Proposed Topic (Most preferred): :
Enhancing Partnership with Patients and Community (Projects initiated to engage patients / carers / community to improve efficiency / quality of care)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Lee SY(1)(5), Lee KW(1)(5), Chan KM(2)(5), Cham YK(2)(5), Wong YF(3)(5), Chan PY(4)(5)
Affiliation :
(1) Intensive care nurse
(2) Intensive Care Doctor
(3) Physiotherapist
(4) Occupational Thereapist
(5) Department of Medicine/ICU, Alice Ho Miu Ling Nethersole Hospital
Introduction :
Introduction:
Spinal cord injuries damage patients’ physiological and psychological functions, affecting the patient’s quality of life. These patients may result in tetraplegic and require long-term mechanical ventilation. In an adult High Dependency Unit, one spinal injury patient became tetraplegic and failed weaning off mechanical ventilation, expressed his wishes to home. The intensive care team established the holistic care for planning patient discharge with the use of home ventilation by multidisciplinary approach. The team engaged doctors, nurses, physiotherapist, occupational therapist, medical social workers, and the patient’s family.
Objectives :
Objectives:
(1) to formulate a multidisciplinary team for discharge planning; (2) to devise the multidisciplinary approach training; (3) to coordinate the home ventilation equipment arrangement; (4) to target home leave/discharge timelines
Methodology :
Methodology:
The program was implemented from Q2 2022 to Q4 2023
1. Empowerment
The doctors, nurses, physiotherapist and occupational therapist are invited to form a taskforce group to devise a tailor-made multidisciplinary training program for the patient and family. The project timeline is set and regular meetings are conducted.
The program is divided into five aspects that are guided for the discharge plan:
i. Physical assessments
ii. Tailor-made multidisciplinary training logbook
iii. Home ventilation equipment planning
iv. Home site visit and modification
v. Stimulation drills for the family to handle emergency situations
2. Engagement
The patient and the family care-givers are invited to join the discharge planning meetings for decision makings and collaborated mutual expectations from the program.
3. Education
The multidisciplinary approach conducted based on training logbook to care-givers from Q2 2022 to Q2 2023. The patient was successfully put on home ventilator a
Result & Outcome :
Evaluation and future direction:
The patient and family are satisfied with the discharge planning. The patient had four times home-leave with days lengthening from Q2 to Q4 2023. We anticipate the patient would take lengthening home leave days; for regaining his social and community interactions thus improving his quality of life
