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Holland versus UK. Li-Juan Jie Floor te Lintel Hekkert Internship Newton Abbot community Hospital, Teign Ward. Content. A day in…. - A day in Newton Abbot community Hospital - A day in Laurentius Hospital (Netherlands) - A day in Rehabilitation Centre Hoensbroek
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Holland versus UK Li-Juan Jie Floor te Lintel Hekkert Internship Newton Abbot community Hospital, Teign Ward
Content • A day in…. - A day in Newton Abbot community Hospital - A day in Laurentius Hospital (Netherlands) - A day in Rehabilitation Centre Hoensbroek • Insurance system Holland • Differences in Physiotherapy • Differences in Neuro rehabilitation • Recommendations for Holland • Recommendations for the UK
A day in Newton Abbot community Hospital • 8.30-10.30 personal care + notes • 10.30- 12.30 gym + notes • 12.30-13.00 lunch • 13.00-16.00 gym • 16.00-16.30 notes
A day in Laurentius Hospital • Population • Hospital • 384 beds • My setting: Orthopaedics/Intensive-care and outpatient clinic • Referral
A day in Laurentius Hospital • 8.00-9.30 outpatient clinic (3pt) • 9.30-10.00 coffee break • 10.00-12.00 ward (Orthopaedics/Intensive-care) • 12.00-12.30 lunch • 12.30-13.30 outpatient clinic (2pt) • 13.30-15.00 ward (Orthopaedics/Intensive-care) • 14.00-18.00 outpatient clinic (5pt) Variation: Multi Disciplinary Meetings (physician, psychologist, physiotherapist, nutritionist etc…), Group lessons Obese children
A day in Rehabilitation Centre Hoensbroek • Start at 08.00 • 08.00 - 09.00 : new patients and administration • 09.00-12.00 : patients(18-22) • 12.00- 12.30 Lunch • 12.30 -15.30 Patients(15, Some twice) on Mondays MDT. • 15.30 – 16.30 : New patients, administration or patients at home • 16.30 end of the day
Basic Insurance: • Medical care GP/specialists • Hospitalisation • Medicine • Dyslexia • Hospital transport • Etc…
General Differences in Physiotherapy • Medication • Physiotherapists in hospital do not go to community • Physiotherapy assistants / RSW • Duration rehabilitation process till discharge • Activity Level of discharge
Differences in Neuro Rehabilitation/on the ward(not only physiotherapy) • Personal care (PT/OT) • Writing/Administration (PT) • Bandaging (PT) • Measurements: …(PT) • Cognitive tests(OT, in Holland Psychologist) • Tailored wheelchair(OT) • You love abbreviations
Often used measurements • BBS Berg Balance Scale • FAT Frenchay Arm Test • MI Motricity Index • Trunk Control
Recommendations for Holland • MHB Manual Handling Belts • RSW Rehab Support Workers
Recommendations for the UK • Balance intensity • Chair bikes • http://www.kngfrichtlijnen.nl/index.php/kngf-guidelines-in-english
Questions? • About PT in Holland or other questions..