› Community-based alternative to inpatient rehabilitation

Older people who have had an injury from a fall are recovering well in the community thanks to a new physiotherapy outreach rehabilitation initiative. The Older Persons Health and Rehabilitation Orthopaedic Physiotherapy Outreach Service was put in place in May and has been highly successful to date, says Advanced Physiotherapist Catherine McNee, who leads the service. “The aim is to provide physiotherapy to patients while they recover from injury, either to those who have returned home, or those unable to return home, but who don’t need hospitalisation and are in interim care.”

This ensures the best function possible for patients who are unable to put weight on their affected limb or use it properly. “As a result, their overall outcomes are better, any post-injury hospitalisation is kept to a minimum, and where possible, patients can return to their usual residence directly rather than via another hospital stay,” she says. Many bed days are used for admissions related to falls and fractures in older adults. Being immobile can cause extra health risks so early facilitated discharge and rehabilitation of patients at home is preferable. Catherine says the team work closely with ACC, care facilities, rehabilitation community teams and the teams at Christchurch and Burwood hospitals. “We’re able to keep these patients out of hospital and transition them home faster by working in this way. This releases hospital inpatient beds but also provides a better patient experience.” The team consists of a Lead Physiotherapist and an Allied Health Assistant and on average provides this care for 10-15 patients every week. Feedback from clinicians, patients and whānau has been positive with more patients being able to return directly home than anticipated. “This new service has also led to the opportunity to improve communication across pathways and minimise duplication, providing a more seamless transition of care for our patients, Catherine says.