Care that comes to you… Did you know?
When faced suddenly with an illness or injury we may initially be unaware of what is available to assist in our management, rehabilitation and recovery.
Tricia and Claudine had while at an expo met Rosemary Nelson, a team member of Xtra HomeCare and through a conversation discovered there were services available that could greatly support people facing some effects of a cancer diagnosis – that are not always considered or known. She confirmed an important point that sometimes the direct contact at home by a support service can build the confidence to keep moving and engaging which may improve quality of life overall during various stages of cancer and recovery.
Upon our visit to XtraHomeCare, we discovered more about their mission and could see the value and relevance for those facing cancer too. XtraHomecare: ‘bringing Physiotherapists and Occupational Therapists to you!’ and PhysioXtra Rehab Centre – ‘Moving across the Lifespan,’ are part of the PhysioXtra group and employ physiotherapists and occupational therapists with a particular interest in rehabilitation. Anyone at any time can experience an illness or accident that requires them to learn or relearn how to move well. We can work with clients of any age at our facilities or at the client’s home.
So thank you Rosemary and the team for sharing how home care services can be of benefit and value AND showing us how to prepare for and use the LOKOMAT. Watch the 2 short videos that show more of how it works. ‘Prepare for Lokomat’ AND ‘Use Lokomat’
|Your Name||Rosemary Nelson|
|City of Residence||Adelaide, South Australia|
|Occupation or Experience||Physiotherapist|
|Web Links||Web: Physioxtra.com / Facebook PhysioXtra Rehab Centre
|Your Passions/Interests||Enabling people of all ages to maximise their physical function for healthy living.|
How does home care service work and how is it usually financed?
XtraHomeCare is a mobile allied health therapy service – ‘We come to you!’To eliminate travel barriers, our physiotherapists and occupational therapists can visit you to provide services where they are needed. Following a comprehensive assessment, we invite participation from the client and family to develop a care plan to meet individual goals eg regain endurance to do shopping. Services can be funded privately, using Private Health Insurance, Medicare rebates, DVA or other government funded packages. Anyone can refer including client themselves, by phoning our office.
Who uses and benefits from this type of service and is it something that would suit someone going through cancer?
Anyone at any age can use the XtraHomeCare or PhysioXtra Rehab Centre services.There can be many different reasons why a person may need assistance from a physiotherapist or occupational therapist. Our care plans are developed to meet individual goals. These can be high level goals or more basic goals that clients can work towards at their own pace with support from the therapist. Our collaborative care approach – involves the client’s doctor, other service providers and family members as required to enable the development of a well-coordinated intervention program. A client may initially require services at home or in a respite facility or nursing home, but as needs change over time, our services can be provided in different environments including at our Rehab Centre in Clarke St, Norwood.
What would you say to look for in a quality home care service and plan?
Involvement of clients in planning the specific service that is right for them and based on their current needs and goals. Recognition of the importance of flexibility when possible, to be available at times to suit individuals and to fit in with other commitments. Ability to modify the service over time to meet changing needs.
What interventions can be beneficial if rehabilitation is needed because of injury, side effects from treatment or other complications?
Any rehabilitation program needs to be based on a comprehensive assessment that includes consideration of a client’s general health and any existing medical conditions. Physical activity is usually beneficial for everyone but sometimes this needs to be guided by a health professional with understanding of the way body systems interact to ensure that the program is safe and effective for the individual.Task specific exercise programs, involving practice of motor skills in natural environments is a well-recognised approach. Sometimes specific components of skills need to be addressed first in a more clinical setting.
The Lokomat® designed and made in Switzerland is a unique piece of equipment available in your service. What is it, what does it achieve and who is it designed for?
The PhysioXtra Rehab Centre at Clarke St Norwood is set up to assist people of all ages who need to learn or relearn how to move well.
The Lokomat, located at the Rehab Centre, is a training device used by physiotherapists to provide intensive repetition of walking. A robotic gait orthosis guides the person’s hip and knee joints to move in a physiological walking pattern on a treadmill. It is used with a body suspension system that can support some or all of the person’s weight.
The Lokomat can be suitable for people with gait (walking) impairment associated with conditions such as cerebral palsy, multiple sclerosis or other neurological disorders; or following acquired brain injury, stroke or spinal cord injury. With the Lokomat, the physiotherapist can precisely control the amount of support provided and vary this to suit the client. Clients can assist as much as possible and see and feel themselves walking.Before using the Lokomat, a comprehensive assessment is needed to look at the client’s abilities and impairments, consider any necessary precautions and work out how Lokomat training could assist the person to work towards their goals.Sometimes we may require clients to specifically consult with their doctor to determine whether Lokomat is safe for them to use.
What message of support do you have for someone experiencing some form of challenge that affects their physical ability to engage?
- Celebrate the achievement of little steps
- Be creative in looking for opportunities to be active in a way that you enjoy
- Listen to your body and maintain a balance between challenging yourself and taking time for recovery.
- A physiotherapist can help you to learn to read your body and to safely challenge your boundaries.