None listed
Conditions
Brief summary
The aim of this research project is to investigate the efficacy and benefits of an in-reach multi disciplinary rehabilitation program. Patients will be assessed for egibility to attend rehab program by rehabilitation coordinator or rehab physician after referral received via medical/surgical teams. This will be done in accordance with SMART inclusion/ referral criteria. Research Project officer will enroll patients in study, complete informed consent and perform baseline data assessments. Participants will then be randomized into intervention and control group via a computer generated program. Intervention group will receive rehabililtation on ward 8D and the intervention group will receive standard care on any acute ward within RNSH. Functional measures will be conducetd by the research project officer in both control and intervention group at 7 day post enrollment or prior to discharge if this should be earlier. Hypothesis: Provision of a short term multi-disciplinary acute rehabilitation program to patients in acute care will lead to reduced length of stay, improved mobility and ADL function as well as improved quality of life.
Interventions
Provision of a multidisciplinary rehabilitation program consisting of rehabilitation medicine, occupational therapy and physiotherapy.
Twice daily therapy with one group therapy session and one individual therapy session as well as three weekly case conferences to discuss the rehabilitation as well as discharge plan.
Rehabilitation medicine component provides coordination and medical review of rehabilitation program for each patient.
Daily group therapy session; duration 45-60 minutes (depe
Provision of a multidisciplinary rehabilitation program consisting of rehabilitation medicine, occupational therapy and physiotherapy. Twice daily therapy with one group therapy session and one individual therapy session as well as three weekly case conferences to discuss the rehabilitation as well as discharge plan. Rehabilitation medicine component provides coordination and medical review of rehabilitation program for each patient. Daily group therapy session; duration 45-60 minutes (dependent on the length of time patient takes to perform activities and number of patients in the group); maximum of 7 total sessions per patient. Facilitated by Occupational therapist (OT), Physiotherapist (PT) and allied health assistant (OT and PT are part of investigational team).The execution of the sessions is aided by an allied health assistant, who is not a member of the investigative team. Daily individual treatment sessions provided by PT in addition to the group session and OT intervention as indicated by individual patient needs. Duration 30minutes with a total 7 sessions per patient. Occupational Therapy provides assessment and treatment of deficits in activity performance and participation. Treatment is individualized to specific patient needs and may included such things as dressing retraining or energy conservation. Treatment includes an ADL activity practice component in the daily group therapy session. Physiotherapy provides assessment and treatment of of deficits in activity performance and participation. The treatment is individualized to specific patient needs but will include balance, strengthening and gait retraining during the group session. Individual treatment sessions are comprised of gait retraining, mobility assessment, stair practice and general strengthening. A individual exercise program is provided to each patient to perform independently.
Sponsors
Anna Butcher
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
Adult Inpatient in acute ward at RNSH Patients admitted under the care of a medical or surgical specialty Medically stable Having Identified rehab goals Willing to participate in program Provision of written informed consent Assessed to be suitable for discharge from hospital within 7 days
Exclusion criteria
Children Patients assessed as requiring >7 days of inpatient rehabilitation in sub-acute care Unwilling to participate in rehabilitation program Unwilling to provide written informed consent
Outcome results
None listed