Page 185 - HA Convention 2016 [Full Version]

Special Topics HOSPITAL AUTHORITY CONVENTION 2016

T18.6 Collaborative Service Programmes in Allied Health 14:30 Room 423 & 424

A Multidisciplinary Collaborative Rehabilitation Service Model for Spinal Cord Injury Patients in Tai Po Hospital
Cheng CPY(1), CHAN HWK(2)
Physiotherapy Department, Tai Po Hospital, Hong Kong
Occupational Therapy Department, Tai Po Hospital, Hong Kong

Tai Po Hospital (TPH) is one of the three spinal cord injury (SCI) rehabilitation centres in Hong Kong since 1999. The
rehabilitation team includes doctor, nurse, physiotherapist, occupational therapist, medical social worker, clinical psychologist
and prosthetist-orthotist. The majority of patients are referred from the New Territory East Cluster. The patient groups include
complete and incomplete injuries which range from high level tetraplegia to low level paraplegia. After sustaining SCI, the
patients usually suffer from a drastic change both physically and psychologically. Thus, the multidisciplinary team adopts a
collaborative, patient-centred care approach in the management of SCI patients.

Physiotherapy rehabilitation programme consists of positioning, vasomotor, spasticity and pressure relief management, pain
relief, cardiopulmonary endurance, mobilisation and strengthening exercise, ambulation, advanced robotic gait re-education
and wheelchair maneuver training, etc.

Occupational therapy rehabilitation programme consists of complication preventions by prescribing positioning devices,
splintage, pressure therapy, etc. Patients’ functions are maximised by sit out programme, wheelchair and seating systems
prescription, assistive technology, limbs function training, activities of daily living (ADL)/instrumental activities of daily living
(IADL) training, home visit and modification, aids and gadgets prescription, etc.

Weekly interdisciplinary meeting and grand round are scheduled for enhancing team communication in problems
identification, planning, goal setting and formulation of discharge care plan. Family conference will be arranged to facilitate
better understanding of patient’s rehabilitation potential.

To facilitate discharge and community reintegration, caregiver empowerment and home leave will be arranged. The team
continues to support the patient after discharge in the early stage, especially for high level tetraplegia. The collaboration
also extends to community partnership of non-government organisation such as New Page Inn. It provides institutional and
rehabilitation service to SCI patients while they are waiting for re-housing or home modification. To prevent re-admission, the
discharged patients will be regularly followed-up in the PARATET clinic in TPH.

To conclude, multidisciplinary collaboration, community partnership and follow-up service are the major success criteria for a
SCI patient to start a new life.

Wednesday, 4 May

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