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Anne-Maria Olphert, Director of Nursing, Allied Health Professionals and Quality at Lincolnshire Partnership NHS Foundation Trust, recently shared her expertise in end of life care provision at the international Nursing World Conference in Las Vegas.
Anne-Maria has had an interest in end of life care for a number of years, and has travelled to both the United States and New Zealand to learn from services delivering best practice, thanks to funding from the Winston Churchill Fellowship and the Florence Nightingale Leadership Award and Travel Scholarship.
The conference theme was ‘viable quality health care’ and Anne-Maria was one of only two UK nurses presenting to an audience from across the globe representing Japan, Thailand, Canada, New Zealand, China and more.
She said: “The organisers of the Nursing World Conference asked me to share the learning from my visits and subsequent research, which showed that in the UK there were still too many people dying in a place they hadn’t chosen and without their loved ones.
“In my presentation, ‘Live well, die gently’, I explained that one of the key areas we can work on is how we plan ahead to respect people’s wishes at their end of life and support their loved ones. This includes helping people die in the place of their choice.
“Research shows that in any given year, one per cent of the population will die. Health services need to do more to identify who the people entering their last 12 months of life are likely to be, as if we don’t know who they are, how can we can find out about and then respect their final wishes?
“At Lincolnshire Partnership we’re working hard to address this and we have a range of patients who are now benefitting from our extra efforts in this area, from our mental health patients to our older-adult hospital inpatients and those people we care for in the community, including dementia patients and their carers.
“We’re working across all our services to identify as early as possible those people who are approaching the end of their life, having more conversations with patients about their wishes – known as their ‘living wills’, working more closely with hospices and delivering services to the nationally recognised Gold Standards Framework for end of life care.
“It was wonderful to be able to not only share my experience at the international conference, thanks to financial support from the organisers, but also to learn from other delegates from around the world and to bring that back to the Trust.”
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Pioneering work showcasing all that’s fabulous about the NHS in Lincolnshire is being shared across the local healthcare community this week.
It’s all part of the national awareness campaign Fab Change Week (November 13-17), organised by the Academy of Fabulous NHS Stuff.
The week encourages teams and individuals to make a pledge, big or small, to help make a difference within the NHS.
Staff are encouraged to upload their pledges to the academy’s website to help highlight and share best practice, service improvements, kindness and compassion.
At United Lincolnshire Hospitals NHS Trust (ULHT) around 150 fab pledges have rolled in from staff over the past few months, including one from Clinical Education Nurse, Sam McCarthy-Phull, who came up with a novel idea to help those who might struggle with their finances this Christmas time.
Sam has mobilised more than 80 teams across the Trust to donate goodie-filled Christmas hampers to foodbanks across the county.
From November 14 to December 14 staff are being asked to donate items to the hampers which will then be delivered to local foodbanks in good time for the festive period.
“ULHT staff show kindness and compassion to our patients every single day, and I just thought this would be another way of showing how we can support people in the local community at this time of year,” said Sam.
“I’m absolutely delighted and overwhelmed by the response so far, the staff are really getting behind it and we’ve put together some lovely hampers already. I’m very proud of them all.”
The Trust’s Board of Directors have also been making their pledges. Director of Finance Karen Brown said: “As a fairly new member of staff, my pledge was to visit more clinical areas.
“I’ve been really impressed by each team I’ve visited, which show examples of our staff striving for excellence in patient care, compassion in the way they work and innovative ways to change daily practice.”
Over at Lincolnshire Community Health Services NHS Trust (LCHS), the pledges have also been coming in thick and fast.
So far they have included improving dementia education for staff, promoting services and introducing Pets as Therapy dogs into hospital wards.
Mary Kindred, who works in LCHS’s operations centre, has pledged to continue litter picks along riverside footpaths near Beech House, Lincoln, to improve the environment for staff and the public.
Mary estimates she has collected approximately 1,100 bags of plastic bottles, glass bottles and aluminium cans from hedges, footpaths and picnic areas since joining the trust in November 2015.
“There was so much litter along the river that I started to pick up a few pieces as I walked by,” explained Mary.
“I wanted to improve the environment for anyone walking by, particularly staff who spend time outside during breaks and time out. Since then I’ve made lots of contacts from other people based along the river who are happy to do the same and have now started to recycle other things where I can in the office, such as old uniform bags.”
Meanwhile at Lincolnshire Partnership NHS Foundation Trust (LPFT) staff have devised a random act of kindness bingo board. Players draw an activity that they must complete in order to make a little ‘fab change’ to someone’s day.
These include introducing themselves by name to a new person, asking someone if they’re ok or talking to a patient about their experience of using mental health and learning disability services.
Visit the academy website here – https://fabnhsstuff.net/ – to view all of the pledges made for Fab Change Week and get involved to support the event.
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After initial inquiries failed to identify an offender, police are appealing for witnesses who may have images or footage of a serious assault at the Lost Village festival 2017.
The victim received extensive injuries which include a fractured eye socket and trauma to her spine.
Police hope that someone who attended the festival can help with our search to identify the person responsible and we would like to hear from anyone who witnessed this, or has any photographs or video from around this time. They believe the suspect was seen throwing blue powder around shortly before the assault took place.
Alongside the organisers of the festival, police are searching through the official photographs and video with the intention of identifying the perpetrator of this vicious assault.
The suspect is described as white, in her mid-20s, with dark brown or black shoulder length, curly hair. Her build was described as medium to heavy and she was wearing a green and black large square checked dress and glasses.
Detective Sergeant Wynn, the Investigating Officer, said; “This assault has had a devastating effect on the victim. We will search all of the photographs and video available to us and speak to witnesses to identify the assailant. I would appeal directly to the other woman involved in this attack to get in touch; this like all investigations is a search for the truth.”
Police would like to hear from you if you have any information that could assist the inquiry.
There are a number of ways you can report:
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Patients recovering from brain injuries in hospital can now make use of a newly revamped rehabilitation gym to help get them back on the road to recovery.
The refurb is part of a major £900,000 expansion of United Lincolnshire Hospitals NHS Trust’s (ULHT) Ashby ward at Lincoln County Hospital, which is being increased from 12 to 18 beds.
The gym offers a range of rehabilitation equipment for patients to utilise, and in addition to exercise bikes, walking frames, parallel bars and arm supports also includes a multi-directional ceiling-mounted tracking hoist, which fully supports patients who are learning to walk again.
Sue Williams, Clinical Specialist Physiotherapist on Ashby ward said even more patients will now be able to make use of the new facilities.
“We support patients who have suffered brain injuries or who have other complex neurological disorders, to help them work towards gaining independence,” said Sue.
“As part of the ongoing expansion of Ashby ward, we’ve relocated the gym which is now open seven-days-a-week for supported therapy sessions for patients.
“We have a range of therapy equipment, which help patients through supported standing to aid their balance and we also have mobile arm supports for upper limb rehabilitation and arm strengthening.
“In addition, our new ‘Likorail’ hoist means patients are no longer restricted to just using the handrails – they can now walk around the entire room fully supported.”
Patients on the ward usually spend around an hour at a time in the gym, supported by qualified staff throughout their physiotherapy programme.
Clinical Lead for Therapies and Rehabilitation at ULHT, Anita Cooper said: “We have moved the gym and therapy room into the centre of the unit and the additional beds will mean we can get patients in sooner and start their rehabilitation earlier than ever before.
“We’ve already opened two of the new en-suite bedrooms and are expecting to open the final four by the end of the month once the building work is complete.”
Keith Jones (75), has been a patient on Ashby for the past two months after being diagnosed with a lymphoma on the spine and losing the feeling in his legs.
He said that regular sessions in the gym along with help from the hospital staff, have gradually built his confidence back up.
“When you can’t move, it’s a really frightening thing. But gradually with exercise and with the gym hoist to keep you secure, it starts to give you confidence,” said Keith.
“The gym is excellent, it has everything you need in there and combined with the tremendous support from the staff, really keeps you going.
“It’s a daunting prospect but you can see improvements with the exercises every day and start to map out what you can do.”
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