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Inpatient rehab

‘Suddenly, the brain started to wake up and kicked me into action’

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A man who was left with severe mobility issues after a spinal injury is making strong progress through specialist rehabilitation. 

Justin Urquhart sustained degeneration injuries to his neck and lower spine that subsequently developed into an infection in 2020. 

In addition to cervical spinal stenosis, an area in the neck where the space around the spinal cord becomes narrowed and puts pressure on the nerves that travel through the spine, Justin also experienced discitis in the two lowest vertebrae of his lumbar spine (L4 and L5). 

The inflammation between the intervertebral discs led to the bacterial infection that caused 59-year-old Justin’s loss of mobility.

After being taken to The Queen Elizabeth Hospital King’s Lynn, where he received immediate medical attention, Justin was admitted to Askham Rehab in December to begin his rehabilitation recovery. 

This involved being assessed by the multidisciplinary teams – clinical psychology, physiotherapy, occupational therapy, and speech and language therapy, before SMART (Specific, Measurable, Achievable, Realistic, Time-based) goals were set to aid his recovery.

“When Justin came to us, he was very limited in what he could do,” says Sara Neaves, clinical lead and outpatients service manager at Askham Rehab.  

“He spent a lot of time in bed due to fatigue and muscle atrophy. The lack of strength in his four limbs required us to think outside the box in terms of what we could do with his therapy. 

“Justin also had a sensory deficit, being unaware of light touch and proprioception.”

To combat these challenges, Justin’s therapy had a specific focus on regaining muscle strength and range of movement through the use of Askham Rehab’s hydrotherapy pool and state-of-the-art robotic suite. 

In particular, Justin made use of Tyromotion’s PABLO, a sensor-based device for unilateral and bilateral training, which focused on building movement and coordination in his upper limbs.

Although still undergoing rehabilitation at Askham Rehab, Justin’s progress has significantly improved during his treatment, with the former personal assistant now being able to weight-bear transfer and take steps with assistance.

“Justin’s attitude to therapy and rehabilitation has been incredible. He’s always motivated,” Sara continues. 

“Being fiercely independent before his injury, he has really challenged himself in every therapy session and as a result, is now able to weight-bear transfer, be safer on his feet, and aware of where his legs are. 

“The improvements have been really encouraging. While there is still a long way to go, we’re confident that there are still sufficient gains to be made.

“One of his long-term goals was to be able to take steps again. This has been achieved much quicker than we originally expected, and we believe this is due to the advanced technological facilities we have here at Askham Rehab, and the approach we implement towards rehabilitation. 

“We’re excited for him to fulfil his ultimate goal of going home and being independent.”

A keen music enthusiast, particularly of Shirley Bassey, Justin has been “blown away” by his experience at Askham Rehab, hailing the Cambridgeshire family-run neuro rehab community as a “very special place”.

“I’ve thoroughly enjoyed my stay at Askham. Whether it’s been the carers, the nurses or the maintenance staff, everyone has been just fabulous,” he says.

“The whole concept of Askham Rehab has been second-to-none. I couldn’t believe how quickly I was able to start motivating myself to get my limbs moving again. 

“Suddenly, the brain started to wake up and kicked me into action and that was when I found myself beginning to think that I wasn’t completely useless. I quickly began to feel so much better. My nerves, muscles and body were beginning to move and that’s all thanks to the wonderful therapy team.”

“Overall, I feel I’ve accomplished a great number of my goals that I originally didn’t think were accomplishable.”

Aliyyah-Begum Nasser, director at Askham, adds: “With 10 years of neurological rehabilitation expertise, we’re able to offer a quantitative and targeted approach to treatment, as well as greater discretion when targeting key areas following neurological events.

“Justin’s journey encompasses what Spinal Cord Injury Awareness Day is all about; highlighting the strategies to improve the quality of life for persons living with spinal injuries and their families.”

For more information on Askham Rehab, visit https://askhamrehab.com/.

Patient story

Helping John to play football again after brain injury

Specialist support from Dearnvale, an Exemplar Health Care home, has made his goal possible

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Following a serious fall, John had a brain injury that led him to experience reduced mobility, poor vision and difficulties communicating.

Four years later, with the support of the nurse-led team at Exemplar Health Care’s outstanding-rated care home, Dearnevale, John lives a fulfilling life and has recently joined his local football team. 

 

In 2018, John experienced a thin acute subdural hematoma and contusion following a fall. This led to an acquired brain injury, dysphasia, poor short-term memory, epilepsy, poor vision and Bell’s palsy.

Following his injury, John experienced reduced mobility, poor vision, difficulties with communication and swallowing, and he developed behaviours of concern. 

Before John’s fall, he owned a building business and worked seven days a week – his only rest time was Sunday afternoon when he went to his local working men’s club for a rest and a pint. John’s spare time was spent with his young daughter or playing football. He also coached the local pub football team. 

With one-to-one support from the care team and input from the life skills team at Dearnevale, John has made great progress in his recovery. He is now able to mobilise independently, has had his PEG feeding tube removed, and enjoys living a fulfilled life.

Behaviours of concern

After his injury, John started to display behaviours of concern. 

The trained team at Dearnevale has helped him to develop strategies to recognise when he is experiencing periods of agitation that could escalate to behaviours of concern. 

Our high staffing levels enable John to progress at his own pace and build trust with the care team. 

He is now able to vocalise to staff when he’s feeling agitated or the sensation that he’s becoming agitated. He recognises when he’s about to experience seizure activity and will seek assistance and take time out to enable these symptoms to be managed before escalation.

During his time at Dearnevale, the number and duration of incidents of behaviours of concern have reduced dramatically.

Rebuilding mobility 

At Dearnevale, the team has supported John to rebuild his mobility. 

When John first moved to Dearnevale, he was at high risk of falls and received one-to-one support to support him to mobilise safely. 

Over the past few years, John has enjoyed sessions with the in-house Physiotherapy Team to build his body strength and range of movement. 

Now, he’s able to mobilise independently, only requiring verbal prompts when he’s tired.  

John enjoys walking in the local community and goes to football training and plays on a local team. He’s just started jogging with a coach to build his fitness. 

Specialist care from a trained team 

At Dearnevale, John receives person-centred care to support his complex holistic needs. 

John has received input from Dieticians and Speech and Language Therapists (SALT). He stated that he preferred to receive support from Dearnevale colleagues, and since doing so, he’s had his PEG feeding tube removed and he’s able to eat and drink orally. 

Developing life skills 

At Dearnevale, the team has encouraged John to develop his life skills and build his independence. 

He enjoys regular sessions with the in-house life skills team at Dearnevale. These sessions focused on improving his independent living skills and social integration. 

John has developed his hand and eye co-ordination and enjoys completing the Rubix cube. He asks staff to mix the cube for him and has successfully completed the puzzle 423 times!

John has also developed his level of concentration and has begun playing the keyboard, as he did before his injury. He is completing self-taught lessons that he accesses online, with the aim of performing at the Christmas talent show.

With the support of the team, John has begun preparing his own meals in the therapy kitchen. 

He loves helping out in any way he can, and volunteers to clean the therapy kitchen and hoover the training every Monday. 

Over the next 12 months, John has expressed that he hopes to continue building his independent living skills. 

Hear from John

“I’ll tell you the truth, Dearnevale is fantastic. The people here are always here for me, they’re fantastic. They did this for me and I am gobsmacked I have got so far.”

About Dearnevale 

Dearnevale, part of Exemplar Health Care, is a specialist care home that supports adults living with complex and high acuity needs. 

The home, located in Grimethorpe near Barnsley, is rated ‘Outstanding’ with CQC and is quality assured by the Huntington’s Disease Association. 

Visit the website to find out more: www.exemplarhc.com 

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Inpatient rehab

The secret of a successful rehab service? Happy, supported staff

Askham Rehab shares stories of progression and development from its team

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Meet Bonnie, Lisa, Shainy and Stacey from Askham Rehab, as they share their journeys to working for one of the leading neuro-rehab providers in East Anglia. 

One thing they share is that when they first started working with Askham, they did not think they would be working in rehab. 

However, over time and with the support of a management team committed to person-centered empowerment for staff as well as residents, they have flourished. Each of them now contribute directly to quality of life improvements of the rehab patients at Askham. 

Every member of the Askham team has a story to tell – one that involves self-development, professional ambition, and personal drive to be the best they can be, and in so doing bring this out in their rehab patients too. 

Askham is always looking for motivated individuals to join their team – if you could see yourself working alongside Bonnie, Lisa, Shainy, Stacey or their colleagues, get in touch with the Askham team.  

 

‘I moved from the kitchen into speech therapy’

For Bonnie Nelson, her 14-year career at Askham has been varied, and through her initial role as a kitchen assistant, she saw first-hand the impact speech therapy had. 

“I saw the speech therapists at work and thought that’s something I’d really like to do,” she says. 

“I loved working in the kitchen but wanted to be more involved with the residents and their rehab, so wondered whether I could be a speech therapy assistant. I started helping out at first, but it was too much to do alongside my job. 

“Askham were really supportive and gave me the option to choose – I jumped at the chance to work in speech therapy.”

Now, having made the move in 2013, Bonnie is loving her role as a speech therapy assistant. 

“It’s such a valuable and rewarding role, and of course it’s not just about speech, it’s about swallowing, eating and drinking, really vital parts of their lives,” she says. 

“There are some very special moments, such as when you work with someone and they regain the ability to say their children’s names, or someone is able to follow a normal diet after having to have pureed food. It’s lovely to share that with them. 

“It is lovely to feel like you’ve made a difference to people’s lives and to see their progress.”

She remains grateful to Askham for the opportunity to re-train and move to a rehab role. 

“Askham were great and supported me with training on the job, and giving me the opportunity to complete some courses in speech therapy, which I did in my own time,” says Bonnie. 

“I’m so pleased it’s a move I’ve made, and Askham is a lovely place to work.”

 

‘I became a carer during the COVID pandemic’

Having resumed her career at Askham after taking a break to raise her family, Lisa Keel took on a role as a weekend kitchen assistant in 2018. After realising the work/life balance worked for her, with Askham accommodating her need for childcare-friendly hours, she took on a role working Monday to Friday. 

But having already progressed at Askham through her kitchen role, Lisa realised she would love to move again during the COVID-19 pandemic. 

“I’d spent my time at Askham watching the carers at work and wishing I could do more to help,” she says. 

“I couldn’t mix two jobs, so I decided I wanted to challenge myself and move into care. 

“Although it was during a very difficult time, I was already working within a care home setting and just felt I wanted to support the care team, and especially the residents. I knew I wanted to put all I’ve got into it.”

So in September 2020, Lisa, with support and training from Askham – including specialist brain injury training – moved to become a carer. She recalls how difficult yet rewarding that challenging time was. 

“This was at a time when residents couldn’t see their families, which was heartbreaking, but we as the care team effectively became their families during that period,” says Lisa. 

“Just being there for them was so important, to support them with their physical and emotional needs. When a resident had COVID, I was put in the isolation team, which meant that one resident needed even more support during what was a particularly difficult time. 

“You were so conscious of that fact that you were the only people our residents were seeing and you wanted to do all you could. It’s your job to make sure they’re safe and happy, and that was never more important than during that time.”

Through the dedication of Lisa and her colleagues during the pandemic, Askham’s care and rehab regime was able to continue, and residents progressed despite the challenges. 

“We do get a lot of appreciation and ‘thank yous’ from residents, and their families too, many of whom we were able to keep in touch with their loved ones through using tablets and screens during isolation,” says Lisa. 

“It’s very hard to say goodbye, as much as you also want them to leave and move on in their lives, but you do establish a strong bond. It does make you feel very proud to be a carer and to know the contribution you have made.”

 

‘I was supported in relocating from India’

Shainy Mathew was living in India in 2011 when an opportunity to relocate to England and work in nursing came up. Initially working to complete her adaptation programme having moved from overseas, Shainy became a registered nurse around eight months later. 

Initially moving to Cambridgeshire alone, leaving her husband and baby in India, they joined her shortly afterwards, at which point Askham offered their assistance in supporting the family. 

“My husband had to work too, so I was able to do my hours around his, which worked well for our childcare. My flexible shifts meant we could organise this,” says Shainy. 

“If my son was ill or I had problems with childcare, I would call the lead nurse and was told not to worry, they would support me. Although we were here on our own with no family support, Askham felt like our extended family. 

“The transition process in moving to a new country for the first time was often challenging, but I have been supported in every way. I have never felt pressured or unsupported because of childcare and I’m so grateful for the help I have been given over the years. 

“The management and my colleagues were fantastic and so supportive. It made moving to a new country and being able to work a really good experience.”

Through Shainy’s dedication to her role in nursing, on the retirement of the long-serving lead nurse, she was offered the position. 

“I was delighted to be offered the role as lead nurse, it was the service I knew and loved working in, but just with more responsibility. It was a great opportunity for me,” she says. 

“Askham gave me the time to spend with the lead nurse before he retired, to work with him and learn more about the position I was about to take over. I was also given extra shifts to ensure I was fully prepared. That meant it was a very smooth transition for everyone. 

“I got the chance to speak with one of Askham’s directors, Aliyyah-Begum Nasser, and the management team about the promotion and they were all confident that I could do it – and I am really loving it.

“As lead nurse, you have two days where you work on the admin, which is very different, but is very responsible in reviewing care plans, medication records and funding matters. It is a vital role and one I really do enjoy – and I still get plenty of opportunity to be with the patients.”

And it is the interaction with the patients that continues to inspire Shainy as a nurse. 

“You see what they go through and the progress they make, and it is lovely to feel you play some role in that,” she says. 

“You feel very much valued, there is a lot of happiness and job satisfaction in what we do. This is a great environment and a very positive working environment, and I love my work with the patients. 

“I’m very grateful for the support I’ve had since I came here, and the opportunity for promotion. Askham is a great place to be.” 

 

‘A secondment made me want to pursue a rehab career’

Having joined Askham in November 2018, initially in a part-time care assistance role, Stacey Hawkins was keen to progress – particularly after seeing the power of rehab through a secondment opportunity. 

“I was offered a four-month secondment, where I worked with all four disciplines – physiotherapy, psychology, speech and language and occupational therapy,” she says. 

“I learned a lot from this and really enjoyed it. I got so much insight into the sessions. A position came up for a rehab assistant, and having seen how much I loved working in rehab, I decided that’s what I wanted to do.”

Stacey was successful in her rehab assistant application, which she took up in September 2021, being given full training on-site to equip her for her new role. 

“I read all the assignments for each Individual and look at what their goals are, we then work on these and build exercise plans and explain the treatment we feel is right for them,” she says. 

“This is different for everyone, as everyone will have different needs and outcomes, so we work on finding the best and safest equipment and ways to do it. We often have to demonstrate to patients what we would like them to try, and we have to be calm, understanding and always listen.”

And the role is giving Stacey new levels of job satisfaction. 

“I love being able to make a difference to people’s lives and seeing them achieve all they can in their rehab goals,” she says. 

“Seeing the gratitude on the people’s faces, and their family members too, is priceless. The feeling is unreal to see people progress in their own ways and give someone their independence back. 

“But while I absolutely love this role, I feel just as valued on the rehab team as I did when I was working on the care floor. Askham is one big family, and I’d say thank you to everyone here who has helped me on this journey.”

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Inpatient rehab

PJ Care marks 21 years of neurological care

The provider opened its first centre, Bluebirds, in 2001

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Jan Flawn CBE, Neil Russell, Milton Keynes Mayor Amanda Marlow and manager of Bluebirds Colleen Brothers

Neurological care provider PJ Care has marked 21 years of providing its specialist services with an event to mark the anniversary of opening its first care centre. 

PJ Care, which offers care for adults with progressive neurological conditions, was established in 2001 by former nurse, Jan Flawn CBE, who identified the need for an age-appropriate environment for people with young onset dementia.  

Until then, the only option for people who developed neurological conditions before the age of 65 was to be cared for in hospital or alongside the elderly in a care home.

After a long battle both for respect and funding for her proposition, Bluebirds care centre opened in Milton Keynes, offering 22 beds, all of which were filled within a matter of months.  

Since then, PJ Care has gone on to open Mallard House in the city and the Eagle Wood care centre in Peterborough.  

The centres also provide care and rehabilitation for people with acquired brain injuries and employ close to 600 staff.

To mark the landmark anniversary for Bluebirds, families and residents, staff, invited guests and the Mayor of Milton Keynes, Amanda Marlow, gathered in the gardens of the Bluebirds care centre together with founder Jan.

Jan retired from the business five years ago and PJ Care is now run by her son, Neil Russell.

“It’s been the most wonderful event,” said Jan.  “I can’t believe it’s been 21 years since I started PJ Care.  

“Neil and the entire team have done the most wonderful job in keeping our original values of care, compassion and commitment, not just towards the residents but the staff, too. We are like one big family.”

Jan started PJ Care because of the frustrations of not being able to provide the care she felt her patients needed.

“We didn’t have time to look after them properly,” she remembered.  

Neil Russell with one of Bluebirds’ original nurses, Linda Matthews

“They didn’t just need us to care for their physical needs, they needed us emotionally. That was especially true of people with neurological conditions; they were just people in beds and that wasn’t good enough for me.  

To have been able to do it myself and create centres where people have time to care, time to talk and give people the quality of life they deserve, is wonderful.  

“I still remember welcoming our first resident. I was nursing at the time so I was hands on and my son, Neil, left the Diplomatic Service to come to work with me.”

Neil has since expanded the service to its current three centres, with plans to create a new care centre at Eagle Wood later this year, and another planned for Northamptonshire.

“I am incredibly proud of Mum and what she’s achieved,” he said.  

“We worked side by side in the beginning. I would help out with personal care, covering shifts in the kitchen, even cleaning toilets if that’s what was needed to get the job done.

“She knew there was a need for this kind of specialist service and demand is growing and growing. I am thrilled to be able to carry on what she created and although she’s retired now, I still discuss board papers with her and ask her opinion.”

Current and former managers at the home were presented with bouquets of flowers and Jan was reunited with one of her very first nurses at Bluebirds, Linda Matthews.

Jan said it was a perfect celebration but feels there is still much support needed for the care sector.

“I would have thought that COVID might have got the message through, but sadly not,” she said.

“No government has yet had the courage to develop a strategy for the care sector that works.  But I feel proud of what we’ve achieved as a company and the efforts we make for our staff and I’m excited to see where Neil takes the business in the future.”

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