Services - Day Rehabilitation Unit

Day Rehabilitation Unit

St. Margaret of Scotland Hospice Day Rehabilitation Unit provides support, advice and care for those who have a progressive life-threatening illness and require specialised care.

The postal code areas covered by the services are:

G3, G11, G12, G13, G14, G15, G60, G62, G81 and parts of G20 and outwith Glasgow, as far as and including Dumbarton.

The Day Rehabilitation Unit is a nurse/physiotherapist led service which compliments the care given by the patient's own General Practitioner, District Nurse, and other Health Care Professionals.

The nursing staff and Allied Health Professionals who work within the Unit are registered practitioners with a special interest/specialist knowledge and experience in Palliative Care. Also available within the Team is a Qualified Counsellor, Hospice Chaplains, a Complimentary Therapist, an Artist and a Hairdresser. The staff also have full access to the expertise of other members of the Hospice multi-professional team.

Information for Patients and Families:

Philosophy of Care
Services available within the Unit
Referral to the Service
Criteria for Referral
Attendance
Discharge Policy
Hours of Business
Out of Hours Support
Transport
Regulation of Care

Philosophy of Care

The provision of care within the Day Rehabilitation Unit take into account of the individual and their culture, is patient-centred and designed to met the changing and complex needs of patients and carers.

The overall aim of the service is to be flexible and responsive to patient's and carer's needs and to enhance the patient's independence and quality of life by providing:

• Advice, when required, regarding pain and symptom management

• Psychosocial and spiritual support

• Facilitation of short-term Hospice admission, of required, for respite and symptom management

• Counselling for both patients and family, if required

• Rehabilitation

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Services available within the Unit

• Symptom control and advice

• Pain management

• Spiritual support

• Counselling and bereavement support

• Physiotherapy

• Hydrotherapy

• Acupuncture

• Lymphoedema treatment

• Complimentary therapies (Reiki, Reflexology, and Aromatherapy

• Occupational therapy

• Hairdressing

In addition, those patients who attend the Day Rehabilitation Unit once a week as Day Patients have the opportunity to meet together for support and enjoy conversation and a meal together.

Referral to the Service

Referrals are accepted from Health Care Professionals using the Hospice referral form, provided the patient has given their consent and has palliative care needs. Patients may self-refer but their General Practitioner must be in agreement and complete the Hospice Referral Form. Urgent Referrals are accepted by telephone followed by a completed form.

Decisions regarding access to the service are made by the nurse/physiotherapist, in consultation with the multi-professional team and the referrer.

Criteria for Referral

• The Patient has consented to the referral

• The Patient requires pain/symptom management

• The Patient is physically or emotionally isolated and/or incapacitated due to illness or treatments

• The Patient or family is experiencing stress and finding it difficult to adjust to changes in role, status or function within the family society

• Anticipation that a future admission to the Hospice will be required for symptom control or end of life care

Attendance

The level of support and frequency of attendance will depend on the complexity of the needs of the patient and family. These needs are identified through in-depth assessment at initial attendance. Following assessment, the assessor and the patient formulate a plan to address the identified issues which may involve referral to appropriate professionals and/or therapies within the Day Rehabilitation Unit. Patients may access these either on an appointment basis or by attending as a Day Care Patient one day a week (commonly known as Day Care).

Discharge Policy

The length of time the patient remains within the service will vary according to the patient/family/carer's needs. At about six weeks following admission to the service, the patient is re-assessed and one of the following actions are agreed:

• Further treatment and support

• Follow up with an appointment six weeks later

• Discharge with access to services in the future

• Discharge to the Community Palliative Care Service if the patient has become too frail to attend as an out-patient

When a patient is discharged from the service, their General Practitioner is informed in writing. Re-admission to the service is by self-referral if within six months of discharge date or referral from a Health Care Professional.

Hours of Business

Out of Hours Support

While in the Community, the General Practitioner is responsible for the medical care of the patient. However, patients and families/carers may contact the Hospice for telephone advice on the following number:

TEL: 0141 435 7011 (ward)

Transport

Transport to and from the unit is provided by the Hospice Mini-Bus for those patients attending for the day. Patients attending for individual appointments require to provide their own transport. Details of attendance days and times of collection and return by the mini-bus are discussed at the initial assessment visit.

Regulation of Care

Care Commission,
Central West Region,
Fourth Floor, 1 Smithhills Street,
Paisley, PA1 1EB