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Stroke MCN Partnership Working. Stroke Awareness Training Exercise Post Stroke Trial Patient Narratives ETHoS. Stroke Awareness Training. Big Lottery Funding:. Stroke Awareness Training – 2 year post to: Develop a training model, in conjunction with NHS
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Stroke MCN Partnership Working
Stroke Awareness Training • Exercise Post Stroke Trial • Patient Narratives • ETHoS
Big Lottery Funding: • Stroke Awareness Training – 2 year post to: • Develop a training model, in conjunction with NHS • Lanarkshire partners, to promote awareness of the • complexities associated with stroke disease. • Deliver the training as appropriate • Carry out a training needs assessment of staff working with • patients and carers throughout the NHS Lanarkshire area.
Stroke Awareness Trainer Annette Harvie
Stroke Awareness Training → Trained 463 staff from a variety of agencies Developed a generic stroke awareness training programme → Facilitated the development of a stroke training programme Carried out a training needs assessment within NHSL → Application to NES Developed a Lanarkshire Stroke Competency Framework
Partnership Working within the Project North Lanarkshire: Trained Home Care Managers South Lanarkshire: Stroke awareness included in Home Care training modules. Scottish Ambulance Service: Perceptors trained Care Homes: Staff trained in-house or externally as appropriate
“This was a great insight into the life of stroke victims – makes you more understanding of what the patient is going through”.
“Making myself more aware of different things regarding strokes”
Partnerships Working within the Project • ____________________________________ • North Lanarkshire Leisure • South Lanarkshire Leisure • Glasgow Caledonian University – Department of Physiotherapy
Exercise Post Stroke Evolved from patient request for exercise Initially - a service development Involvement of Glasgow Caledonian University →randomised controlled trail “Shared-care” approach NHS → L.A.Leisure Departments
Stroke Physical Activity Programme - SPA HM MK WG Early Supported Discharge Teams / Day Hospitals Community Rehabilitation Teams BACR Trained Staff Stroke Awareness Training 6weeks in hospital setting ↓ 6 weeks in Leisure setting
Partnership: “association of persons for business etc” Collins Compact Dictionary
Lanarkshire & Ayrshire & Arran Stroke MCNs Patient & Carer Groups – Joint Meeting (August 2005)
Patient narratives • One case from each hospital • Selected by stroke liaison nurses • All women • Different levels of impairment • Informed consent
Process • Interviews • Semi structured autobiographical interviews in participants home • Transcribed and fed back to participants for editing and approval • Placed on website
Process • Case studies • Return visit to stroke unit • Multidisciplinary team • Update from patient • Lead by patient
Observations • Participants • Of therapeutic value • Opportunity to thank staff • Opportunity to be heard • Opportunity to help others
Observations • Staff • Opportunity to see person after acute care • Opportunity to ask questions about care • Opportunity to reflect on practice as a team
Observations • Next time • Multi-agency approach including Social Work and Primary Care • Positive results • The system responded well to individual needs and circumstances • Participants continued to make improvements/adjustments
ETHoS • Extension of qualitative research into spiritual component of recovery • Facilitation of transformational coping • Raised general awareness • Provided in-depth training across disciplines and acute/primary care
Future possibilities • Spiritual care services review • Partnership with faith communities • Multi-agency ETHoS training • Supporting self care