Hi Beth! I don't know about evidence, but I suspect there's no "one size fits all". E.g. in Danish SCI rehab it's considered beneficial to go home for weekends as soon as possible - for obvious implementation reasons. But more and more Danish neuro departments (TBI, CVA etc) have OTs and PTs working evenings and weekends to best cover round the clock training for acute patients, and those unable to go home - also other care personnel are trained to implement the training in care and ADLs - like using the ABC-concept. I know in the commune where I last worked we had some live-in spaces for training/rehab, where the OTs worked weekends also - but patients going home weekends was still considered on an individual basis. Then there is the need for a balanced week - with more social and leisure like activities on weekends - to provide some normality and quality of life. And the need for space between certain kinds of physical training, like in sports.
I just checked on those rehab departments I know to have a "policy" about all week training or not, but non of them mentioned any written evidence to support it. About therapizenter Burgau I read (in Danish, my translation): In weekends and holidays reduced therapy is offered.....therapeutic nursing is offered 24/7....... Department of advanced rehab offers no therapy in weekends - .... wants the patient to stay with family .... important to keep up social contacts.. A google scolar search came up with this: http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowAbstract&ProduktNr=224153&Ausgabe=231340&ArtikelNr=87932 - The Effect of Weekends and Holidays on Stroke Outcome in Acute Stroke Units http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&list_uids=2911615&dopt=Abstract - Impact of physical therapy weekend coverage on length of stay in an acute care community hospital. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=retrieve&db=pubmed&list_uids=10088589&dopt=Abstract - Are stroke patients discharged sooner if in-patient rehabilitation services are provided seven v six days per week? Also I noticed, when using constraint induced movement, weekends are often included, at least with some homework. Greetings from Denmark susanne Hancox Beth <[EMAIL PROTECTED]> wrote: > Hi All > > I am an English OT working in elderly rehab. I used to work in > California where we treated patients on a 5, 6 or 7 day basis > depending on their insurance. Here in the UK we are now looking at > introducing 6 or 7 day therapy. Has anyone got any information on > evidence that supports that this is beneficial to patients? > > Many Thanks > Beth Hancox -- Unsubscribe? [EMAIL PROTECTED] Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] Help? [EMAIL PROTECTED]
