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Supporting Self Managment

Managing Fatigue
Fatigue is a feeling of exhaustion that can affect you physically and psychologically. These symptoms can last short or long periods having effects on your normal daily routine such as getting washed and dressed to difficulties continuing to work. Fatigue can also make you feel emotionally tired affecting your mood and motivation.
Memory

Memory

Stress & Anxiety
Feeling stress and anxious is completely normal and to be expected. It can feel very overwhelming and make us feel like we're on our own. Thankfully there are things you can do to help.
Explain Pain
Our ability to perceive pain is an important function of the human body. It acts like an alarm system. Sometimes that alarm is useful, but sometimes our body can sound the alarm when really everything is ok.

How do I access Neuro-therapy Services?
People in the Harrogate area can access Therapy Services through:
1. GP referral
2. Consultant referral
3. Specialist Nurse referral
4. Open Access
We are able to offer you telephone, virtual appointments or face-to-face in full PPE for protection.
So stay safe, we are here when you need us!
- The Harrogate Neuro-rehabilitation Team

Transfers
• Take your time get up if you have fallen
• plan how to get up before doing it,
• move from the floor to a sitting position
• ask someone to bring you a stool/chair
• push down on the chair to get up
• If needed help ask someone to support you at your hips or ribs
• Do not panic
• do not try to pull up on objects
• do not let helpers pull you up from under your arms.
https://www.youtube.com/watch?v=-v0m3a9QdS8
• Take the covers off
• roll onto your side
• put your feet out over the edge of the bed
• keep your knees bent approx. 90°
• push yourself up with your elbow and hand's by pushing into the mattress
• a bed lever can help if needed and also pyjamas that are smooth e.g. satin
• Do not sit bolt upright in bed
• Do not pull up on the edge of the mattress
https://www.youtube.com/watch?v=qEpMM1TFEpo
• Use a chair equal to the height of your knee
• Move your bottom to the edge of the chair
• Place your feet slightly behind your knees
• lean your body forward “nose over toes”
• push down on the arms of the chair
• stand up tall from your hips followed by your knees
• to sit down bend your knees and hips, keep your "nose over toes" to sit down slowly
•
• Do not sit in a low very soft chair
• do not stand up without moving to front of the sofa
• do not pull up an object in front of you
• do not let helpers pull you up from under your arms
• do not "collapse/fall back" into the chair to sit down
https://www.youtube.com/watch?v=NJzyVMHHQsU
https://www.youtube.com/watch?v=_pypEUTOBQA

Local Support
Carers Resource offers a wide range of services to carers. These include information signposting and advice, carer’s time off sitting service and social groups and events.
Click on the link below for more information:
Support for Young and Adult Carers - Carers' Resource (carersresource.org)(https://www.carersresource.org/)
The Harrogate Easier Living Project is an organisation that provides support for local people to live safe and well. The project offers several services:
· Signposting to local services
· Befriending
· Transport services with voluntary car drivers
· Help at home for gardening, basic repairs and decorating.
Click on the link below to visit the HELP website:
HELP – Harrogate Easier Living Project (helpharrogate.org.uk)(https://www.helpharrogate.org.uk/)
https://static.wixstatic.com/media/c98b6a_fc8cc59f36624806ad11dc90641f5307~mv2.png
Medequip
Medequip | Contact our North Yorkshire Service Centres (medequip-uk.com)(https://www.medequip-uk.com/contact/north-yorkshire)
Please note, the hospital cannot take back equipment returns. Please contact Medequip for this.
North Yorkshire Council Social services Department can provide support for larger home adaptations. Referrals can be made by residents or Health Care professionals:
Home improvements and adaptations | North Yorkshire Council(https://www.northyorks.gov.uk/adult-care/social-care-adults/stay-your-home/home-improvements-and-adaptations)
North Yorkshire Council Social Services Department can provide an assessment for involvement from adult social care services for care support at home. Referrals can be made by residents or Health Care professionals:
Request involvement from adult social care | North Yorkshire Council(https://www.northyorks.gov.uk/adult-care/social-care-adults/adult-eligibility-social-care-services/request-involvement-adult-social-care)
Living well is a service run by North Yorkshire County council aimed to increase the health, wellbeing and independence of adults who are in need of support due to issues such as social isolation, bereavement, and those that are vulnerable. Living well workers work with individuals to help them identify what is important to them, and help them to make simple changes to lifestyle and environment, identifying barrier to change and try to help work out how to overcome those barriers.
Living Well in North Yorkshire | North Yorkshire Council(https://www.northyorks.gov.uk/adult-care/living-well-north-yorkshire)
The blue book is a summary of activities available for people living with dementia and older people in North Yorkshire and Northumberland.
The website below has a link to an online version and details of where hard copies are available.
Click the link below for The Blue Book website:
The Blue Book | Dementia and Older People | England (the-blue-book.org.uk)(https://gbr01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.the-blue-book.org.uk%2F&data=05%7C02%7Cgemma.kilbride7%40nhs.net%7Ce2e59d8d7ece4862e43b08dc86071521%7C37c354b285b047f5b22207b48d774ee3%7C0%7C0%7C638532612181567931%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=EJZH7pmnCtJ3ZNTun%2FOlt5rA4ssftRjIkPb5EZrGLjo%3D&reserved=0)
Wheel Chair Center
Use the link below to access the wheelchair center website.
Scroll down to the section "Self-referrals to the wheelchair service" and you'll find the self referral form which can be downloaded.
NRSHealthcare.com | Wheelchair - NRS Healthcare Wheelchair Services | North Yorkshire(https://www.nrshealthcare.com/wheelchair/index.php/your-local-service/north-york-wheelchair-service)
William Merritt center can provide assessments of medical fitness to drive, passenger access assessments and driving lessons. Referrals from Health Care Professionals are free of charge.
William Merritt Centre | Enabling Greater Independence (wmdlc.org)(https://wmdlc.org/)
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