therapeutic benefits of a children’s group in a
prosthetic rehab centre: a service review
Lovegrove R, Amputee Rehabilitation Centre, Farqhuar
Road, Crystal Palace
Congenital limb deficiency is rare. The number of children born
each year is 1:10,000 live births. In most cases the reason for the
limb deficiency is unknown (Engstrom & Van de Van, 1999). The
aim of occupational therapy intervention through assessment
and treatment is to enable each child to reach adulthood having
acquired all the skills necessary to lead a full and functionally
independent life.
Group work has always been used by occupational therapists
as a therapeutic medium (Creek, 1994). For the children (and
their families) born with limb deficiency, being part of a group
is beneficial for many reasons. Well run groups should provide
support, advice and information. There should be clear aims,
objectives and learning outcomes.
There has been a well-established children’s group within the
author’s place of work for many years. However, recently the
number of children who attend the group has declined. The
authors are keen to review why.
This review will therefore:
• Survey the children currently known to the prosthetic
rehabilitation centre to understand their requirements
• Benchmark the prosthetic centres within the UK looking at
current practice
• Review the literature including group work and paediatric
amputee rehabilitation
• Review NSF, NICE and COT guidelines
• Review group information within the authors trust
• Review child developmental theories
• Liaise with trust clinical governance to ensure ethical approval.
For confidentiality and ethical reasons the children’s details will
not be published.
In conclusion this work will provide a clear understanding of
what is required to run evidence based, age appropriate groups
with children with congenital limb deficiency. It is hoped that it
can be used as a tool for all who contributed. Most importantly
it is hoped that in attending the groups the children will have
fun.
References
Creek, J. (1990) Occupational Therapy and Mental Health –
Principles, Skills and Practice. London: Churchill Livingstone
Engstrom, B, Van de Ven, C. (1999) Therapy for Amputees. Third
Edition. London: Churchill Livingstone
Keywords
Children and families, Service improvement or transformation,
Pathways or models of service delivery, Practice – present and
future
Contact E-mail Addresses
rachael.lovegrove@gstt.nhs.uk
Author Biographies
Rachael Lovegrove Clinical Lead Occupational Therapist –
Amputee Rehabilitation. Works at the amputee rehabilitation
centre in Crystal Palace. Caseload includes adults and child with
upper and lower limb amputation.
Claire Morse rotational Band 6 Occupational Therapist. Time
divided between the amputee rehabilitation centre in Crystal
Palace and the surgical wards at Kings College Hospital
P16
Engaging and empowering parents and teachers of
children with regulation difficulties
Evanson J, Hugill M, Tees, Esk and Wear valleys NHS
Foundation Trust
As part of their work, the presenters identified an opportunity
for practice development in the form of groupwork with parents
and teachers of children with self-regulation difficulites that
impacted upon the child’s ability to engage in occupations across
all domains.
Children may present with a range of complex and subtle
regulation disorders that can adversely affect their responses
in sensory, motor, phsiological and language skills as well as
behavioural processing and organisation (Reebye and Stalker,
2008). Some of these difficulites may persist into adulthood,
affecting occupational performance across key areas of function,
including relationships, independence skills and compliance with
social norms.
The Alert Program (Williams and Shellenberger, 2008) provided
the basis for groupwork delivered in a variety of formats.
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