5th April 2017

Physiotherapy Pilot Project Proves a Success

As a result of a successful pilot project to assess the benefits of regular physiotherapy sessions for care home residents and staff, Hadrian Healthcare Group is to continue the programme and extend it throughout the group.

For the pilot project a bespoke package was designed and delivered by physiotherapy practice Physiotherapy Matters.  The sessions ran for 12 weeks (from late September to late December) at two of the group’s six care homes.

Residents taking part were aged from 65 to 99. They included residents with dementia, those recovering from hospital treatment and any resident who wanted to generally improve their strength and suppleness.

As well as the 1-to-1 sessions, 30 minute group sessions were also held and these all covered ability assessments, post surgery rehabilitation, fall prevention, increased mobility and greater independence. Each group had eight to ten residents. They consisted mostly of seated exercises to maintain and improve posture and to address mobility, strength, circulation and musculoskeletal issues. The exercises involved upper and lower limb stretching and strengthening, and balance techniques. Residents were encouraged to ask questions and the physiotherapists provided interactive demonstrations, together with tips on mobility, posture awareness and balance.

 The physiotherapists also guided care staff in how to support residents in doing the exercises specified for them and these have been integrated into each resident’s individual care plan.

“The residents’ classes were fun and motivational,” commented Jas Gill, managing director of Hadrian Healthcare Group.

“Everyone who took part was clearly seen to benefit physically and psychologically over the three months of the pilot project. We had no hesitation in extending the programme across all our homes to help enhance the quality of life our residents enjoy.”

Case studies

1. A resident with advanced Parkinson’s disease who took part in the group sessions now walks every day with the assistance of staff and a walking frame. Before the physiotherapy sessions she used a wheelchair at all times. She said she felt more confident and now has a private arrangement to have a 1-to-1 physiotherapy session every week.

2. Following a neck fracture a lady transferred from hospital to the nursing accommodation.  Initially staff moved her using a full body hoist as she was not able to stand. However she was highly motivated and really wanted to be able to stand and walk again. The physiotherapist conducted an assessment and said it would be possible to try. She does exercises with the staff and stands using a walking frame. She has a private arrangement for weekly 1-to-1 physiotherapy sessions where she is able to walk with a walking frame accompanied by the physiotherapist.

3. A gentleman arrived from hospital for respite care with two staff and a social worker supporting him using a standaid. The physiotherapist assessed him and said he had really good potential to improve. Guided by the physiotherapist staff helped him with exercises and he can now stand with a walking frame.  He and his family were very pleased with his progress and he has returned home.

4. A gentleman arrived for respite care from another care home, previously having spent some months in hospital. He was very frail and staff helped him to transfer in a wheelchair. He was also at high risk of falls. Through the group sessions he built confidence and graduated from seated exercises to exercises using the handrails in the corridors, then walking without assistance. His posture improved and he was able to raise his head rather than looking down all the time. He has now returned home.

5. A resident was keen to be able to stand with more upright posture and to be able to get her balance more easily. Having taken part in the group sessions she was able to mobilise from sitting to standing more quickly and to look where she needs to go. Both she and her daughters are very pleased with her progress and she now has private 1 to 1 physiotherapy sessions.

6. Shoulder exercises in the group sessions have helped a resident to be able to push herself up to a standing position from a chair and to be able to get dressed more easily.  This new independence means she now doesn’t need to ask for help when dressing.

7. A lady arrived in a wheelchair from hospital for respite care having had chest and urinary infections and feeling very weak. She joined the group sessions to build her strength and confidence and was able to walk unaided before she returned home. She and her family were very pleased with her treatment and with her recovery.

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