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Bounce Back
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5. What happens when you have a stroke? 999 Emergency 5.) Community Stroke Team 3.) Acute care 2.) Hyper acute care – eg surgery 4.) Local stroke unit At any point a patient may be well enough to return home and skips the final stages of the pathway
1.) Volunteer to be a Bounce Back Guide: Stroke survivor signs up on the Bounce Back site to be a guide. Potential guides are referred to BB by Community Stroke Teams and groups such as Different Strokes and the Stroke Association 2.) Vetting and training: Bounce Back CRB checks all guides and runs a half-day training programme with them. They are given a support pack and full profile on the BB site. 3.) Guide map: Volunteers upload information such as age, gender, stroke symptoms, location, ability to travel and personal interests. 4.) Patient referrals: Mentees are referred to Bounce Back via their local Community Stroke Team. 5.) Matching service: by searching the Guide Map for the right person, the mentee can choose a guide who has had a similar experience to them or has sharing interests and background. Mentee and guide can choose to meet face-to-face, speak over the phone or online. Bounce Back helps organise this contact and gives options for duration and regularity of meetings. 6.) Support through recovery: Bounce Back sends regular communications to check how things are going. Guide supports mentee through the process of regaining confidence and independence.
1.) every pathway is unique to an individual, however, the basic structure is the same across the UK 2.) Walk through basics of how the pathway works 3.) CST already works with a variety of third sector providers. Bounce Back would work with the CST to refer patients who would like peer support The pathway: a.) Emergency: Stroke occurs, emergency services are called b.) Hyper acute care: Patient is taken to designate hyper acute stroke centres (there are 8 in London) where specialized health stabilization is undertaken for around 72 hours c.) Acute care: Patient is moved to the acute care centre for average of 7 to 10 days; medical care and initial rehabilitation is introduced as necessary d.) Return to local stroke unit: Patient transferred back to their local area to ‘step down’ stroke beds with in-patient rehabilitation; patients with long-term issues are sometimes referred to care or nursing homes e.) CST: Rehabilitation and social care commences when a patient returns home and is cared for by the CST: CST interfaces with multiple partner agencies (local authority, employment, education, leisure, community and voluntary organizations). Support provided includes Physiotherapy , Occupational Therapy, Speech and Language Therapy , vision , cognitive/clinical psychology and emotional support. And refers patients to bounce back!