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Rehabilitation and Support

Guide for Ongoing Recovery
Royal Orthopaedic Hospital Critical Care and HDU Services

Welcome to the Rehabilitation and Support Team for Ongoing Recovery (Restore)
Being unwell and recovering takes time – and we are here to support you every step of the way.
This guide has been created just for you at the Royal Orthopaedic Critical Care / HDU Services, to help you understand your care, what we are working on, and how we will help you get back to doing the things that matter most.

Please note this service is only available for patients that have stayed in HDU for 4 days or longer

Here you will find information about:

  • How things were for you before you became unwell
  • How you are doing right now
  • Who is helping you
  • How your surroundings and feelings affect your recovery
  • What we are working towards together

We will look at all areas of your health – from how you move, feel and think, to how you eat, breathe and feel. This helps us build a clear picture of your needs and plan the best care just for you.
You can use this guide to learn more about what happens next, to talk things through with your family or carers, and to help you understand what to expect as you recover.

We are the Rehabilitation and Support Team at the Royal Orthopaedic Critical Care / HDU Services, working together with you – your recovery is our priority, and we will support you all the way.

Where it all started: Pre-Morbid Function
This is how things were for you before you became unwell. It helps us understand what you could do, what you felt and what matters most to you.

Mobility
How you moved around every day – walking, climbing stairs, moving around your home or out and about. Any exercise or activities you did regularly, and any aids or support you used.

Independent Daily Living Skills (IDLs)
What you could manage on your own, such as:

  • Washing, dressing and using the toilet
  • Eating and drinking
  • Cooking, cleaning or shopping
  • Taking your medicines

Cognitive Function
How your thinking worked day-to-day:

  • Memory and concentration
  • Planning and organising things
  • Understanding instructions
  • Making decisions and communicating

Pain
How you managed any pain or discomfort before you became unwell:

  • Did you have any regular pain or aches?
  • How did you manage it or treat it?
  • Did it affect what you could do or how you felt?

Respiratory Function
How well your lungs are working, your breathing patterns, any oxygen support you may need, and how your breathing affects your daily life.


Cognitive Capacity
How your thinking, memory and learning are working now. Any changes from before, and how well you can focus and take in new information.


Nutrition & Swallow Needs
What you eat and drink, how well you can chew and swallow safely, your weight and general health, and any support or advice you need with food and fluids.

Who is helping you? MDT Involvement
We work as a team at the Royal Orthopaedic Critical Care / HDU Services to support you – everyone has an important part to play.

Your team includes:

  • Doctors – managing your medical care and pain relief
  • Nurses – supporting your daily care and managing symptoms
  • Physiotherapists – helping with movement, strength, breathing and managing discomfort
  • Occupational Therapists – helping with daily tasks and independence
  • Speech & Language Therapists – supporting communication, eating and drinking
  • Dietitians – giving advice on food and nutrition
  • Psychological Support – helping with feelings and mental wellbeing, including talking therapies. We can signpost you to support services, or you can access further talking therapies through your GP.
  • Family & Carers – your most important supporters

How are you feeling: Mental Factors
Your feelings and thoughts are just as important as your physical health, during your time with us at the Royal Orthopaedic Critical Care / HDU Services.

Emotional wellbeing
How you are feeling day-to-day – happy, worried, frustrated, hopeful or anything in between. We know being unwell and having pain can be hard, and we are here to support you through it.

Motivation & confidence
How you feel about getting better, and what helps you stay positive and keep going.

Coping
Ways you manage things, and any support needed to help you feel better and stronger.

What we are working towards: Rehabilitation Goals
Goals are the things you want to achieve – big or small. They help us plan your care and see how you are getting better.
What we work on:

  • Independence – being able to do more things for yourself
  • Mobility – moving around safely and easily
  • Daily tasks – managing washing, dressing, eating and other everyday jobs
  • Health & energy – getting stronger, breathing better, managing pain and feeling well
  • Getting back to things – returning to work, hobbies, seeing family and friends
  • Feeling good – enjoying life and doing the things that matter to you

How we do it:

  • We listen to what you want to achieve
  • We set goals that are right for you
  • We work with you every day to reach them
  • We check how you are doing and change things as you get better

Your Surroundings: Environment
Where you are and where you will go – this affects how you can recover and do things, here at the Royal Orthopaedic Critical Care / HDU Services and beyond.

Your space now
The place you are receiving care – what works well and what may be difficult or need changing.

Going home
Planning for when you return home – we look at any changes or adaptations needed, like ramps or equipment, to help you move around safely and easily, and manage any symptoms you may have.

Getting out and about
Any changes needed to help you get back to places you need or want to go.

We are here to help
If you have any questions, worries or want to talk about anything in this guide – just ask any member of the Rehabilitation and Support Team (RESTORE) at the Royal Orthopaedic Critical Care / HDU Services or email This email address is being protected from spambots. You need JavaScript enabled to view it..
We are with you every step of the way.

https://roh.nhs.uk/supporting-services/rehabilitation-and-support-for-ongoing-recovery

The Royal Orthopaedic Hospital | T: 0121 685 4000 | roh.nhs.uk