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Holland versus UK Li-Juan JieFloor te Lintel HekkertInternship Newton Abbot community Hospital, Teign Ward

+Content

A day in….

- A day in Newton Abbot community Hospital- A day in Laurentius Hospital (Netherlands)- A day in Rehabilitation Centre Hoensbroek

Insurance system Holland Differences in Physiotherapy Differences in Neuro rehabilitation Recommendations for Holland Recommendations for the UK

+A day in Newton Abbot community Hospital 8.30-10.30 personal care + notes 10.30- 12.30 gym + notes 12.30-13.00 lunch 13.00-16.00 gym 16.00-16.30 notes

+A day in Laurentius Hospital

Population Hospital 384 beds My setting: Orthopaedics/Intensive-care and outpatient

clinic Referral

+A day in Laurentius Hospital 8.00-9.30 outpatient clinic (3pt) 9.30-10.00 coffee break 10.00-12.00 ward (Orthopaedics/Intensive-care) 12.00-12.30 lunch 12.30-13.30 outpatient clinic (2pt) 13.30-15.00 ward (Orthopaedics/Intensive-care) 14.00-18.00 outpatient clinic (5pt)

Variation: Multi Disciplinary Meetings (physician, psychologist, physiotherapist, nutritionist etc…), Group lessons Obese children

+A day in Rehabilitation Centre Hoensbroek Start at 08.00 08.00 - 09.00 : new patients and administration 09.00-12.00 : patients(18-22) 12.00- 12.30 Lunch 12.30 -15.30 Patients(15, Some twice) on Mondays

MDT. 15.30 – 16.30 : New patients, administration or patients

at home 16.30 end of the day

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Basic Insurance:- Medical care

GP/specialists- Hospitalisation- Medicine- Dyslexia - Hospital

transport- Etc…

+General Differences in Physiotherapy Medication Physiotherapists in hospital do not go to community Physiotherapy assistants / RSW Duration rehabilitation process till discharge Activity Level of discharge

+Differences in Neuro Rehabilitation/on the ward(not only physiotherapy)

Personal care (PT/OT) Writing/Administration (PT) Bandaging (PT) Measurements: …(PT) Cognitive tests(OT, in Holland Psychologist) Tailored wheelchair(OT) You love abbreviations

+Differences in Neuro Rehabilitation

+Often used measurements

BBS Berg Balance Scale FAT Frenchay Arm Test MI Motricity Index Trunk Control

+Recommendations for Holland

MHB Manual Handling Belts RSW Rehab Support Workers

+Recommendations for the UK

Balance intensity Chair bikes http://www.kngfrichtlijnen.nl/index.php/kngf-guidelines-

in-english

+Questions?

About PT in Holland or other questions..