bedfordshire and hertfordshire heart & stroke network welcome

Bedfordshire and HertfordshireHeart & Stroke Network

Welcome

Bedfordshire and HertfordshireHeart & Stroke NetworkHousekeeping


FAST CAMPAIGN


TIA Campaign OCT ‘11

• Take Immediate Action! • Transient Ischaemic Attack

• A STROKE waiting to happen

• If the symptoms are still there→ 999

• If within last 24 hours→ A&E urgently

• If within last 7 days→ make urgent GP appointment


STROKE COMPETENCIES FOR CARE HOME

WORKERS• Aims for the morning:1. What is a stroke?

2. National/local drivers for quality of stroke care

3. Stroke Association and SA training

4. Why, how and when of stroke training

5. Plan until April 2012

6. Long term sustainability applicable to care homes – what are the barriers and how are we going to overcome them?

7. Questions and answers

Bedfordshire and HertfordshireHeart & Stroke NetworkCard game

• True/false

Bedfordshire and HertfordshireHeart & Stroke NetworkCare Home Training

A guide to stroke

Bedfordshire and HertfordshireHeart & Stroke NetworkWhat is a stroke?

• A stroke is a brain attack. A stroke is what happens when the blood supply to part of the brain is cut off.

• Blood carries essential nutrients and oxygen to the brain. Without a blood supply, brain cells can be damaged or destroyed.


How does this happen?Ischaemic (69% - 80%)• Death of tissue (infarction)

because of blockage by:• Thrombosis – a solid clot of

blood in artery supplying brain or

• Embolism – a clot or other substance (fat, cholesterol, blood platelets) carried from elsewhere in circulation


How does this happen?

Haemorrhage (15% - 20%)

• Bleeding in the brain

• Burst blood vessel e.g. artery

• High blood pressure can weaken artery

• Bursts and damages tissue

• Brain damage is the result


ORAL CONTRACEPTION & HRT

RISKFACTORS

AGE

FAMILY HISTORY & ETHNICITY

HIGH BLOOD PRESSURE

HEART DISEASE

BINGE DRINKING & SUBSTANCE ABUSE

OBESITY:

UNHEALTHY EATING

SMOKING

INACTIVITY

DIABETES

PREVIOUS STROKES & TIAs

Bedfordshire and HertfordshireHeart & Stroke NetworkStroke facts

In the UK• Every five minutes someone is having a

stroke• Stroke is the third largest cause of death • Approximately a third of people will die within

the first 10 days• At any one time there are over a quarter of a

million people disabled by stroke


National and local drivers for stroke

improvement in care home provision


Local drivers for stroke care home improvement

• CQC Review Herts NHS and Herts CC• Consequent re-design of stroke care pathway in

Herts• ‘The times they are a

changing’, CCG’s and all the things we love….• ASI program implementation Herts• County council savings/commissioning• JSNA Hertfordshire


The Stroke Association

• What do they already do in Herts and who are they?


Stroke Association Services in

HertfordshireCommunication Support

• Pat Storey (West Herts)

• Rebecca Byrne (Hertsmere)

Information, Advice and Support

• Alan Kerby (West Herts)

• Judy Smyth (North & East Herts)

• Joanna Clark (North & East Herts)


The Stroke Association

• Professional training tailored to your needs• Web site – www.stroke.org.uk• National Stroke Helpline – 0303 30 33 100• Free quarterly Stroke News magazine• Information leaflets and factsheets• Life After Stroke Services• Welfare Support• Stroke Clubs• Research• Fundraising• Campaigning


Why Have Stroke Training?

More efficient practice would save £20 million annually, avoid 550 deaths and over 1,700 patients would fully recover from their strokes, who would not have done so otherwise


What you get…

• A dedicated trainer delivering the course

• Well produced course materials – no need for notes!

• ‘Practice Card’ for QCF, NVQ and PREP reflective learning

• Up-to-the-minute information about stroke and stroke care

• Training which involves participants and uses their skills and experience


• ‘Caring for people affected by stroke’ mapped against knowledge relevant to QCF Level 2 and 3 in Health and Social Care

• Programmes mapped against Skills for Health National Occupational Standards for Stroke

• Flexible in delivery according to levels of knowledge and expertise

• Informative to all staff; meeting, supporting and communicating with people with disability


Who should attend?

A wide range of staff caring for those affected by stroke at home and in the community:

• Nursing staff• Care workers• Social Care staff• Informal Carers• Primary Care teams• First aid providers and trainers• Commercial service providers…


Training Programmes Include:

• Caring for People Affected by Stroke – Day 1• Caring for People Affected by Stroke – “What next”

– Day 2• Stroke is a Medical Emergency – Face to face

training and e-learning• Informal Carers’ Training• Active Listening• Active Communication• Stroke - The sight effects• Blood Pressure Training


Caring for people affected by stroke

‘Hard to Swallow’ swallowing and nutrition

‘All About Strokes’ a general introduction and overview

‘Family and Friends’ the needs of those closest

‘It’s Good to Talk?’ stroke and

communication

‘Thoughts and Feelings’ psychological effects

Physical needs- movement, mobility, and continence


Unit Statistics

From April 2010 – March 2011 we delivered:

• A total of 501 courses

• To over 6,084 people across the UK

Bedfordshire and HertfordshireHeart & Stroke NetworkPlan until April 2012

• Start with short form course of 3 hours specifically for home care workers to increase stroke awareness.

• Support this with educational materials available on-line, DVD, competency framework and possibly learning portal.

• Delivery in clusters of care homes in Hertfordshire which have registered interest by SA funded by Herts CC/BHHSN


Long term sustainability applicable to care homes

• What are the barriers and how are we going to overcome them?

• What are your homes’ specific need?

• How can we make things more accessible to you?

• What has worked in the past eg dementia?

• What didn’t work in the past?

Bedfordshire and HertfordshireHeart & Stroke NetworkMany thanks to:

• Hertfordshire County Council training department

• HCPA (Hertfordshire Care Providers Association)

• The Stroke Association Training department

• Beds and Herts Heart and Stroke Network

bedfordshire and hertfordshire heart & stroke network welcome

Documents

stroke stroke

stroke slide

stroke training

stroke improvement

stroke association

quality of stroke care

result slide

circulation slide