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Beck

Beck Hefferon

Year of Award: 2016 Award State: Western Australia Health And Medicine > Rehabilitation And Pain Management
To investigate the application of physiotherapy to improve rehabilitation, quality of life and patient care after amputation - USA, Sweden, Germany, UK
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Major Learning Outcomes 

  • United multidisciplinary collaboration stands out as the most influential promotor of excellence in patient care of the amputee; 
  • Smart technology has transformed clinical practice across the rehabilitation spectrum. Visual and multimedia documentation of assessment, treatment and evaluation can be instantaneously communicated with the multidisciplinary team (MDT) and wider rehabilitation network optimising management and preventing problems from escalating; 
  • A skilled and well-resourced administrative and clerical support service is essential to proficient core team communication and was cited by clinicians as a key enabler of clinical efficiency and optimal patient outcomes; 
  • OPRA surgery is now strongly associated with significant improvements in quality of life reflected in almost 2 decades of robust evidence to support its enduring success. Technological advances, reduced complication risks and shorter rehabilitation protocols are making this an increasingly popular option for amputees from nonvascular causes. This fellowship has created a unique opportunity for WA Health to collaborate with these leading teams and introduce the first service of this kind within WA Health at SCGH;
  • The ability to transition research evaluations into immediate clinical practice holds promising direction for future care models; 
  • Early mobility aids empower patients psychologically, by reducing time spent immobilised and sedentary in the pre-prosthetic phase. Early ambulation promotes multiple systemic health, allows for assessment of prosthetic potential and would provide a cost-effective method of reducing unnecessary prosthetic costs;
  • Singular MDT extended care pathway documents, such as those standardised throughout the NHS, can provide comprehensive long-term records. These capture lifelong patient experiences, facilitate accurate and appropriate MDT intervention and improve the capacity to review patient progression across lifespan through all facets of rehabilitation; 
  • Technology is enabling unprecedented symptom relief for a significant percentage of amputees disabled by chronic phantom limb pain and will become available in WA as a direct result of this fellowship; and
  • Sophisticated prosthetic designs that are proven to improve everyday functionality, reduce risk and fear of falling, are now readily available and should be advocated for within the WA Health service. 
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