Phil
works at leeds becket, 2 days works in clinical capacity so one of the days i work here and i also work in a clinic, a regular physio clinic, also one of the days i do exercise classed for people with parkinson disease or obstructive airways disease. the reason i got involved here was because we know that the health care needs for homeless people are not met they drop out of the system and they often have no address..their health is often low priority because they're dealing with and fighting mini battle fronts, now this is not unique to this country, it is the same in many countries, in america they have set up specialist services for homeless people...and they plough a lot of money into developing alternative routes into health care, its called health care for the homeless...
knowing that their needs are not met, my involments didn't come directly though the crypt, i am part of a group and we raise money for simon on the streets, and they work with street rough sleepers, i went to the director and i said here we are at the university we've got all these students, we know the health care needs, can we not do something. yet the streets is not the right place to do it, so i then came to the crypt and i said we can give some pyshio therapy services meeting their physical needs, would you like me to come and try and set up a service? Kim, said, yeah, when can you come..now that was just over 3 years ago, i come from about 11.30 till about whenever we see whoever we see. (every Monday). we do different things we treat people, asses people, move people on, ring up places and say look this person needs to get back into the service, send people to the GP, fill in forms for people to get bus passes, supply walking aids, supply a lot of dressings for people with foot problems cos a lot of them walk, alot of them are underweight not over weight which is not typical the population where our problem is obesity, its the opposite. and one big thing is, is enable them to feel like they matter, because what you know and what you've find out, despite what comes here (points to her face) whatever front they present, they invariably have got a very low self worth, and they've been massively massively appressed, disadvantaged in all sorts of ways, their social backgrounds are very disadvantaged, you know one said you know waking up on christmas morning in a shop door, he's about 20 years old. they deal with problems the general population get, and they get stuff thats particularly related to their lifestyle, and like they might get stuff to do with joint problems because of injecting the drugs, and somethings the numerological problems like alcoholic nuropathies, sometimes just regular stuff that you would get like tennis elbow, frozen shoulder neck pain, anything like that. usually see on average about 7 sometimes 8 people, theres no appointment system. thats good because there often very aratic attenders. i have also brought in other people, one thing is pediatrist, because often the have foot problems and they can't cut there toenails, their toenails are gruesome. and they need socks and they need clean underwear you know. so your looking out for them at all sorts of levels. and so i bring in a pediatrist who will give he's time voluntarily, bought in occupational therapy, they have shown a interest to come as well, and they're gonna get involved with the student placements.
they have 3 beds, for people who are homeless in hospital ,can access those beds, i mean they need good aftercare, i mean people who have been in hospital with hnewmonia and a punctured lung and there coming out, they can't go back to sleeping under a bridge, and often they thing that pain is normal and you just carry on, but they dont realise, just because they're in that circumstance , oh i just got to put up with the pain, whereas if you represent them to the gp with letters. we have one man now who is waiting to get he's hip replaced and he said 'if it wasn't for you, i would just be here with the pain'.
so those 3 beds in the hospital are absolutely wonderful...i don't know a project in the whole country that are doing this. what id like to do is get a lot more physio, giving there time.
sometimes people can be quite depressed and suicidal, so you've got to be sensitive, sometimes i had to alert members of staff and say look this person is desperate, or they've got unmet needs, physical needs where they get some kind of food package or they might not have clothes to change into.
you've got to think of it as down stream and up stream, the more you can catch with the problem earlier on,the better. if you just worked it out in health care costs, like i volunteer, but i think if there was paid services in place it would be a great investment. |
No comments:
Post a Comment