Collaborative care coming to an end

Jo was definitely wearied by yesterday's episode, she looked tired and her mouth was drooping.

The physiotherapist came around to review Jo's progress and start the handover to the Hospital Stroke Team. Despite all the talk of setting goals and Collaborative continuing if Jo met those goals, which she has, it seems to have been decided to end collaborative care. The emphasis now switches to rehabilitating Jo in the home environment, partly driven by the cessation of access to the CICC gym and the lack of a large walking frame in the outpatient's gym but also by a need to shift gear and get Jo focused on transferring effort into daily living.

The new occupational therapist was there and spoke of a chair that would tip Jo forward, so helping her to stand. The bed stick and elevator were also evaluated and it was agreed to use the elevator in preference. I put in a request for an electrical elevator and they are to arrange for a bed stick to be fixed to the wall.

A special gutter frame will have to be made up as Jo is too tall for the tallest frame.