Page 49 - HA Convention 2016 [Abstracts (Day 2)]
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Corporate Scholarship Presentations HOSPITAL AUTHORITY CONVENTION 2016
C1.1 Rehabilitation 10:45 Room 428
Essential Factors for Successful Stroke Rehabilitation: Overseas Experience of Allied Health Team in Australia
Mak J
Department of Speech Therapy, New Territories West Cluster, Hospital Authority, Hong Kong
Introduction
An allied health team composed of physiotherapist, occupational therapist, speech therapist and clinical psychologist visited
the Stroke Unit in Bankstown-Lidcombe Hospital and different community settings in Australia in November 2015.
Care Delivery Model of Stroke Rehabilitation at Bankstown-Lidcombe Hospital
Emergency Department (ED)
When a stroke patient is admitted, Rapid Response Service (RRS) team is referred. It is a multidisciplinary team of different
experienced allied health professionals and nursing staff providing multidisciplinary assessment and short-term intervention.
The service runs seven days per week with limited cover on public holidays.
Inpatient Stroke Unit
When a patient admits to the Stroke Unit, he/she will receive both acute medical management and rehabilitation as soon as
his medical condition allows. Intensive rehabilitation involving multidisciplinary team will usually start on the first or second
day of admission. Studies showed shorter length of stay and better functional outcomes.
Transition from Hospital to Community
When a patient is discharged from the hospital, comprehensive community allied health services will be provided according
his/her needs. Services range from Aged Care Assessment Team, Transition Aged Care Services, Residential Aged Care and
Connecting Care Programme to Home Care Packages.
Learning Points Wednesday, 4 May
(1) Introducing RRS team at ED to provide fast-response multidisciplinary management. This facilitates early discharge and
reduction of admission rate.
(2) Starting intensive stroke rehabilitation in acute wards once the patient is medically stable. The early intervention can
hasten functional recovery.
(3) Early discussion with patients and their carers about the rehabilitation and discharge plan.
(4) Establishing higher allied health staff to patient ratio in acute phase to provide early and intensive rehabilitation.
(5) Maintaining weekend and holiday allied health service and establishing flexible employment terms to facilitate seven-day
manpower coverage.
(6) Involving orthoptic service in stroke management.
(7) Including high involvement of allied health staff in different phases for smooth transition from hospital to the community.
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