LINDA LAWDEN
BRYNHEULOG WARD NEWTOWN
5
STROKE CARE BEDS
 REHABILITATION
 ALL
WALES STROKE PATHWAY
 THE
INTRODUCTION OF THE KEYWORKER
 THE
KEY WORKER IS A
“person who, with the patients’ consent and
agreement, takes a key role in co-ordinating
the patients care and promotes continuity,
ensuring the patient knows who to access for
information and advice”
(NICE, 2004)
Support and
plan
discharge
Provide
support
advocate
Key
worker
Keep
patient up
to date with
progress
Assist with
patient
journals
Attend goal
planning
meetings
Answer
questions
 The
key worker can be any qualified member
of the MDT
 It is likely that the key worker will be a
nurse, unless other problems are identified
 Will be allocated based on referral
information and off duty on day of transfer
 Will be supported by a lead therapist
 Met
to discuss my project with Michelle
Price(Consultant Therapist)
 Discussed Teaching other Staff Nurses
 Devised a teaching pack
 Weekly goal planning meetings
 Arranged a visit to the Stroke ward at
Shrewsbury
 Part
time staff
 Staff absences
 Poor continuity
 SBAR
 Need
a reliable person
 No clear roles and responsibilities
 Need to involve patients and their families
 Need to improve discharge information
 Clinical
team at Newtown have been working
towards the stroke care bundles for 2 years
 Initially Sister was key worker to all stroke
patients
 Project looked at involving other trained
nurses taking on the key worker role
 No
clear goals
 Key worker role is pivotal
 Nurses work shifts
 Introduction of therapists as key workers
 Each
patient is now given a therapist as key
worker
 Each patient should have a specified stroke
support nurse
 The patient experience is vital in
rehabilitation
 Learning curve for all staff at Newtown
THE END
I
would like to thank you all for listening
 Linda
Lawden
 Brynheulog ward Newtown
 Tel- 01686 617214
 linda.lawden@wales.nhs.uk