Enhancing Acute Post-Operative Amputee Rehabilitation at Our Lady of Lourdes Hospital
Our Lady of Lourdes Hospital in Drogheda is focusing on improving the knowledge and competency of Physiotherapists and Occupational Therapists in managing acute post-operative transfemoral and transtibial amputees. By implementing educational sessions, policy development, and interdisciplinary collaborations, the aim is to enhance patient outcomes, reduce complications, and streamline care processes. The intervention involves attending specialized training, developing local guidelines, and fostering continued interdisciplinary learning. The goal is to ensure evidence-based practice aligned with best practices by May 2022.
- Amputee Rehabilitation
- Healthcare Education
- Patient Outcomes
- Interdisciplinary Care
- Rehabilitation Guidelines
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Improving Physiotherapists and Occupational Therapists (OT s) knowledge of acute post-operative Transfemoral and Transtibial Amputee Rehabilitation Our Lady of Lourdes Hospital(OLOLH), Drogheda Surgical Department Claire Treanor, Senior Surgical Occupational Therapist Jillian Smith, Senior Surgical Physiotherapist
Background OLOLH Drogheda is part of a hub and spoke model for Vascular Amputees(VA). VA from OLOLH catchment area are transferred from Beaumont post-operatively for rehabilitation and continued care. NCP for emergency Surgery and the BACPAR Guidelines recommend specialist interdisciplinary Physiotherapy and OT postoperatively yields better outcomes for patients. An exploration of Physiotherapists and OTs competency and knowledge of recommendations in the management of post-operative VA identified an urgent learning need. Self rated % Competence levels of OT and Physiotherapists for treating acute Above Knee Amputees (AKA) or Below Knee Amputees (BKA) Pre-intervention Survey results 4.5 22% received amputee training in the past 78% NOT aware of discharge pathways 4 3.5 3 2.5 2 27% unaware that hopping is a contraindication for VA 68% not aware of the national POLAR Programme 1.5 1 0.5 0 73% unaware a specialised sling is indicated for hoisting AKA Combination OT Physiotherapists To improve Physiotherapists and OTs competency levels in managing acute postoperative transtibial and transfemoral amputees to ensure patients are receiving evidence-based practice in line with BACPAR Guidelines by May 2022. Aim
Intervention OT and Physiotherapist attended MSc Module on Prosthetic and Amputee Rehabilitation & completed Research Review We are Here Survey completed with all OT and Physiotherapists Survey completed by all inpatient OT and Physiotherapy Staff identified urgent learning need Policy development Education Sessions Interdisciplinary database development Education module presented to all OTs & Physiotherapists Development of local Interdisciplinary database Development of local guideline underway Attendance at MSc Module and Research review I really need to learn more in this area- have we a local policy? Plan for further education and policy Attend education Develop database Plan Do This is a great idea, I look forward to the education session Act Study Survey dissemination Compelte Education Change Database
Improved functional outcomes with standardised care More efficient POLAR Referrals reducing LOS Reduced complications Proposed Patient Outcomes Improved patient Quality of Life Better hospital Journey Sustainability Static Surgical MDT Streamlined Database paperwork Future plan to develop educational booklet for vascular patients and further project adaption based on future PDSA cycles. Continued interdisciplinary learning/education and skill sharing
