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THE ROLE OF THE KEYWORKER WORKING WITH STROKE PATIENTS

THE ROLE OF THE KEYWORKER WORKING WITH STROKE PATIENTS. LINDA LAWDEN BRYNHEULOG WARD NEWTOWN. INTRODUCTION. 5 STROKE CARE BEDS REHABILITATION ALL WALES STROKE PATHWAY THE INTRODUCTION OF THE KEYWORKER. DEFINITION OF A KEYWORKER. THE KEY WORKER IS A

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THE ROLE OF THE KEYWORKER WORKING WITH STROKE PATIENTS

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  1. THE ROLE OF THE KEYWORKER WORKING WITH STROKE PATIENTS LINDA LAWDEN BRYNHEULOG WARD NEWTOWN

  2. INTRODUCTION • 5 STROKE CARE BEDS • REHABILITATION • ALL WALES STROKE PATHWAY • THE INTRODUCTION OF THE KEYWORKER

  3. DEFINITION OF A KEYWORKER • THE KEY WORKER IS A “person who, with the patients’ consent and agreement, takes a key role in co-ordinating the patients care and promotes continuity, ensuring the patient knows who to access for information and advice” (NICE, 2004)

  4. WHAT IS A KEY WORKER

  5. WHO IS THE KEYWORKER • The key worker can be any qualified member of the MDT • It is likely that the key worker will be a nurse, unless other problems are identified • Will be allocated based on referral information and off duty on day of transfer • Will be supported by a lead therapist

  6. HOW TO TAKE THIS FORWARD • Met to discuss my project with Michelle Price(Consultant Therapist) • Discussed Teaching other Staff Nurses • Devised a teaching pack • Weekly goal planning meetings • Arranged a visit to the Stroke ward at Shrewsbury

  7. SOME OF THE PROBLEMS faced • Part time staff • Staff absences • Poor continuity • SBAR

  8. SITUATION • Need a reliable person • No clear roles and responsibilities • Need to involve patients and their families • Need to improve discharge information

  9. BACKGROUND • Clinical team at Newtown have been working towards the stroke care bundles for 2 years • Initially Sister was key worker to all stroke patients • Project looked at involving other trained nurses taking on the key worker role

  10. ASSESSMENT • No clear goals • Key worker role is pivotal • Nurses work shifts • Introduction of therapists as key workers

  11. RECOMMENDATIONS • Each patient is now given a therapist as key worker • Each patient should have a specified stroke support nurse • The patient experience is vital in rehabilitation • Learning curve for all staff at Newtown

  12. THE END • I would like to thank you all for listening • Linda Lawden • Brynheulog ward Newtown • Tel- 01686 617214 • linda.lawden@wales.nhs.uk

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