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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




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”.





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 narratives1
Patient narratives

  • One case from each hospital

  • Selected by stroke liaison nurses

  • All women

  • Different levels of impairment

  • Informed consent


Process
Process

  • Interviews

    • Semi structured autobiographical interviews in participants home

    • Transcribed and fed back to participants for editing and approval

    • Placed on website


Process1
Process

  • Case studies

    • Return visit to stroke unit

    • Multidisciplinary team

    • Update from patient

    • Lead by patient


Observations
Observations

  • Participants

    • Of therapeutic value

    • Opportunity to thank staff

    • Opportunity to be heard

    • Opportunity to help others


Observations1
Observations

  • Staff

    • Opportunity to see person after acute care

    • Opportunity to ask questions about care

    • Opportunity to reflect on practice as a team


Observations2
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
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
Future possibilities

  • Spiritual care services review

  • Partnership with faith communities

  • Multi-agency ETHoS training

  • Supporting self care


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