Case Study: Hospital Admission Risk Program (HARP)

Ambulatory Care Centre & Hospital Admission Risk Program (HARP)

Mr Ian Anderson was referred to Seymour Hospital HARP following Coronary Artery Bypass Grafting X3 and Ventricular Fibrillation Arrest in April 2008 that resulted in a hospitalisation period of nearly eight weeks. On discharge from Hospital Mr Anderson was severely limited in his mobility requiring assistance from aids and equipment. Mr Anderson was also referred to District Nursing Service for three times weekly visits for wound dressings and Blood Pressure monitoring and Post Acute Care services who had put in place short term Home Care support to assist in the immediate period.

After referral to the service a full comprehensive assessment was conducted by the team which includes nursing, physiotherapy, occupational therapy, allied health assistance and social work staff. A care plan was developed with Mr Anderson that was also communicated to his GP. Mr Anderson had support both at home and within the Ambulatory care centre where his progress was monitored and care management plan amended and updated. Mr Anderson identified his own goals that he wanted to aim towards over the months that were incorporated into the plan.

Following six months of program involvement Mr Anderson had improved significantly recording a result of 545.5 metres walking distance covered in six minute testing against and initial result of 78 metres.

Mr. Anderson was discharged from the program in January 2013 when he commenced the Exercise Program at Seymour Sports & Aquatic Centre.

Ian’s Experience

Following 2 months in hospital, I felt that everything was difficult, I couldn’t walk 10 ft, and I really need to push myself.

My first visit by the HARP team was one week after discharge, and they visited weekly initially. When I did my first MWT with 4WF was very difficult, I was very short of breath and it took me two days to recover. I set goals to walk to the front gate which is about 150-200 yards, by the end of the month I could do this with a couple of sit downs on the way. I started going into the Ambulatory Care Centre clinic to do the exercise bike and treadmill every week, which really helped. By three months I could walk to the school bus stop and back with a couple of sit downs this is 1 km. I commenced the Maintenance Exercise group in Jan 09, it’s hard work, but I try to keep motivated as I don’t want to go back to where I was.

I have found the program to be very beneficial and I have improved 100% from before I initially went to hospital, when I couldn’t do anything, I feel better in myself and I am now independent with my Activity of Daily Living’s, and am able to mow lawns and do odd jobs around the place. I would recommend this program to anyone.

Image: Mr Anderson Working Out