Back ground:
In 2017 we started off with hyper acute stroke pathway and accepted regional hospital patient for Psi and thrombolysis. Due to increase in demand and limited bed space, hence unable to transfer patient to rehab ward in timely manner.
Method:
Due to challenges and catering for regional service decision was made to start integrated unit acute rehab stroke unit. The design of the unit was clinically led with input from patients and whānau, and draws on international best practice.
Results:
The name Taiao Ora has been gifted to our ward by our Chief Advisor Tikanga, Dame Rangimārie Naida Glavish. In 2020 unit was officially opened with 41 beds , there has been a radical change in the model of care for patients suffering strokes, the key points being:
- Treatment– The treatment of patients with the use of neuro-interventional radiology procedures to dissolve the stroke causing blood clot (thrombolysis) and/or remove the blood clot (thrombectomy) has resulted in one person being able to go home and live independently for every five treated.
- Early Rehabilitation– In parallel, a more intense approach to therapy is also promoted with the focus on early rehabilitation, combining time-limited targeted therapy with the incorporation of rehabilitation activities into all aspects of patients’ care.
Conclusion
- Welcoming and comforting setting to help put patients at ease when they are feeling most vulnerable
- Stimulation and entertainment – ability to choose access to a total rehabilitation environment
- Recovery and adaptation emphasis, to support patient's rehabilitation
- Connection with people, world, whanau
- Accessibility and autonomy – giving patients a sense of control back