Registered nurses (both hospital and community nurses), allied health and health care assistants work together with the patient to develop specific goals, and build a home-based rehabilitation programme around those. The health care assistants also provide home based support services with a rehabilitation focus to help the patient become more capable and confident, and oversee rehabilitation exercises in the home.
For example, an 86-year-old lady wanted to get back to going to her club five days a week for lunch. This was important to her as it provided her nutrition, socialisation, motivation, confidence and exercise. The START team developed all the steps that it would take to achieve this goal. For the first week, the programme was exercising daily with the health care assistant until she was confident. To go to the club she needed to get showered and dressed. The health care assistants coached her to do these things daily until she was doing them independently. Over the next four weeks, the patient achieved all the goal ladder steps to enable her to get back to the club for lunch.
START is a 7-day-a-week service between 7am and 9pm.
The aim of START is to:
A second component of START is the admission avoidance process where a START registered nurse works with emergency departments to avoid unnecessary admissions and ensures a person is transferred back into their homes with intensive support.
Charge Nurse Manager - START
The START service began operating in Hamilton in October 2011 as a pilot, and was so successful it now operates right across the Waikato DHB's district.
Ph: (07) 8398669
If you or a family member is on the START programme, contact details will be given to you.