Physiotherapy services for people with Parkinson s disease in Western Australia.

Transcription

1 Physiotherapy services for people with Parkinson s disease in Western Australia. Information current as of 10 May If you would like your information included in this booklet please contact: Barby Singer <SingerBarby@gmail.com>

2 Armadale Health Service 3056 Albany Highway, Armadale 6112 Contact details Staffing and type of service provided (eg MDT, sole practitioner etc.) Community Rehabilitation Phone # ; fax # Triage officer # Armadale.CommunityRehabilitation@health.wa.gov.au Both MDT and Sole practitioner As shown in referral form No specialised PD clinic Specific MDT PD patient meetings monthly with Parkinson s WA Nurse involvement and Geriatrician. - Any stages of PD - Referring clinician to complete the CR referral form - Patient will be contacted by CR triage officer and waitlist if appropriate Urgent referral: 1-3 weeks Routine referral: 4-6 weeks Duration of service (eg. any limitation - - Normally 6 12 weeks No limitation on LOS - Public Health service Part of Community Rehabilitation service. Clients will have access to Consultant Geriatricians Clinical Psychologist Dietitian Nurse Occupational Therapist Physiotherapist Podiatry Social worker Speech Pathologist Therapy Assistant Armadale Health service offers a range of groups which may be suitable for PwPD and/or carers. Activity Conditioning Group To regain the movements and skills required to perform everyday tasks such as shopping, carrying basket, clothes line,

3 bed/chair/floor transfers, negotiating steps, ramps etc. The graduation of activities is done weekly based on the assessment aiming at improving physical endurance, balance and confidence. The focus is on learning proper body mechanics in doing these tasks and incorporates energy conservation techniques in daily activities. Fatigue Management Group For suffering from fatigue secondary to their diagnosed health condition. The group is facilitated by occupational therapy and focuses on management of fatigue to maximise participation in activities of daily living. Clients must have the cognitive ability to participate in discussions and complete home activities. Falls and Balance Group For who need to improve their balance, strength and exercise tolerance. Physiotherapists and/or Therapy Assistants are present throughout group for overall supervision. Typically for who do not need 1:1 supervision and have a mid to higher level of balance. Patient eligibility needs to be assessed by the Physiotherapists. Carers Group Provides support and education to family members who care for their loved ones who suffer from Dementia. There are guest speakers from different services to address issues related to Dementia and caring. Cognitive Communication Group A group designed to provide support and strategies to experiencing communication difficulties due to memory or cognitive issues. Facilitated by a Speech Pathologist. Voice Group For voice and dysarthria treatment at conversation level. This group runs in 6 week cycle and will be made up of a mix of participants with varying diagnoses, including Parkinson s Disease, Multiple Systems Atrophy and Stroke. Wellness Group To empower to manage their health conditions within their daily routines. It is a 6-8 week holistic program with guest speakers relevant to the patient s needs. It will offer support to the to prevent ongoing hospital admissions. This group will evolve over time as Nurses discuss with the where they feel the gaps are in their overall health care.

4 Contact details Staffing and type of service provided (eg MDT, sole practitioner etc.) Bentley Health Service Mills Street, Bentley Community Rehabilitation Phone # ; fax # Both MDT and Sole practitioner As shown in referral form No specialized PD clinic - Any stages of PD - Referring clinician to complete the CR referral form - Patient will be contacted by CR triage officer and waitlist if appropriate Urgent referral: 1-3 weeks Routine referral: 6-8 weeks Duration of service (eg. any limitation - - Normally 6 8 weeks No limitation on LOS - Public Health Service

5 Contact details Staffing and type of service provided (eg MDT, sole practitioner etc.) Duration of service (eg. any limitation Community Physiotherapy Services- North Metro Health Service Currently PD Classes in Craigie, Swan park, Osborne Park, Morley, Scarborough and Beechboro. (t) (f) Senior physiotherapist supervising groups of 8-10 in community settings (recreation centres etc) Referrals must be from public health professional although we also accept referrals from PDWA nurses. No restrictions on catchment area as are sent to closest location. Diagnosis of Parkinson s or parkinsonism. 12 month renewals can be made by GP. Referral is valid for 12 months Complete referral form which can be found on the North Metro intranet Usually 3 4 weeks 10 week series Strategy PD class (1.5 hours each class) 10 week series 2x week PD gym (1.5 hours each class) Public health service: no charge for land based classes Scarborough and Beechboro are PD gym classes, all other centres are PD strategy classes.

6 Contact details Staffing and type of service provided (eg MDT, sole practitioner etc.) Duration of service (eg. any limitation Community Physiotherapy Services- South Metro HS Various locations across SMHS including Riverton, Melville, Gosnells and Rockingham (t) (f) Weekly group based specific education, strategy reinforcement and exercise sessions Land based classes are generally 1x week but also run gym based classes for higher functioning which are 2x weekly Programs run by senior physiotherapist in groups of 6-10 Programs run at local recreation centers and other community venues Diagnosis of Parkinson s, Parkinsonism, PSP or MSA. Referrals must be from public health professionals although we also accept referrals from PDWA nurses. No restrictions on catchment area as are sent to closest location. Reciprocal arrangement with NM CPS. Complete referral form which can be found on the South Metro Health Service intranet Further information available on South Metro Health Service Intranet page Referral is valid for 12 months Dependent on waitlist but usually 2-3 weeks Service is time limited with discharge planning commencing at initial assessment There is not a set number of attendances or weeks for either program. Discharge is as clinically indicated but patient must be progressing towards achieving a sub acute rehabilitation goal to continue attending. Ongoing maintenance is not provided. Public health service: no charge for land based classes Some pool venues charge pool entry Patients can also access CPS neurology or general rehabilitation classes and multi gyms if unable to attend a Parkinson s specific class CPS offers hydrotherapy classes and people with Parkinson s can be allocated into a hydro class if clinically appropriate and they meet criteria for service/program.

7 Fremantle Hospital Parkinson s Service D4 Rehabilitation Centre Fremantle Hospital Alma Street, Fremantle, WA 6160 Contact details Reception: Ph: PD physio direct E: Emma.Griffiths2@health.wa.gov.au Staffing and type of service provided (eg MDT, sole practitioner etc.) Referral criteria (eg medical diagnosis of PD, geographical catchment etc.) Consultant Geriatricians: - Dr Mark Wilson, Dr Alicia Massarotto, Dr John Kitchin, Dr Sneha Bharadwaj Registrar(s) rotational Nursing Staff: 1.0 FTE Occupational Therapist: 1.0 FTE Physiotherapist: 1.0 FTE Social Worker: 0.6 FTE Speech Pathologist: 1.0FTE Dietician: 0.6 FTE Clinical Psychologist Professor Starkstein 2 or 3 patients / week and Marnie Cuevas as required Continence Advisor as required New patients should ideally live within the FHHS catchment area however patients outside of catchment can elect to also be seen at Fremantle Patients previously attending Fremantle can elect to transfer allied health management to their local community rehabilitation site (NB: Rockingham will not accept transfer unless medical governance is also transferred) All patients diagnosed with PD/PSP/MSA/ Extrapyramidal movement disorders etc. or anyone with a suspected diagnosis is appropriate for referral, even if this is only for assessment and education, without a specific functional goal E- referral for sites that have access: ISOBAR handover, GP letter, transfer summary Fax: Post: D4 Rehabilitation Centre, Fremantle Hospital, Alma Street, Fremantle WA weeks for clinic review (physio only) Other disciplines and medical review will vary No, patients remain on the database and are offered an annual review with allied health staff. Medical review frequency determined by the treating doctor Approximate wait time Duration of service (eg. any limitation on length of stay) No Home visits offered as required for consultation and implementation of movement strategies only, not for maintenance home exercise program Bi- weekly Parkinson s Gym Group Access to hydrotherapy Movement strategies education sessions Carer education classes Referral to Tai Chi Groups held at the clinic

8 Contact details Staffing and type of service provided (eg MDT, sole practitioner etc.) Hollywood Private Hospital Hollywood Private Hospital Monash Ave, Nedlands Locked Bag 2002, Nedlands WA 6909 Physiotherapy: Inpatients Claire Tucak Clinical Lead Physiotherapy (Neurology and Stroke) page 6087 Catherine Verran Specialist Coordinator Rehabilitation Mobile Day Rehabilitation and Outpatients: Ramsay Health - Hollywood Allied Health Services Ciara Sheils - Acting Specialist Coordinator Day Rehabilitation and Ramsay Health - Hollywood Allied Health Services sheilsc@ramsayhealth.com.au Mobile Reception Inpatient Rehab Ward for all conditions Edwards Ward ( intensive rehab) 40 beds McCarthy Ward (slow stream rehab) 22 beds Full MDT involvement including Rehabilitation Physicians, Rehabilitation Nurses, Physiotherapist, Occupational Therapist, Social Worker, Speech Pathologist, Dietitian, Clinical Psychology as required. Type of service: 1:1 Sessions, Physio exercise classes (hip, knee, balance and circuit), OT Groups (breakfast group, functional circuit group, falls/energy conservation, social/cognitive, car transfers and hip class) and speech therapy groups as required. Day Rehabilitation Full MDT available Referral criteria (eg medical diagnosis of PD, geographical catchment etc.) Outpatients: Ramsay Health- Hollywood Allied Health Services 1:1 assessments and treatments for all allied disciplines with a multidisciplinary team collaborative goal orientated approach to outpatient care. Inpatients: Booked admissions from home for inpatient rehab from the Dr managing the patient. Usually admitted to Edwards Ward. Admission for any PD related issues, decreased mobility, change in function. Can be admitted to general medical ward initially for medical issues. Rehab Ward Admission Details: Inclusion: Have achievable rehab goals; be accepted by a rehab

9 consultant, able to be funded by private health insurance or Dept of Veteran Affairs. Exclusion: Patients unable to participate in Rehab e.g. advanced dementia, severe behavioural problems. Day Rehabilitation Current inpatients have access to ongoing Day Rehab at HPH. Length of attendance determined by health fund. Eligible health funds - HIF, HCF, MBP, AHSA DVA patients can take community referrals for Day Rehab via Rita Malik or a Geriatrician. Patients need to be assessed by a HPH Geriatrician consultant first. Outpatients: Ramsay Health - Hollywood Allied Health Services Self- referral and/or referral from allied health/ G.P s/ consultants Inpatients To refer contact: HPH and ask for Rehabilitation Consultant or contact Area Manager/Admissions Rehab Nurse on Day Rehabilitation Available to inpatients at HPH or external DVA patients referred by Geriatrician. Approximate waiting time for referred Duration of service (eg. any limitation Outpatients: Ramsay Health- Hollywood Allied Health Services To refer to Hollywood Allied Health Services please hahs.hph@ramsayhealth.com.au or call Inpatients depends on bed availability Patients generally not admitted on weekends or public holidays Goal based Inpatients - Allied Health Services included in hospital cover. Day Rehabilitation health fund eligibility check for the patient is required to ensure no cost to the patient. DVA patients accepted by Rita Malik no fee Outpatients: Ramsay Health - Hollywood Allied Health Services is a private MDT out- patient department. Please call to discuss fees. Deep Brain Stimulation Surgery at HPH. Dr Julian Rodrigues/Dr Stephen Lewis. Pre and postop assessment and care available for patients through Outpatients or Day Rehabilitation.

10 Contact details ( , phone etc) Staffing and type of service provided (eg MDT, sole practitioner etc.) Duration of service (eg. Any limitation Joondalup Health Campus Corner Grand Boulevard and Shenton Avenue, Joondalup, WA, 6027 Pam Rees, Coordinator of Day Therapy Services, Phone Day therapy Physiotherapist involved in the MDT Parkinson s Clinic, supervising groups of up to 6 individuals Confirmed diagnosis of PD; aged 65 and over; Within the catchment of JHC Referrals are made through the Day Therapy Unit and can be made from Physiotherapists, Geriatricians or Rehab Physicians, and GP s. Therapist assessments are conducted to assess suitability for group therapy Approximately 6 weeks to initial contact with Day Therapy Physiotherapist. Wait times for group activity vary Parkinson s groups run in blocks of eight weeks and include a group for high level and low level patients. It is a MDT service with five sessions specifically dedicated to physiotherapy services. Groups are run 4-5 times per year. No charge Carers are encouraged to attend the low level groups.

11 Mandurah Community Health Centre Parkinson s Service Mandurah Community Health Centre 112 Lakes Road Mandurah WA 6210 Contact details Reception: Staffing and type of service provided (eg MDT, sole practitioner etc.) PD physio: Tracy.Legg@health.wa.gov.au No onsite Geriatrician AH: PT, OT, Speech, Dietitian, SW Referral criteria (eg medical diagnosis of PD, geographical catchment etc.) Approximate waiting time for referred Duration of service (eg. any limitation Mandurah catchment area PD or PD Plus Syndrome diagnosed All referrals will be triaged at Rockingham General Hospital by Triage Officer (Nicole Saunders) Fax: Post: Day Therapy Unit, RGH, Elanora Drive, Cooloongup, WA 6168 E: Nicole.Saunders@health.wa.gov.au Variable depending on general waitlists for community services Nil Under RGH consultant ongoing medical reviews with AH input as clinically indicated Private neurologist /GP patient discharged after patient goals achieved. The Parkinson s Service at Mandurah is part of the Community Rehabilitation Service based at Rockingham General Hospital There are strong links between AH staff across the 2 sites No PT home visiting but OT does home visiting There are numerous community ex classes that can be linked into.

12 Neurolink Physiotherapy (private neurological practice) Clinic- 20 Burragah Way DUNCRAIG or home visiting Contact details Fiona Trendos M: , T/F: or e: Staffing and type of Private practice that accepts private patients, CDM,DVA, compensable and service provided (eg accessing service through EACH package or NDIS funding streams. MDT, sole practitioner Clinic or home- based sessions offered and clinic include pilates studio and etc.) functional work zones e.g. kitchen/bathroom. All staff are senior physios Referral criteria (eg medical diagnosis of PD, geographical catchment etc.) with post graduate qualifications in Neuro Rehab and LSVT certified. Any with a neurological or vestibular/balance condition. Self referral accepted Approximate waiting time for referred Duration of service (eg. any limitation on length of stay) Via phone or contacts outlined above. Brief handover appreciated. N/A N/A Discussed on an individual basis NIL

13 Contact details ( , phone contact) Staffing and type of service provided (eg MDT, sole practitioner etc.) Referral criteria (eg medical diagnosis of PD, geographical catchment etc.) Approximate waiting time for referred Duration of service (eg. any limitation Osborne Park Hospital- Parkinson Disease Clinic Osborne Park Hospital FTE Senior PT 0.5 FTE P1 1 FTE Therapy Assistant MDT- OT, Speech Pathologist, Social Worker, Nurses, Clinical Psychologist (0.5FTE for PD Clinic) North Metro catchment Being investigated/diagnosed with PD or PD Plus Syndrome Normally patients need to have a Neurologist or Geriatrician for ongoing management of their PD For patient not known to the clinic (i.e. managed by neurologist) a referral is required from GP or neurologist. We are unable to accept referrals from allied health practitioners. Referrals are triaged by Head of Service and then allocated to a consultant at OPH for medical governance. They continue to see their neurologist for medical management. If medical management of the patient is at OPH we can receive cross referrals from any allied health staff - i.e. reassessment following CPS, discharge from hospital etc. We service North Metro Health Area. In some instances we do also see patients South of the River (mainly if they are medically managed by OPH consultants) 2-3 weeks Ongoing. Minimum review will be 12/12 Unless patient has a history of not attending appointments /cancelling/resides in residential care/housebound then we would see them as a as referred basis. Nil Service offers: 1:1 with PT- assessment, treatment, timetrials 1:1 with TA- exercise programs with strategy reinforcement Groups- delivered by OT, PT and TA. Speech therapists attend at the beginning for speech exercises. Class involves education and exercise components. Maintenance group- Exercise only Physio- Chi Homevisits

14 Rebecca Parker Physiotherapy (private practice specializing in management of PwPD) Como Health & Fitness Centre, COMO Available for home visits Contact details (m) (e) Staffing and type of service provided Sole practitioner providing individual and class sessions (eg MDT, sole practitioner etc.) including PD Warrior and LSVT BIG programs Duration of service (eg. any limitation Self referral, no limit to catchment Diagnosis of Parkinson s or Parkinsonism Contact via or phone to organise appointment 1 week No limit Contact Rebecca to discuss fees

15 Rehabilitation in the Home Covers South Metro Health Area. Similar service also covers North Metro. Services may become Metro wide. Contact details Fremantle Admissions: Staffing and type of service provided (eg MDT, sole practitioner etc.) RPH Admissions: RITH team consists of Registrar, Physiotherapists, Occupational Therapists, Social Workers, Dietitians, Speech Therapists and Therapy Assistants. Clients requiring intensive rehab directly following discharge from hospital where rehab can t be provided in an outpatient setting on discharge, to reduce length of inpatient stay, and or have goals around their home environment and accessing the community. Referrals can be accepted from the community where RITH input may prevent a hospital admission. All referrals have to be called and accepted by an Admissions therapist with referral paperwork scanned or ed prior to client discharge, with the client s written consent. Clients are seen the following day of discharge. Duration of service (e.g. any limitation Average duration 4-6 weeks, depending on the client s needs. Clients are seen intensively for 3 of more contacts weekly. Covered under Medicare. Cost to overseas if no reciprocal rights. NIL

16 Rockingham General Hospital Day Therapy Service Contact details ( , phone contact) Staffing and type of service provided (eg MDT, sole practitioner etc.) Rockingham General Hospital Day Therapy Unit Elanora Drive Cooloongup WA 6168 Reception: PD physio: E: Consultant Geriatricians MDT consisting of PT, Speech, OT, Dietitian, SW, Nurse. PD is only 1 clinic of several covered by 0.4 FTE for each allied health. Rockingham or Mandurah catchment area for RGH consultant Rockingham catchment for allied health Patients can transfer to RGH from FH if medical governance is also transferred PD or PD Plus Syndrome diagnosed or being investigated Neurologist or GP referral Parkinson s WA nurse referral Fax: Post: Day Therapy Unit RGH, Elanora Drive, Cooloongup WA 6168 Variable depending on waitlist for all clinics Duration of service (eg. Any limitation Nil Under RGH consultant ongoing medical reviews with AH input as clinically indicated Private neurologist /GP patient discharged after patient goals achieved. No PT home visiting but OT does home visiting Physio Chi Smooth Movers Group patients with mobility issues and need movement strategy education Education group for newly diagnosed PD

17 Contact details Staffing and type of service provided (eg MDT, sole practitioner etc.) Duration of service (eg. any limitation SJOG Midland - Multi- disciplinary Parkinson s Clinic St John of God Midland Public Hospital Miriam.Ruthenberg@sjog.org.au Shelley.Bernstein@sjog.org.au (currently on leave) Public service - MDT Can be referred with existing PD, MSA or PSP diagnosis or can be referred to get diagnosis confirmed. Can keep seeing private neurologist if patient already has one, or can start seeing our geriatricians. Need to be part of Swan catchment Referrals must come from a GP or specialist Referrals Phone: Referrals Fax: MI.Referrals@sjog.org.au Post: PO Box 268, Midland WA 6936 Use this website to download referral form: professionals/referrals/ 4 weeks 6 weekly visits by any one discipline. Can be extended if necessary. Reviewed as necessary Nil MDT includes: physio, OT, social work, dietitian, clin psych, speech path, nurse.

18 Sir Charles Gairdner Hospital (SCGH) Physiotherapy Neurology Outpatients Ground Floor, A Block, Sir Charles Gairdner Hospital, Hospital Ave, Nedlands, WA, 6009 Contact details Reception: Fax: Staffing and type of service provided Physio: 1 FTE Senior Physiotherapist with 4 students. (eg MDT, sole practitioner etc.) The majority of PD will be seen in a 1 on 1 situation. All PT is conducted in the outpatient clinic. MDT: other Allied Health staff/services available by referral from within SCGH. In the case of Parkinson s disease a diagnosis or working diagnosis of Parkinson s Disease, with current management with Neurologist/Geriatricians. Geographically patients will have to reside in SCGH catchment. Preferable to have an e- referral for those with access to. Otherwise fax or to Cameron.Mead@health.wa.gov.au Referrals will be accepted from Neurologist or GP referral Parkinson s WA nurse referral Public Allied Health Professionals Duration of service (eg. Any limitation Variable depending on waitlist and level of acuity of referral/falls risks. Referrals will be valid for 12 months but can be extended by an additional referral. Duration of treatments with be decided on a case by case basis determined by clinical need. Nil

19 SYNAPSE PHYSIOTHERAPY (Private neurological PT practice) Rooms or Home Visit as required 77 Scarborough Beach Rd Mt Hawthorn WA Contact details Denise Hall: Babette Lynch: Staffing and type of service provided (eg MDT, sole practitioner etc.) All physiotherapists in the practice are senior physiotherapists with postgraduate qualifications in neurology/rehabilitation and/or APA Titled Neurological Physiotherapists Any neurological condition Duration of service (eg. any limitation Phone call or (as above) n/a n/a Please contact Synapse to discuss All consultations are 1:1. Patients can be reviewed in a community setting eg. gym, pool if required

20 Vivian Lee (Private neurological physiotherapy practice specializing in management of PwPD) Home visits Contact details Staffing and type of service provided Sole practitioner with a particular interest in Parkinson s (eg MDT, sole practitioner etc.) disease Duration of service (eg. any limitation Diagnosis of Parkinson s disease and/or Parkinsonism- plus syndromes Phone call or e- mail (as above) n/a n/a Please contact Vivian to discuss All consultations are 1:1