The Supporting Life after Stroke Collaborative was established as part of the Beyond 20,000 Days campaign and aims to provide a new community-based, specialist rehabilitation service for people with stroke in their own homes, rather than in hospital.
By establishing a new service called the Early Supported Discharge (ESD) Programme, stroke patients now have the option of receiving intensive rehabilitation at home, instead of in hospital.
This has shown, through international research to enhance a patient’s experience, speed recovery and improve quality of life for stroke patients.
Although in its early stages, the ESD programme is doing wonders for patients like Barry, who was admitted to Middlemore Hospital, in August 2013 with a stroke. After spending 1 week in acute care and 3 weeks in rehabilitation, Barry was keen to get back home to his wife, who had taken on the huge task of managing their lifestyle block in Hunua. The long trip to and from Middlemore Hospital (40 minutes there and back) was also beginning to take its toll.
“My wife had a lot to deal with during my recovery and I knew that being home, would be less stressful for the both of us,” says Barry. “When there was a chance I could do my rehabilitation at home, I jumped at the opportunity of joining the Programme.”
Barry is seen every day, including Saturdays by a physiotherapist, occupational therapist, speech therapist, nurse and rehab assistant all from the comfort of his own home .
While it’s been a lot of hard work, Barry is seeing great results. He is now independently mobile, is feeling more confident and has given up smoking. To hear more about Barry’s story watch the video below!
“Patients like Barry are the reason we established the ESD programme, and we are delighted at the progress he and others are making,” says Katrina Moles, Section Head Community Based Rehabilitation. “As a collaborative team we are also making great strides and have learnt a lot from the Beyond 20,000 Days improvement methodology – in particular the use of PDSA (Plan-Do-Study-Act) cycles to test our ideas and assumptions and make sure we are staying focused and heading in the right direction. We have now carried out 31 PDSA cycles and the learning from each one has been valuable. To find out more about PDSA cycles watch the video: