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Lesson 2 Referral process

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Jimmy Norris

on 10 September 2014

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Transcript of Lesson 2 Referral process

Unit 22

Exercise Referral Schemes Lesson Objectives:
Understand what an Exercise Referral Scheme is and who is eligible.
Learn the 5 stages of Exercise Referral Schemes. P2 describe the exercise referral process The aim of exercise referral schemes is to provide an alternative to treating a patient by giving them a prescription for medication. The belief that exercise has a role to play in managing medical conditions and improving health. Rather than prescribing medication the doctor will refer the the patient to a professional in exercise programmes.

10 to 12 weeks
groups or individual
£1 per week
The programme assesses the patient (pre, mid and post)
After the 12 weeks the patient may start another 12 weeks, be monitored or return into the community. AIM? 5 Stages... There are 7 guidelines given to given to GP's and nurses to consider when they are making their decision to refer a patient:

1.1) Must be over 16 and address issues of equality and social inclusion Stage 1:
Selection of the Patient by the GP Needs to be cheap enough to be affordable
by all groups in society 1.2) Should be aimed at people who are sedentary. This means they are doing less than 30 minutes of moderate-intensity activity per week. 1.3) Serious medical conditions should have clear measures for them to be identified. I.e. Coronary heart disease and mental health
problems need precise monitoring. 1.4) The scheme should develop strategies to promote the uptake of provision by all groups. E.g. laying on transport for the elderly/isolated groups and reduce costs for the unemployed of old age pensioners. 1.5) Staff must have appropriate qualifications and experience. 1.6) Must employ a model to take the person through the 5 stages of change. •Contemplation
•Preparation
•Action
•Maintenance
•Relapse (they have stopped exercising) 1.7) The scheme should reflect the values of the health improvement programme of the care trust in that area. Stage 2:
Assessment of the patient and intervention applied Written activity Plan Aim of the referral

Details of the medical condition and how it is being managed

The effect these will have on the patients training and daily activity Written consent The patient must be informed by the trainer of what is expected of them Confidentiality Assessments carried out at the beginning, mid point (5/6 weeks) and end of the scheme to assess the outcomes. On completion of the of the programme the GP and exercise professional will consult. Stage 3:
Long term support to help the patient stay physically active The patient is encouraged to keep a record of their progress through the use of a diary or by setting goals. Stage 4:
Evaluation of the patient by the GP On completion of the 12 week programme the patient will take part in an evaluation to assess the outcomes of the programme. Stage 5:
Return into the community The patient can either continue on the scheme or they can return to finding a way to exercise in the wider community. TASK

In pairs, produce a list of benefits and drawbacks for the trainer of working within an exercise referral scheme... NEXT LESSON

You will be completing P2 using the information from this lesson and applying it create your own explanation of an exercise referral scheme and write a diary as if on one yourself... Obesity
Sedentary
Cardiac, pulmonary or
metabolic disease
Injuries
Arthritis
Osteoporosis
Mobility problems
Multiple Sclerosis
Mental health
Exercise prescription
Recommended guidelines
Monitoring Specific groups = greater risk
Possibly unstable and symptoms may set in quickly.
Who is responsible?

All involved in the network of care for the patient have a legal responsibility.
‘Duty of Care’ – i.e. keep them safe

During training it is the trainer’s responsibility.

Therefore highly important to keep records - proof that they were not negligent Legal Considerations Sports Therapists – generally work with people with sports injuries ( professional, semi professional and amateur athletes). They can be private or accessed via NHS

Physiotherapists – Massive part of healthcare system (rehab and intermediate care) E.g. older people, cardiac problems, chronic pain. In primary care they work with GPs in residential homes, day centres etc.

GPs – responsible for the overall management of the programme. Who is involved?
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