Download Shepherdleas ward leaflet (Oct 08).qxp

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Our staff are required to abide by a code of conduct on confidentiality.
We may share some information with other people such as your GP and
social services employees. When considering who may see information
about you, our staff use the following principles:
only share information with those who need to know in order to
provide good quality care
share the minimum information necessary to ensure good quality
care.
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If you have any concerns about your own or your relative's care on the
ward do please discuss them with us.
Shepherdleas
Ward
There is also a Patient Advocacy and Liaison Service to help you do this
if you want them to. They are available on 0800 917 7159. If you are not
satisfied, do please tell us. We will sit down with you, write down and
discuss your worries and work them through with you.
If you are still not satisfied, you can write a
formal complaint to:
Head of Complaints
Oxleas NHS Foundation Trust
Pinewood House, Pinewood Place
Dartford, Kent DA2 7WG
Phone the Complaint’s office on 01322 625751
Email:[email protected]
Shepherdleas Ward
Oxleas House
Queen Elizabeth Hospital
Stadium Road,
Woolwich, SE18 4QH
Tel: 020 8836 6633 Fax: 020 8836 6635
Information for patients
and their relatives
Ward contact telephone numbers:
020 8836 6633/6632
Patient Payphone: 020 8856 6314
Revised March 2009
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and supported to maintain their
safe independence on the ward.
nursing staff who will be glad to
help answer your questions.
Each patient has a primary
nurse and a consultant who is
responsible for their care.
Each patient should see and
discuss his or her care with their
primary nurse or colleague twice
a week. This will enable a
review of progress to be made.
Each patient should see his or
her ward doctor weekly at least
and this will enable medical
progress to be reviewed.
There is a weekly ward round
attended by the consultant, ward
doctor, nurses, psychologists,
occupational therapists and
social worker to which the
patient is normally invited. You
do not need to attend and may
prefer to be seen outside of this
setting. The ward round is
however the major planning
meeting for staff looking after
you, and most patients do
usually attend.
Each patient has a care plan.
They are kept in your in-patient
notes and you should be able to
see a copy. The care plan will
normally be discussed with you
at the ward round and by your
primary nurse.
Each patient will be encouraged
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Many families wish to be
informed of progress during
their relative’s time in hospital.
We welcome the involvement of
families in all aspects of their
relative's admission, assessment
and care planning.
You should normally discuss
these things with the primary
nurse or your relative's ward
doctor.
Occasionally, we will not be able
to share full information with
you because of issues around
confidentiality.
Families sometimes come (and
are sometimes asked to come)
to the weekly ward round which
is the major planning meeting
for staff looking after your
relative.
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On Shepherdleas Ward, we aim to
provide the highest standard of care
to our patients. The ward exists to
provide mental health services for
older people who suffer from
mental illness. No one will receive
Information leaflets are available
from the nursing staff on the
following medicines:
Antipsychotics
- Clozapine
- Olanzapine
- Risperidone
plus general information
Anti-depressants
- SSRIs
- Tricyclics
- MAOIs
- Moclobemide
Mood Stabilisers
- Lithium
- Carbamazepine
- Sodium valporate
Benzodiazepines (diazepam etc.)
Propranolol
St John’s Wort
Anticholinergics (procyclidine etc).
The nursing staff will be able
to advise you if you are not
sure which leaflet is about your
particular medicine.
Most individual medicines also
have a manufacturer's patient
information leaflet. If you have
not recently received one, an
up-to-date version can be made
available for you to read on the
ward.
If you would like to speak to a
pharmacist about your
medication, please ask the
nursing staff to arrange this.
Visiting times are flexible, but
visitors are asked to avoid
mealtimes (12midday -1pm and
6pm - 7pm).
In line with the Trust policy all
valuables will be listed and kept
in the hospital safe. The
property list will be signed and a
copy given to you. A property
disclaimer form to read and
signed.
The Trust will not be
responsible for any items lost or
damaged.
Patients and their relatives are
asked to label clothing brought
onto the ward. Labels can be
purchased from the Oxleas
shop.
Relatives will be asked to do
patient’s laundry as the ward is
not responsible for laundry.
discuss follow up by our
community mental health team
based at the Memorial Hospital
inform your GP of your discharge
medication within 48 hours
send a full discharge summary to
your GP normally within two
weeks of discharge
give you a copy of the agreed
discharge plan.
Sometimes, our patients are not
well enough to go home again
from the ward, and require nursing
or residential care. When this is the
case there is usually (after discussion
and agreement with you) an
application to the Joint Assessment
Panel of Greenwich Borough and a
placement is planned.
If patients are not eligible for social
service support, Oxleas NHS
Foundation Trust will support you
through these processes. Once a
placement is agreed, you will be fully
involved in choosing a home, and be
discharged there, normally within 21
days of the date the panel agreed the
placement.
It is very helpful to send a copy of
the discharge summary to the home
where you are going. We are happy to
do this provided you do not tell us
that you object to this happening.
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When planning medical care,
treatments that will not work or
which may be very burdensome, may
be withheld.
Decisions such as these are complex
but important. They will always be
fully discussed and usually only apply
to people who are very unwell.
Everyone receiving in-patient
treatment has to have a decision made
about the use of resuscitation
procedures. Although the usual policy
is to resuscitate, there may be
circumstances in which this is not
advisable. For example, if someone is
very frail, they might be severely
distressed by the effects of such a
medically aggressive procedure if the
procedure was successful.
Sometimes, it is clear that such a
procedure will simply not work. In
these cases, all other medical
treatment will still be given. Decisions
about resuscitation will be fully
discussed with the person receiving
treatment and/or their carers or
advocate, by a doctor or nurse. Where
no decision has been reached,
resuscitation will be given.
If you have any queries about this,
please ask any member of the
more or less favourable treatment
on any grounds of age, gender,
background or beliefs etc*. No
diagnosed mental illness shall be
a bar to admission
We wish to:
listen to the views of our
patients
provide advice and support
within our area of expertise to
patients and carers
value the views of others in
planning and giving the care
and treatment which we
provide.
nurses and ward doctor.
We have a series of information
leaflets available on specific
treatments which you may be
offered. Patient information
leaflets can also be obtained for
all medications.Information is
also available on the various
therapies which are available to
you
These include:
occupational therapy
physiotherapy
psychology
speech and language therapy
podiatry.
*Please ask if you wish to see a
copy of the trust's equal
opportunities policy.
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You are entitled to good quality
information on all treatments
which you are offered. Patients
will be seen and their care
discussed in ward rounds weekly.
Carers and relatives will be
invited. Information on treatment
and progress will also be given by
the primary nurse regularly.
Please do feel free to discuss your
treatments with your primary
Physiotherapy treatment may be
available to you during your stay
on the ward. Physiotherapy can
help you in the following ways:
assist you to remain active
and independent following an
illness or injury
help you to improve your
balance and strength which
helps to avoid falls
overcome some of the
problems caused by a stroke
or other neurological
condition
assist you with a chest
problem
get you moving again
following a fracture
ease shoulder, neck, hip and
back pain
give you advice on
appropriate footwear, walking
aids, collars etc
assist you with your general
mobility, walking and posture.
If you think you need to see the
physiotherapist, please contact
your doctor or nurse who will
make an assessment of your
needs and, if appropriate, refer
you for treatment.
The physiotherapist will assess
your condition, diagnose your
problem and help you understand
what is wrong. As well as
treatment, the physiotherapist will
advise you on how to help
yourself. For example, you may be
shown a course of exercises that
you can do on your own.
The nursing staff and your carer
will be given advice on how to
help you where appropriate.
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Clinical psychologists are part of
the health care team and you may
be offered the opportunity to
meet with a psychologist during
your stay on the ward.
meetings will always be arranged
by mutual agreement.
A clinical psychologist has
specialist training to help people
experiencing a range of
difficulties in their life. These
include anxiety, depression,
relationship problems, loss,
bereavement, major life events,
traumas and changes in their
physical or mental abilities
associated with other health
problems.
If you have any queries about the
role of the clinical psychologist,
please feel free to discuss these
with the psychologist involved or
any other member of the ward
staff team.
The psychologist will usually meet
with you for about an hour,
during which time you will be
able to talk about the problems as
you see them and how you would
like them to change.
The psychologist will usually
agree a plan with you about how
to approach your problems, which
may involve further
meetings.
Depending on your needs and
preferences, you could continue
to meet with the psychologist
individually or in a group. These
appointments can continue after
discharge from the ward if this is
beneficial. You will always be
asked if you agree to a referral to
the psychologist and any further
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Because of illness, disease or
disability, some people are unable
to perform everyday activities.
We will assess clients for the
ward’s therapeutic programme
and aim to meet individual needs
through groups or individual
work.
The therapist and support staff
run a variety of therapeutic
groups and these are a central
part of the assessment and
rehabilitation process. Some of
these will be based on the ward
and some in the therapy
department of Memorial
Hospital. Information on all the
therapeutic groups is available
and can be accessed through
your occupational therapist or
named nurse.
An occupational therapist is a
qualified person who assesses and
treats people with mental and or
physical health problems which
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affect their ability to carry out
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their usual daily activities and
When you are discharged from
routines.
the ward, we will:
plan your discharge and discuss
Occupational therapists aim to
your discharge plan with you
help clients reach their maximum
involve (where appropriate) our
potential - thus improving
social work colleagues in
independence and quality of life.
assessing your needs and
They do this by working alongproviding you with a care
side patients and carers.
package
On Shepherdleas Ward, the
occupational therapist will assess involve (where appropriate) our
occupational therapist in
the client’s independent living
assessing your abilities and care
skills and well being (on the ward
needs on discharge
and, for some patients, at home).