Proposed Topic (Most preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Proposed Topic (Second preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Authors (including presenting author) :
Chim HT(1), Chung PH(1)
Affiliation :
(1) Physiotherapy Department, Tai Po Hospital
Introduction :
To encourage patients exercising in ward to prevent decondition and maintain mobility, ward rehabilitation training was provided to patients in medical and geriatric (M&G) wards, Tai Po Hospital (TPH). 12 exercise videos were filmed, with mobilization, strengthening and functional training. QR code pamphlet were made. Patients could assess to suitable videos prescribed by therapists by scanning QR code using smartphone. Periodically, therapists would review the ward rehabilitation content and patients performance.
To eliminate environmental constraints, all exercises could be conducted simply using theraband and on bed within basic ward setting. To eliminate personal constraints and promote participation, QR code videos with clear visual and auditory instruction were easily accessible. Exercises could be performed at any time and simply on bed.
Objectives :
To prevent deconditioning or maintain mobility for patients in M&G wards, TPH.
Methodology :
For conscious patients who were able to scan code, suitable videos would be prescribed by therapists. Patients were asked to perform exercises regularly by following instructions and demonstrations from videos.
For patients who were partly follow or unable to use electronic devices, therapists would teach caregivers on how to provide assistance. Caregivers would be empowered to deliver exercises.
Result & Outcome :
1. Fully utilize and make well use of video-guided technology training.
2. Empower patient and caregiver for training regularly to enhance exercise adherence.
3. Reduce workload of physiotherapists and assistants in repetitive task. Score of Modified Functional Ambulation Classification(MFAC) and Elderly Mobility Scale (EMS) were compared at the time of service started and before discharge. Number of patients who received the programme were counted and their self- satisfactory scale were rated.
