Why can't hospital outpatient clinics cope with patients who can't sit for long in the waiting room? Or can they?

Discussion in 'General clinical care' started by Sasha, Sep 13, 2024.

  1. Haveyoutriedyoga

    Haveyoutriedyoga Senior Member (Voting Rights) Staff Member

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    What about taking one of these foldable stools to put our feet up?

    And a pump up neck cushion for support and a folding gel cushion (the latter I take everywhere!)

    And the kitchen sink of course...

    Eta: i do think the problem needs solving on a bigger level than us individually putting plasters on it, I wonder how. Sometimes individuals can influence their local hospital by educating them but that takes a lot of effort.

    Also, little aids like this won't help with more moderate-severe needs
     

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    Last edited: Sep 14, 2024
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  2. Haveyoutriedyoga

    Haveyoutriedyoga Senior Member (Voting Rights) Staff Member

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    #WEJOY Camping Chairs Folding Recliner Chair Adjustable with Detachable Footrest Headrest Cupholder Pocket Lightweight Portable Reclining Camp Chair Fold up Chair for Outdoor Beach Garden Cyan https://amzn.eu/d/9DLqCNv

    Not an endorsement :)
     
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  3. Haveyoutriedyoga

    Haveyoutriedyoga Senior Member (Voting Rights) Staff Member

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    More on this - it would be good to know more about examples of where a department or hospital got it right, because it's easier to spread good practice when there are existing examples. Also whether any POTS or dysautonomia charities have any info on campaigns about this, and, as mentioned, whether any other illnesses have similar issues.

    On of the barriers is that when you're in a hospital, especially A&E or for a procedure, they often don't care about you having a bad time as long as your surgical/'acute'/immediately life threatening needs are met, they often don't care that a condition they see as non critical might deteriorate, because nothing must get in the way of them doing busy hospital business (I.e. inconvenience *them* or interfere with their 'efficiency').

    My elderly grandparent just spent three unplanned days in hospital, was struggling with the noise and business and constant changing over of patients through the night, barely getting any sleep (and really needing it given the circumstances) they said to him that it's a busy ward and they have to go about their business and that's the way it is. I know he won't deteriorate in the same way as pwME, but the same argument will be used and be hard to overcome even if you get them to believe in ME.
     
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  4. bobbler

    bobbler Senior Member (Voting Rights)

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    To be fair I read an article (non ME) from a wheelchair user describing their experiences when they had cancer.

    The cancer ward he was staying on didn’t have a disabled toilet or bathroom and other facilities you’d expect eg different height benches or couches to make them accessible

    which seemed shocking in itself when you think of it as a workplace or somewhere someone is having to ‘stay’ and hotel or office regulations

    and then when you think how for some cancers most might be older and might be so ill at some point either due to the illness or the treatment that they needed a wheelchair. It can’t be helpful for the staff
     
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  5. bobbler

    bobbler Senior Member (Voting Rights)

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    Has anyone ever been to the ‘facilities management’ or similar department of a large organisation?

    it’s like walking back in time to the male heavy offices. Where people still often takes lunch at the same time every day And normally somewhere off site or in a basement. Talk about siloed.

    Having meetings to discuss needs in a project on a project management tracker can only get so far if it’s an area that hasn’t yet had that revolution where user-insight and other aspects starts to be built in and valued as part of the model.

    but also it’s that day in day out seeing things or not being there that would take so long to explain vs if they were on the wards or in those offices and had lots of disabled people on the team and in management

    Maybe I'm wrong and those in hospitals now recruit nurses, patients and OTs that they train to be on their design team..

    for some reason our knowledge even on our own issues isn’t valued (and the critical thinking and curiosity not being 'the norm/majority' can mean you have as a skillset)

    I admire it in some ways (you've gotta laugh or you'd cry in others) but I remember two new senior managers doing a news post where I worked saying they’d each taken a different type of wheelchair for the day to see how they got on round all the buildings and area

    I guess in theory it’s at least going to give some empathy but different to when you are going to miss a meeting (and actually have a full day of real things, not just a day to wheel about) and it’s years on end and did they do it for the journey from home too?
     
    Last edited: Sep 14, 2024
  6. JemPD

    JemPD Senior Member (Voting Rights)

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    thanks for the link :)
    absolutely

    in case it helps anyone i take a stool like this one (dont know if it this exact one as i bought elsewhere 20 yrs ago, but it looks like this ) it fits in my wheelchair bag. plus a cushion
    Folding Handy Step Stool - For Bathroom, Kitchen, Toilet, Office, Home Storage Collapsible Multi Use | One Step Fold Plastic Stool, Portable Footstool, Holds Upto 80kg : Amazon.co.uk: Home & Kitchen
     
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  7. MrMagoo

    MrMagoo Senior Member (Voting Rights)

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    I have a zero-gravity chair for gardens, it’s lovely and comfy! Not light to carry, though.
     
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  8. MrMagoo

    MrMagoo Senior Member (Voting Rights)

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    I have worked with some amazing Facilities Management teams. Like many “back office” functions, nobody notices them until something goes wrong. They don’t have the final say on things like budget and spend, that’s the top brass. It’s very rare they are given “carte-Blanche” to actually design things, replace things etc.
    Howpitals recruit a nurse, OT etc on the design team in the way certain researchers recruit pwME PPI pets to green-light their preconceived ideas.
     
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  9. ukxmrv

    ukxmrv Senior Member (Voting Rights)

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    I have a folding stool that I take with me if not using a wheelchair. It's painful for me to sit using one for long periods of time. I also have blow up feet supports but the bigger ones are too heavy for me to to carry.

    Due to the cramped conditions in Waiting Rooms sitting with the folding footrest and legs out stretched makes it hard for people to get past me. The ideal seating places are taken up quickly and there is a lot of competition for them. Sometimes I will be asked by the staff to stop using it.

    I spoke about this previously I think. I was assaulted by a Security Guard at A&E in a London hospital after trying to lie down across some seats. There was room to do this. He has assumed I was drunk. This was years ago. I made a formal complaint after by letter as I was too sick and weak at the time. There was no A&E manager at the time. They couldn't fill the position. There were no other staff 'front of house' at that time apart from an occasional nurse in reception and a huge queue.
     
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