10.6 Where a physical health condition deteriorates, or they c complain of patient’s feeling physically unwell, the Medical Early Warning System (MEWS) assessment form should be completed and action taken based on the algorithm within the Trust procedure document and Care of Service Users Policy ‘Physical Examination and Procedures’. 11 Activities There is a dedicated Occupational Therapist for each ward, plus activity coordinators who organise weekly activities for patients. 11.1 Unit staff will ensure that patients are aware of the activities that are available on a daily basis, and will encourage engagement. 11.2 As part of the continued assessment process, following admission, the Activity Co-ordinator will meet with the patient to discuss the activities on the Unit and to complete the Activities Assessment Booklet, and pre-exercise screening tools. These are to be filed in the patient record. 11.3 Completion of the Activity Assessment booklet to be documented within the patient records, and it is to be documented if a patient does not want to take part in the activities offered. 12 Patient Review Meetings Review Meetings: 12.1 Each individual patient will have an initial review within 3 days following admission to the Unit. Where applicable the care coordinator and / or member of the ALIS team should attend. 12.2 A further review should be arranged as and when required either with the Consultant Psychiatrist or other Senior Medical Officer. Where significant changes or decisions are to be made the care coordinator and member of the ALIS team should also attend, and the review should be arranged with Consultant Psychiatrist. 12.3 In preparation for the review the named nurse or delegated nurse should evaluate the patient care over the past 7 days identifying any areas for discussion in the MDT and ensuring a summary is written in the clinical record. They will also meet with the patient on a 1-1 basis to identify with the patient any concerns or issues or plans for discussions at the MDT 12.4 Following the weekly review, the care plan and GRIST assessment should be updated, and a further review appointment booked. Multi Disciplinary Team (MDT) Meetings:
10.6 Where a patient’s physical health condition deteriorates, or they c complain of feeling physically unwell, the Medical Early Warning System (MEWS) assessment form should be completed and action taken based on the algorithm within the Trust procedure document ‘Physical Examination and Care of Service Users Policy and Procedures’. 11 Activities There is a dedicated Occupational Therapist for each ward, plus activity coordinators who organise weekly activities for patients. 11.1 Unit staff will ensure that patients are aware of the activities that are available on a daily basis, and will encourage engagement. 11.2 As part of the continued assessment process, following admission, the Activity Co-ordinator will meet with the patient to discuss the activities on the Unit and to complete the Activities Assessment Booklet, and pre-exercise screening tools. These are to be filed in the patient record. 11.3 Completion of the Activity Assessment booklet to be documented within the patient records, and it is to be documented if a patient does not want to take part in the activities offered. 12 Patient Review Meetings Review Meetings: 12.1 Each individual patient will have an initial review within 3 days following admission to the Unit. Where applicable the care coordinator and / or member of the ALIS team should attend. 12.2 A further review should be arranged as and when required either with the Consultant Psychiatrist or other Senior Medical Officer. Where significant changes or decisions are to be made the care coordinator and member of the ALIS team should also attend, and the review should be arranged with Consultant Psychiatrist. 12.3 In preparation for the review the named nurse or delegated nurse should evaluate the patient care over the past 7 days identifying any areas for discussion in the MDT and ensuring a summary is written in the clinical record. They will also meet with the patient on a 1-1 basis to identify with the patient any concerns or issues or plans for discussions at the MDT 12.4 Following the weekly review, the care plan and GRIST assessment should be updated, and a further review appointment booked. Multi Disciplinary Team (MDT) Meetings:
FOI1617286_SOP_in-patient_wards.docx