Community Flashcards
What are Community Hospitals?
Local Hospitals staffed mainly by nurses/PT/OT
Medical cover by ANPs and consultants visiting twice weekly
Often focuses on rehabilitation, subacute, and EOL care
What is the difference between Nursing Homes and Community Hospitals?
They often have higher supervision
What is Rehabilitation?
Set of interventions designed to optimise functioning and reduce disability in individuals with health conditions in interaction with their environment
Name four examples of different rehabilitation
Exercise to improve speech
Fitting and Education on a Prosthesis
Reducing Stiffness for a child with CP
Psychological support for depression
Name four benefits of Rehabilitation
- Reduces impact on a broad range of conditions
- Complements other interventions to ensure the best possible outcomes
- Slows down effects of Chronic Health Conditions
- Helps avoid rehospitalisation and reduces stay
Define Integrated Care
Range of services to promote faster recovery from illness and prevent rehospitalisation
Define ‘Home from Hospital’
- Short term post discharge care at a more intensive level than district nursing
- To improve discharge planning and aftercare for patients leaving hospital in order to optimise their chances of recovery
Define Rapid Responsive Scheme
Aims to support user in own home to prevent readmission
e.g PEG tubing, IV therapies, Catheter replacement
Define Step Up/Step Down
Usually a residential or nursing home
Aims to prevent hospital admission or speed up discharge from hospital
Define Stroke Schemes
Delivered by MDT often in patients own home
Schemes are often longer than traditional rehab schemes
Define Community Hospitals
Ward care but typically under management of Allied Professionals
Can be Rehab or Step/Step Down Therapy
Who is eligible for NHS continuing care?
must be assessed by a team of healthcare professionals. they’ll look at:
- what help you need
- how complex your needs are
- how intense your needs can be
- how unpredictable they are , including any risks to your health if the right care is not provided at the right time
What is NHS Continuing Care?
- Some people with long term complex health needs qualify for free social care arranged and funded solely by the NHS
- NHS continuing healthcare can be provided in a variety of settings outside hospital, such as in your own home or in a care home
NHS Continuing Care requires an MDT assessment of needs with review every 3 months. What are they assessing?
Breathing
Nutrition
Continence
Skin
Mobility
Cognition
Consciousness
How is NHS Continuing Care Eligibility sorted?
Each marked: Priority/Severe/High/Moderate/Low/No Needs
To be eligible there needs to be a priority or severe in at least two different areas
If not eligible - may be eligible for NH funded nursing
What is Discharge to Assess?
When patients are clinically optimised and don’t require an acute hospital bed but may require services to be discharged
Assessment for longer term care is done at right time/right place for patient