transfer appropriate people to the HWCRS (e.g. those who meet the agreed criteria)
work with and encourage service users to regain their level of function with regards to mobility, personal care and kitchen tasks resulting in an increase in confidence and independent living for the service user
educate the informal care/family regarding the re-ablement approach to care
encourage socialisation and taking part in mainstream HWC activities
The management of frail Angus patients was reliant on hospital admission and prolonged stay to assess and manage acute or often non-acute de compensation to a frail person’s health. This resulted in high occupancy rates in community hospitals and adverse outcomes for patients such as hospital acquired infection.
Waiting times for Occupational Therapy (OT) assessment were increasing and consultation with OT staff across Angus identified that they were spending a significant amount of their time in the office dealing with general OT enquiries, taking and prioritising referrals and dealing with service user complaints about delays. This prevented staff from seeing service users and arranging essential equipment and adaptations. The process for dealing with some minor adaptations had also been identified as cumbersome and time consuming for staff and resulted in delays in the adaptation being put in place.
Falls in older people are common and lead to increased anxiety and depression, reduced activity, mobility and social contact and greater dependence on health and social services. There are many risk factors that can be altered to reduce the risk of falls and raising awareness can resulting behaviour change however older people are often resistant to public health messages on falls. Communicating messages in a way that’s acceptable to older people is challenging (Age UK, 2012).