ESRC Impact Project: Launch of MOVE .making exercise part of routine - - PowerPoint PPT Presentation

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ESRC Impact Project: Launch of MOVE .making exercise part of routine - - PowerPoint PPT Presentation

ESRC Impact Project: Launch of MOVE .making exercise part of routine care for dialysis patients Dr Jennifer Cooney Physical Activity and Wellbeing Centre School of Sport, Health and Exercise Sciences Bangor University 12 months Submission


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ESRC Impact Project:

Dr Jennifer Cooney Physical Activity and Wellbeing Centre School of Sport, Health and Exercise Sciences Bangor University

Launch of MOVE

….making exercise part of routine care for dialysis patients

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12 months

Proposal of impact project WKRU meeting, Cardiff Submission of application to Bangor University ESRC Impact Acceleration Account Application successful – funding awarded Project start

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Since then ………..

What have we done?

Focus group discussions with Health Professionals and Dialysis Patients

Benefits of exercise, impact of physical inactivity Facilitators and barriers to intra-dialytic exercise Exercise as part of routine care – thoughts and actions

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What Dialysis Patients said ……

Benefits of exercise Being able to do daily activities Makes me feel better Better mental health and physical health Independence and getting out and about Impact of physical inactivity Poor physical and mental health You do even less Barriers to intra-dialytic exercise Staff don’t have time I need to stay still Staff don’t know how to use the equipment What would make it easier for you to exercise?

Exercise during dialysis Family support Being assessed to show progress Staff to support and motivate us

Facilitators to intra-dialytic exercise The staff are great!

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What Heath Professionals said ……

Benefits of exercise

Feel better/better wellbeing Improved QoL Better mental health Better physical health, health outcomes Able to do more Less frailty

Impact of physical inactivity

Able to do even less Poor mental health Muscle wastage Poor fitness

Barriers to intra-dialytic exercise

Staff don’t have knowledge or resources Staff time/shortages Staff may not be willing to implement

Facilitators to intra-dialytic exercise

Good team – staff are excellent Staff are willing to support/implement exercise There is down time when exercise could be implemented

How can health professionals help patients to be more active?

Provide better education/instruction Prescribe exercise Assess patient ability Encourage and re-enforce physical activity

Exercise as part of routine care

Essential and important Much needed Needs promoting Requires resources Well overdue

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MOVE Resources

MOVE website: move.bangor.ac.uk

Information for Dialysis Patients Information for Health Professionals

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Information for Dialysis Patients

Patient Booklet:

 Importance of physical activity  Recognise current physical activity habits  Current physical activity guidelines  How to increase physical activity  Goal setting  Exercising safely  Aerobic, muscle strength, flexibility exercises – intensity, progression  Muscle strengthening exercises – at home and during dialysis  Keep track of progress – diaries to log activity

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Exercise at Home Videos

Muscle Strengthening Exercises

  • Upper body exercises
  • Lower body exercises
  • Seated options

Flexibility Exercises

  • Upper body exercises
  • Lower body exercises
  • Seated options

Information for Dialysis Patients

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Exercise during Dialysis Videos

Muscle Strengthening Exercises

  • Upper body exercises
  • Lower body exercises

Information for Dialysis Patients

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Information for Health Professionals

Health Professional Guide:

 Importance of physical activity  Exercise as part of routine care  Is my patient active enough?  Screening patients  Assessment of patients  How to prescribe exercise – during dialysis/outside of renal unit  Aerobic, strength, flexibility exercises  Intradialytic exercise – safety, monitoring and how to implement  All forms required provided

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Information for Health Professionals

Intradialytic Cycling Equipment Iona’s Training Experience

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Implementation – how can you help?

Help make exercise part of routine care……….

 Familiarise yourself with MOVE resources  Incorporate physical activity into discussions with patients and family

 dialysis unit, ward rounds, routine appointments

 MDT approach required for success  Identify exercise champion/s to drive new initiative

 identification, screening, assessment, exercise prescription

 PRESCRIBE exercise – during dialysis and/outside of renal unit  Signpost patients to MOVE website and My Get Active Guide  Encourage, follow up and re-enforce

You can make exercise the “norm” for dialysis patients!

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What next?

We need your feedback……

Health Professionals and Dialysis patients to complete Feedback Questionnaire Where can I find the feedback questionnaire?

Complete online (MOVE Website): move.bangor.ac.uk OR Paper copy available and FREEPOST envelope

Contact Information: Dr Jennifer Cooney Physical Activity and Wellbeing Centre School of Sport, Health and Exercise Sciences Bangor University LL57 2PZ Email: j.cooney@bangor.ac.uk