#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.
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RCOT Neuro Practice @RCOT_NP Welcome everyone and thanks for joining us. It's @louiseclark15 tweeting and joined by the rest of the stroke forum @JenniferNCrow @NicoleCWalmsley and @chungsongyau. Remember to follow #OTalk and add to all your tweets to follow the thread. Here we go... | |
Jennifer Crow @JenniferNCrow RT @RCOT_NP: Welcome everyone and thanks for joining us. It's @louiseclark15 tweeting and joined by the rest of the stroke forum @JenniferNCrow @NicoleCWalmsley and @chungsongyau. Remember to follow #OTalk and add to all your tweets to follow the thread. Here we go... | |
#OTalk @OTalk_ Welcome to tonight’s #OTalk tonight hosted by @RCOT_NP say hello if your joining tonight, even if your just planning on lurking. @OT_rach here for support tonight https://t.co/kByTPktNU5 | |
Bill Wong, OTD, OTR/L @BillWongOT Hello peeps! Back to home sweet home in Los Angeles. 😁 #OTalk | |
RCOT Neuro Practice @RCOT_NP Let's get started with question 1. What do you think are the positives of the Sentinel Stroke National Audit Programme? #OTalk | |
RCOT Neuro Practice @RCOT_NP Unfortunately @SSNAPaudit aren't able to join us this evening, but we'll pass on any queries we can't answer. We have links to lots of resources that'll help too #OTalk | |
RCOT Neuro Practice @RCOT_NP Hi everyone!!! Hi @OT_rach and thanks for having us back! #OTalk | |
#OTalk @OTalk_ Just a few house rules before we get started #OTalk https://t.co/X7q7BhMHOU | |
#OTalk @OTalk_ #OTalk 👇🏽 https://t.co/Cej8gasQLD | |
RCOT Neuro Practice @RCOT_NP Great, Let's get started with question 1. What do you think are the positives of the Sentinel Stroke National Audit Programme? #OTalk | |
#OTalk @OTalk_ Please remember the #OTalk so we can capture the full discussion; remember code of conduct; have fun (if you forget the hashtagit will not be in the transcript) https://t.co/dljkHIycTj | |
#OTalk @OTalk_ @AideenKa @RCOT_NP @OT_rach @otalk Use the # not the @ #OTalk | |
RCOT Neuro Practice @RCOT_NP Unfortunately @SSNAPaudit aren't able to join us this evening, but we'll pass on any queries we can't answer. We have links to lots of resources that'll help too #OTalk | |
#OTalk @OTalk_ Quick off the mark here is Question 1 | |
#OTalk @OTalk_ Welcome #OTalk | |
Annika Niebuhr @AnninieOT @OTalk_ @RCOT_NP @OT_rach Hi. I’m new to twitter and #Otalk. Therefore just lurking and learning. | |
Bill Wong, OTD, OTR/L @BillWongOT @RCOT_NP @SSNAPaudit That will help because obviously I am from the USA and not familiar with many of the things that are being discussed this evening. #otalk | |
#OTalk @OTalk_ Everyone is more than welcome don’t feel free to join in if you have any questions or comments. #OTalk | |
Jennifer Crow @JenniferNCrow One of the positives is that SSNAP results are noted at a trust management level and this helps to ensure staffing levels stay as they should in order to achieve the therapy intensity SSNAP standard #OTalk | |
#OTalk @OTalk_ You need to use the # not the @ for people to see you engaging in this conversation #OTalk https://t.co/ZKYNIuC0t3 | |
#OTalk @OTalk_ Remember remember remember remember, # # # in every tweet in every tweet. #otalk | |
#OTalk @OTalk_ @OTJenniy @RCOT_NP @OT_rach @tis7ha @emmaneuroOT @mclellan_nicola @kathfoster_ @JadeCodesido That’s better 😝 #OTalk | |
RCOT Neuro Practice @RCOT_NP @kerri_schOT Absolutely. A bit of healthy competition between trusts and teams can help learn from each other and improve care #OTalk | |
#OTalk @OTalk_ RT @kerri_schOT: | |
Jennifer Crow @JenniferNCrow RT @RPadamsey: | |
Bill Wong, OTD, OTR/L @BillWongOT RT @RPadamsey: | |
Jennifer Crow @JenniferNCrow RT @Louisepenny87: | |
#OTalk @OTalk_ Welcome and I hope you enjoy yourself top tip just go with the flow #otalk | |
Bill Wong, OTD, OTR/L @BillWongOT @RPadamsey @OTalk_ So it sounds like a Yelp between such units- so that service users can get some info on what they maybe in for. #otalk | |
RCOT Neuro Practice @RCOT_NP Absolutely. Senior management do seem to really engage with the data and seems to give therapy an importance alongside some of the process measures #OTalk | |
#OTalk @OTalk_ Here is question one in case you missed it! #OTalk | |
Jennifer Crow @JenniferNCrow RT @RCOT_NP: Great, Let's get started with question 1. What do you think are the positives of the Sentinel Stroke National Audit Programme? #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT @RPadamsey @OTalk_ If I were a patient or caregiver, I am for this because I want to know what kind of care me or my loved ones will receive. #otalk | |
#OTalk @OTalk_ @AvrilDrummond1 Hi there you need to use the hashtag in every tweet the @ Will not work #OTalk | |
RCOT Neuro Practice @RCOT_NP @Louisepenny87 Absolutely, really important!! I'm sure you'll have lots to add for the next couple of questions #OTalk | |
Jennifer Crow @JenniferNCrow A number of the standards require collaborative MDT working to ensure Standards by discharge for example - it is not about each discipline for themselves - we need to work together #OTalk | |
RCOT Neuro Practice @RCOT_NP @RPadamsey @OTalk_ Yes, the results are publicly available so patients can look at how their local units are performing and exercise choice or lobby for improvement #OTalk | |
Alex Smith @YmchwilStroc @RCOT_NP Much potential to answer many novel questions from such widespread population level data 📈📉📈 #OTalk | |
Jennifer Crow @JenniferNCrow The patients voice carries weight and transparency is good #OTalk | |
RCOT Neuro Practice @RCOT_NP @JenniferNCrow So it promotes joined up discussions and action planning to improve care? #OTalk | |
Jennifer Crow @JenniferNCrow We miss @Louisepenny87 in our London bubble @OTalk | |
RCOT Neuro Practice @RCOT_NP Moving onto question 2: How do you use the data day to day to plan or improve patient care? #OTalk #stroke | |
Jennifer Crow @JenniferNCrow Yes until the A becomes a C and then they sit up take notice and listen again #OTalk | |
RCOT Neuro Practice @RCOT_NP @YmchwilStroc I love this answer! The power in that data!!!!! Swooooooooon!!!! A huge population, measuring change over time, impact of different elements of the system and different service models #OTalk | |
Jennifer Crow @JenniferNCrow RT @kerri_schOT: | |
Bill Wong, OTD, OTR/L @BillWongOT @RPadamsey @RCOT_NP Since I am not familiar with the system... how often these grades are updated? #otalk | |
RCOT Neuro Practice @RCOT_NP @RPadamsey And the same the other way, when trusts are struggling to achieve A+B's and it's used as a stick to hit with, rather than a carrot to promote positive change #OTalk | |
#OTalk @OTalk_ Question 2 #OTalk | |
Jennifer Crow @JenniferNCrow Are there any community therapists out there tonight? I think the community experience is quite different to the acute would love to hear some community voices #OTalk | |
#OTalk @OTalk_ @AideenKa @RCOT_NP @OT_rach @otalk It’s okay it’s an easy mistake to make and that’s what I’m here for to keep you on track! #otalk | |
OTMargaret @margaret_ot #OTalk - 25th June 2019 - The Sentinel Stroke National Audit Programme (SSNAP) https://t.co/qdGbpoGhxx via @OTalk_ | |
RCOT Neuro Practice @RCOT_NP @kerri_schOT @Ismalia_S @JenniferNCrow We visit a lot of areas where staffing levels are still very low. It would be good to share how people have used the data successfully in business cases #OTalk | |
Emma Burgess @emmaneuroOT @RCOT_NP It helps with prioritising our daily caseloads to ensure all patients receive the recommended time #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT @kerri_schOT @Ismalia_S @JenniferNCrow And also consistent staff too! Rapport with patients is paramount. Inconsistent staff can make quality care difficult. #otalk | |
RCOT Neuro Practice @RCOT_NP @BillWongOT @RPadamsey We have a quarterly report, which reports on every stroke unit in England and those participating in Wales and Northern Ireland #OTalk | |
Jennifer Crow @JenniferNCrow The 24 hour and 72 hour target is what led to the implementation of our 7 day OT/PT service. Maybe not loved by all but certainly better for the pt #OTalk | |
RCOT Neuro Practice @RCOT_NP @OTalk_ @AideenKa @OT_rach @otalk Thank goodness you're here! #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @RCOT_NP: @BillWongOT @RPadamsey We have a quarterly report, which reports on every stroke unit in England and those participating in Wales and Northern Ireland #OTalk | |
Jennifer Crow @JenniferNCrow It is a powerful and visual statement of how your service compares with others #OTalk | |
RCOT Neuro Practice @RCOT_NP Did you know that you can use real time indicators, where the system tells you which domains are not yet achieved? (only if you upload in real time) https://t.co/2ldoMsR82a #OTalk | |
RCOT Neuro Practice @RCOT_NP @RPadamsey Can you tell us more about this? Do you operate an outreach service where therapists attend a stroke call in ED or immediate assessment on the HASU? #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @RCOT_NP: Did you know that you can use real time indicators, where the system tells you which domains are not yet achieved? (only if you upload in real time) https://t.co/2ldoMsR82a #OTalk | |
RCOT Neuro Practice @RCOT_NP @emmaneuroOT Great. How do you do this? Do you use the data on the system in real time? Or do you have it in mind for timetabling based on what else has happened that week for the patient? #OTalk | |
Jennifer Crow @JenniferNCrow We are now capturing our data live which means that it can serve as a prompt when cog screens or other targets such as goal setting are missed #OTalk | |
Jennifer Crow @JenniferNCrow RT @Louisepenny87: | |
Jennifer Crow @JenniferNCrow RT @Ismalia_S: | |
Bill Wong, OTD, OTR/L @BillWongOT RT @Ismalia_S: | |
RCOT Neuro Practice @RCOT_NP @JenniferNCrow Would be great for you to try the real time indicators. There's also a therapy calculator which you can use to tot up as you go which can then be uploaded to SSNAP #OTalk | |
RCOT Neuro Practice @RCOT_NP Here’s the link for the therapy pages. Lots of interesting information and guidance. https://t.co/dibrD5f75C. Including FAQ’s, reports, how to guides, links to research, how to interpret the results and vignettes re what does and doesn’t count #OTalk | |
Aideen Ni Chearbhaill @AideenKa @RCOT_NP @RPadamsey Is HASU Hyper acute stroke unit? I'm on placement on a stroke ward and am getting used to the terminology #OTalk. | |
RCOT Neuro Practice @RCOT_NP @Ismalia_S @kerri_schOT @JenniferNCrow Completely agree. It gives you useful information to start and frame a conversation. Change happens because of people getting together with a common aim after all #OTalk | |
RCOT Neuro Practice @RCOT_NP Has anyone used the ‘custom export’ function to pull the data off they need to support business cases or service improvement projects? It’s easy when you know how…https://t.co/ERTaFisP0e #OTalk | |
#OTalk @OTalk_ #otalk hi Emma you need to ensure that you include the hashtag otherwise people won’t say what you said | |
#OTalk @OTalk_ @emmaneuroOT @RCOT_NP Don’t forget the hashtag in all your tweets #OTalk | |
Jennifer Crow @JenniferNCrow We do find that supervision sessions as an example may need to be rescheduled when staffing is low #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @RCOT_NP: Here’s the link for the therapy pages. Lots of interesting information and guidance. https://t.co/dibrD5f75C. Including FAQ’s, reports, how to guides, links to research, how to interpret the results and vignettes re what does and doesn’t count #OTalk | |
RCOT Neuro Practice @RCOT_NP We’ve (@louiseclark15) used the custom export to analyse length of stay per MRS group on discharge. Enabled us to look in more detail at the subgroups of patients, what was holding them up, design the right pathways for them and will let us monitor impact on LOS #OTalk | |
Emma Burgess @emmaneuroOT @OTalk_ Oooooppss sorry 🙈#OTalk | |
Jennifer Crow @JenniferNCrow Ah yes the use of groups is a great idea to increase therapy intensity and at the same time addressing isolation, low mood and other social interaction and communication goals #OTalk | |
RCOT Neuro Practice @RCOT_NP @chungsongyau @Louisepenny87 I think it helps you question your priorities and keep tabs on how much other "stuff" we're doing. When we look at the evidence (REACT study) a lot of the time we're tied up in other things. Even in treatment sessions we're losing a lot of time not actively treating #OTalk | |
Emma Burgess @emmaneuroOT @RCOT_NP We have a large board in our office that we put times down for OT,SLT,physio for each patient. This visual display makes it easier for our team to tally up over the week. At the weekend we can also see who needs ‘topping up’ to make sure they have had enough time #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @JenniferNCrow: Ah yes the use of groups is a great idea to increase therapy intensity and at the same time addressing isolation, low mood and other social interaction and communication goals #OTalk | |
Jennifer Crow @JenniferNCrow You see this is why we miss you, thinking outside the box ... paired sessions are a great way to increase intensity and enable informal peer support at an early stage #OTalk | |
RCOT Neuro Practice @RCOT_NP People have mixed feelings re the 45 min therapy target. Why is it important for patients and for services? #OTalk #stroke | |
#OTalk @OTalk_ @emmaneuroOT That’s okay that’s what I’m here for to catch you out! 😋 I mean help! 🤓🤣 #OTalk | |
OTMargaret @margaret_ot @OTalk_ @RCOT_NP #OTalk I am new to twitter after being helped to sign up last week at the Occupational Therapy conference in Birmingham which was brilliant. I am interested in stroke management in children so will be lurking and listening in. | |
RCOT Neuro Practice @RCOT_NP @emmaneuroOT I like the use of the totting up in order to highlight who needs a top up! Sure many of us could easily adopt that #OTalk | |
RCOT Neuro Practice @RCOT_NP Have you read the REACT study? This gives some pointers about things we’re getting tied up in, which reduce our ability to provide face to face therapy. Link on the SSNAP therapy page. Also, keep an eye out for SSNAPIEST from manchester, using SSNAP therapy data #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT @JenniferNCrow Camaraderie between patients is often overlooked in therapy related outcomes. #otalk | |
Emma Burgess @emmaneuroOT @RCOT_NP We have found that it has really helped. #OTalk | |
#OTalk @OTalk_ @margaret_ot @RCOT_NP That’s great to hear Margaret, just keep on clicking on the blue #otalk - and your app will keep on refreshing with the conversation. Remember to put the hashtag in any of your tweets so that people can see them and follow the conversation. | |
Alex Smith @YmchwilStroc @RCOT_NP @louiseclark15 Nice idea, would love a bit more granularity in the data for many analyses. It would be good to have some other measure routinely collected and recorded in @SSNAPaudit #OTalk | |
Jennifer Crow @JenniferNCrow We spend too much time in information exchange according to the REACT study and I can see this happening on the ward - lots of talking about patients at times which is good but time needs to be balanced with doing #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT RT @YmchwilStroc: @RCOT_NP @louiseclark15 Nice idea, would love a bit more granularity in the data for many analyses. It would be good to have some other measure routinely collected and recorded in @SSNAPaudit #OTalk | |
RCOT Neuro Practice @RCOT_NP @BillWongOT @JenniferNCrow I think we've got lots to explore from the group therapy and gym set ups we see in Australia for example, where they're striving for closer to 3 hours of therapy and maximum practice, semi supervised practice etc #OTalk | |
#OTalk @OTalk_ We are halfway through the hour already #OTalk https://t.co/YfYnpffg1j | |
Emma Burgess @emmaneuroOT @OTJenniy @RCOT_NP @mclellan_nicola @tis7ha @kathfoster_ We have daily groups 1:1 qualified and assistant sessions to help us achieve this daily on our wards. #OTalk @OTJenniy | |
Bill Wong, OTD, OTR/L @BillWongOT @RCOT_NP @JenniferNCrow I will sure want to find out more if I can- since I am going to their conference in 2.5 weeks’ time. #otalk | |
RCOT Neuro Practice @RCOT_NP @JenniferNCrow Definitely. We (@louiseclark15) were sure we needed more staff and were preparing a business case. Before we submitted it we evaluated how much time the team were spending timetabling. By reviewing this, we released the equivalent of 1.0 WTE band 6 #OTalk | |
Jennifer Crow @JenniferNCrow Was in a meeting today with HASU's and ASU's - HASU's had data entry staff but ASU's do not. Discussion was that it is hard to justify a post when pt numbers are low. Are there ASU's out there with specific non clinical data entry staff #OTalk | |
Bill Wong, OTD, OTR/L @BillWongOT @Louisepenny87 @JenniferNCrow And everyone can also use friendly support... especially for those who have not as many friends or as strong in support systems goes. #otalk | |
Jennifer Crow @JenniferNCrow In my view ..... yes #OTalk | |
RCOT Neuro Practice @RCOT_NP @NicoleCWalmsley @JenniferNCrow Are some of the things we do are more for us, than for the benefit of the patients?? Sometimes we accidentally fall into this #OTalk | |
OTMargaret @margaret_ot @OTalk_ @RCOT_NP #OTalk thank you that's helped me understand what to do. | |
RCOT Neuro Practice @RCOT_NP @ElizaTay1 @YmchwilStroc @louiseclark15 @SSNAPaudit We've had some discussions at ICSWP recently about making some additions, but it's not possible for lots of new questions at present. We do have a list of ideas though #OTalk | |
#OTalk @OTalk_ Question 3 #OTalk | |
RCOT Neuro Practice @RCOT_NP You can also add an extra domain to SSNAP to collect additional data that your service or region feel they need. Services in Wessex have done this @PhysioLouiseJ might be able to tell you more. Here’s how…https://t.co/qOh6ZkNAbg #OTalk | |
Jennifer Crow @JenniferNCrow Yes I have never really considered how scrutinised a new member of the team might feel as regards their ability to deliver the 45 min target, thanks for raising #OTalk | |
#OTalk @OTalk_ @margaret_ot @RCOT_NP That’s what I’m here for. Other advice is just go with the flow you’re bound to miss things but that’s okay. I’ll create a transcript of the conversation and put it on the blog in a few days so you can read over that and see anything that you’ve missed. #otalk | |
RCOT Neuro Practice @RCOT_NP One of the areas the forum has asked to be considered for inclusion on SSNAP is home visits. This uses a lot of resource, but patients really value it. They are also something that is often rationalised when under pressure #OTalk | |
#OTalk @OTalk_ RT @RCOT_NP: You can also add an extra domain to SSNAP to collect additional data that your service or region feel they need. Services in Wessex have done this @PhysioLouiseJ might be able to tell you more. Here’s how…https://t.co/qOh6ZkNAbg #OTalk | |
Alex Smith @YmchwilStroc @ElizaTay1 @RCOT_NP @louiseclark15 @SSNAPaudit Good question! I think a good place to start would be the cognitive screen scores and mood screen scores, which are currently just tick boxes of administered/ not administered #OTalk | |
RCOT Neuro Practice @RCOT_NP @chungsongyau We hear often the burden clinicians feel to “feed the beast”, that is SSNAP and that it’s all about targets. We can’t argue the fact that more is better, we’re often not meeting 45 mins & we know that 45 minutes is nowhere near enough either #OTalk | |
RCOT Neuro Practice @RCOT_NP @chungsongyau It helps to remember the intention behind all the targets is to encourage us to give the patients more of what they need to improve and to drive improvement in services #OTalk | |
OTMargaret @margaret_ot @RCOT_NP #OTalk this was a really useful article. | |
Jennifer Crow @JenniferNCrow RT @RCOT_NP: @chungsongyau We hear often the burden clinicians feel to “feed the beast”, that is SSNAP and that it’s all about targets. We can’t argue the fact that more is better, we’re often not meeting 45 mins & we know that 45 minutes is nowhere near enough either #OTalk | |
RCOT Neuro Practice @RCOT_NP @RPadamsey @JenniferNCrow Having a data administrator for your stroke service is a model a lot of areas have adopted. In our service we are trying to get our therapy stats on an electronic system to export into a SSNAP format for easy upload. #OTalk | |
Alex Smith @YmchwilStroc @RCOT_NP @ElizaTay1 @louiseclark15 @SSNAPaudit True, it would require @SSNAPaudit requiring certain assessments or measures #OTalk | |
RCOT Neuro Practice @RCOT_NP @RPadamsey @JenniferNCrow There's also a therapy calculator tool on the links we've shared which you can fill in as you go and then uploads #OTalk | |
RCOT Neuro Practice @RCOT_NP @NicoleCWalmsley @JenniferNCrow Do you have a tally of how many 'therapy minutes' that equates too? #OTalk | |
RCOT Neuro Practice @RCOT_NP Last question for tonight's #OTalk. What can you do to improve your 45 min performance? #stroke | |
Jennifer Crow @JenniferNCrow That would be interesting to calculate the cost of senior therapists time inputting data that may be able to done by an administrator #OTalk | |
RCOT Neuro Practice @RCOT_NP @YmchwilStroc @ElizaTay1 @louiseclark15 @SSNAPaudit The only thing to remember is that it's an audit of process predominantly. You could add an additional domain though to collect these. See the link in the support section on SSNAP to add this #OTalk | |
alice newbury @newbury_alice @RCOT_NP Home visits are so important, I used to complete them for most pt’s when I worked in an inpatient setting, now working in the community you can tell the difference between the pt’s who have had home visits vs those that haven’t #OTalk | |
#OTalk @OTalk_ Everyone is doing really well in remembering the #OTalk this pleases me greatly! https://t.co/IZ2g4maX2W | |
RCOT Neuro Practice @RCOT_NP @AvrilDrummond1 I thought that might spark a fire Avril! ;-p #OTalk | |
Emma Burgess @emmaneuroOT @RCOT_NP There are multiple pieces of research to suggest that increased intensity produces the best results.This is transferable across all areas of stroke rehabilitation.Obviously there are restrictions (medical,fatigue etc) however this is something we should all strive towards. #OTalk | |
#OTalk @OTalk_ Question 4 #OTALK | |
carol Williams @cawstroke @BethClark_OT @RCOT_NP Absolutely agree #OTalk | |
Jennifer Crow @JenniferNCrow The demise of home visits is not a stroke only problem but I can imagine the difference you might see between a pt who has and hasn't had a home visit #OTalk | |
RCOT Neuro Practice @RCOT_NP @NicoleCWalmsley You're right, our recommended staffing level is lower than physio in the 2016 guideline, however there is something to be said for not all discharge planning needs to involve an OT! We need to share the love #OTalk | |
Jennifer Crow @JenniferNCrow Yes, yes, yes #OTalk | |
Alex Smith @YmchwilStroc @RCOT_NP @ElizaTay1 @louiseclark15 @SSNAPaudit True, but it seems such a shame not systematically record such important data #OTalk | |
RCOT Neuro Practice @RCOT_NP Loving the discussions. We hear often the burden clinicians feel to “feed the beast”, that is SSNAP and that it’s all about targets. We can’t argue the fact that more is better, we’re often not meeting 45 mins & we know that 45 minutes is nowhere near enough either #OTalk | |
Jennifer Crow @JenniferNCrow Our physios are very good at supporting with discharge planning #OTalk | |
Jennifer Crow @JenniferNCrow RT @AvrilDrummond1: | |
RCOT Neuro Practice @RCOT_NP @AvrilDrummond1 We'd happily share any tried and tested examples of this. A major finding from the REACT study. We've heard from international colleagues that they only note exceptions and then do a weekly full report in the notes. Not convinced our notes are all read anyway!! #OTalk | |
alice newbury @newbury_alice @JenniferNCrow Absolutely, a lot of the time I am needing to change equipment as what has been put in place is not suitable because the home wasn’t assessed before hand. #OTalk | |
Jennifer Crow @JenniferNCrow RT @RCOT_NP: @AvrilDrummond1 We'd happily share any tried and tested examples of this. A major finding from the REACT study. We've heard from international colleagues that they only note exceptions and then do a weekly full report in the notes. Not convinced our notes are all read anyway!! #OTalk | |
Jennifer Crow @JenniferNCrow RT @AvrilDrummond1: | |
RCOT Neuro Practice @RCOT_NP ABSOLUTELY THIS!!! This needs to be the question we ask ourselves always... how is this adding value for the patient and if it isn't we need to ask if we should be doing it!! #OTalk | |
Alex Smith @YmchwilStroc @AideenKa @RCOT_NP Such a simple idea but often forgotten as it requires adaptability and flexibility #OTalk | |
carol Williams @cawstroke @RCOT_NP Is more better? and given fatigue and other factors should one 45 min session of therapy be the goal or should this be investigated further? #OTalk | |
Heather Sheldon @HeatherSheldo17 @RCOT_NP #OTalk 45 mins a day in the community is even more challenging and our patients expect it. | |
Alex Smith @YmchwilStroc @Louisepenny87 @RCOT_NP @ElizaTay1 @louiseclark15 @SSNAPaudit Definitely opens to a wider discussion, but might be one worth having #OTalk | |
RCOT Neuro Practice @RCOT_NP @BethClark_OT @Louisepenny87 The Australian's are now working towards 3 hours of active therapy a day!!! This would be amazing!!! Feels inconceivable at present but something to work towards. The intensity data is there and shouldn't be ignored!! #OTalk | |
Jennifer Crow @JenniferNCrow More is better but we need to be flexible about how it is delivered. We know from the AVERT trial that long sessions in the first 24 - 48 hrs do not lead to better outcomes. Seeing a pt for 3 x 15 min sessions per day may be what is needed #OTalk | |
Emma Burgess @emmaneuroOT @RCOT_NP A variety of 1:1 qualified and assistant sessions as well as daily groups. 45 minutes doesn’t have to be given in one session, it could be graded throughout the day particularly for patients that may not tolerate a solid 45 mins session #OTalk @OTJenniy | |
#OTalk @OTalk_ RT @RCOT_NP: @BethClark_OT @Louisepenny87 The Australian's are now working towards 3 hours of active therapy a day!!! This would be amazing!!! Feels inconceivable at present but something to work towards. The intensity data is there and shouldn't be ignored!! #OTalk | |
#OTalk @OTalk_ Only 5 minutes left. #OTalk https://t.co/WyJHoXiVsb | |
RCOT Neuro Practice @RCOT_NP @AvrilDrummond1 This is a really important point. We can be so busy with our 45 minute patients that those who aren't able to tolerate often get deprioritised. Little and often should be a possibility too #OTalk | |
RCOT Neuro Practice @RCOT_NP @cawstroke More is better, how we deliver it should be tailored per patient though taking into account fatigue, cognition, language etc in task selection #OTalk | |
Jennifer Crow @JenniferNCrow SSNAP has been great for improving stroke services in the acute settings, more focus on what is being measured in the community would be good and recording 6 month reviews is SOOOO important #OTalk | |
Jennifer Crow @JenniferNCrow RT @Louisepenny87: | |
Alex Smith @YmchwilStroc @JenniferNCrow Also need to remember there is potential for therapy outside of the 7.5 hour working day #OTalk | |
RCOT Neuro Practice @RCOT_NP @HeatherSheldo17 Yes, we've focussed a lot on acute SSNAP here, but achieving that in the community is really challenging as are often less well staffed. There will be developments to SSNAP for rehabilitation following the Long term plan. Watch this space...#OTalk | |
RCOT Neuro Practice @RCOT_NP Thank you so much for joining us tonight for #OTalk. The stroke forum will cont to answer outstanding tweets & queries. Watch out for evaluation q's in the next few days. 1)What were your top take away messages 2)Will anything change in your practice? 3) Any other feedback? | |
Emma Burgess @emmaneuroOT @cawstroke @RCOT_NP Absolutely!! this years UKSF was all about increasing the intensity of what we are doing to improve outcomes! The session doesn’t have to be delivered in one go, by being client centred and thinking of innovative ways this is easily achievable #OTalk @OTJenniy | |
Jennifer Crow @JenniferNCrow Very good point - Use of family members and encouraging and enabling self management @OTalk | |
#OTalk @OTalk_ So that’s 9 o’clock! And the chat is over. #OTalk | |
RCOT Neuro Practice @RCOT_NP @OT_Ciaran But sadly a recent study showed that even in a 45 minute OT session, the patient was only actively doing something for 23 minutes of it! #OTalk | |
#OTalk @OTalk_ Just before you all disappear remember to record your reflections from tonight’s discussion for your CPD. Transcript will be available later in the week. #otalk https://t.co/Dnl21vqZqu | |
#OTalk @OTalk_ Hope you enjoyed tonight’s chat @RCOT_NP have 3 Future chats plan; 24th September 2019 – Neglect (with Dr Ailie Turton) 26th November 2019 – Driving (with Paul Graham) 25th February 2020 – Vision (with the British and Irish Orthoptic Society- BIOS Pop them in your diary #OTalk | |
#OTalk @OTalk_ I (@OT_rach) plan to create the transcript of tonight’s chat tomorrow and put it on the blog as I’m going on holiday on Thursday morning. There will be three follow-up questions with the transcript so look out for the tweets. #OTalk | |
RCOT Neuro Practice @RCOT_NP @OTalk_ My thought is that an hour goes too fast!!! (but love island does start soon!) #OTalk | |
alice newbury @newbury_alice @AvrilDrummond1 @NatashaLannin Would be interested in knowing more about this. #OTalk | |
Jennifer Crow @JenniferNCrow @EmPlayfair dates for the diary, where were you tonight? | |
#OTalk @OTalk_ #OTalk (Research), 2nd July 2019 Testing out the new draft RCOT Research and Development Strategy https://t.co/wI7iL6c36V | |
RCOT Neuro Practice @RCOT_NP RT @OTalk_: Just before you all disappear remember to record your reflections from tonight’s discussion for your CPD. Transcript will be available later in the week. #otalk https://t.co/Dnl21vqZqu | |
#OTalk @OTalk_ Lol - priorities #otalk | |
#OTalk @OTalk_ Can we please thank @RCOT_NP ( @louiseclark15 - on the account tonight). For hosting what I’m sure you will all agree is a great chat. This is @OT_rach on the #otalk signing off. Night all! | |
Jennifer Crow @JenniferNCrow Thank you @louiseclark15 for doing a great job as always #OTalk | |
#OTalk @OTalk_ RT @JenniferNCrow: Thank you @louiseclark15 for doing a great job as always #OTalk | |
RCOT Neuro Practice @RCOT_NP Thank you everyone. We'll go through and make sure we've answered all points raised. Please use the links we've shared tonight as you can really use SSNAP to your advantage if you know what it can do #OTalk | |
Aideen Ni Chearbhaill @AideenKa @RCOT_NP Thank you #OTalk I learnt loads. | |
#OTalk @OTalk_ @margaret_ot well done I hope you manage to follow the conversation. #otalk | |
Alex Smith @YmchwilStroc @BethClark_OT @chungsongyau @RCOT_NP @Louisepenny87 Or dare I say it ... ‘quality’ ... #OTalk | |
RCOT Neuro Practice @RCOT_NP @AvrilDrummond1 And some more challenge and exploration about 'unable to tolerate' #OTalk | |
alice newbury @newbury_alice These all sound really interesting #OTalk | |
Emma Burgess @emmaneuroOT @RCOT_NP Absolutely!! this years UKSF was all about increasing the intensity of what we are doing to improve outcomes! The session doesn’t have to be delivered in one go, by being client centred and thinking of innovative ways this is easily achievable #OTalk @OTJenniy | |
RCOT Neuro Practice @RCOT_NP @YmchwilStroc @Louisepenny87 @ElizaTay1 @louiseclark15 @SSNAPaudit We did talk this through at the last ICSWP and felt that it opened a never ending list of measures for lots of things, which might not be routinely carried out everywhere and might change over time. Def could add to the extra domain though- regionally or as an STP #OTalk | |
Steve Williams @srowilliams RT @RCOT_NP: Did you know that you can use real time indicators, where the system tells you which domains are not yet achieved? (only if you upload in real time) https://t.co/2ldoMsR82a #OTalk | |
RCOT Neuro Practice @RCOT_NP @JenniferNCrow I wonder if people are put off as these are often the more dependent patients and so the manual handling and set up can take a while? Having easy set up stations could help this #OTalk | |
RCOT Neuro Practice @RCOT_NP RT @AvrilDrummond1: | |
RCOT Neuro Practice @RCOT_NP @Louisepenny87 I expect the patients do too! Well done. Sounds like you're doing really well with it. Keep sharing your ideas and successes #OTalk |
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