- Medical/surgical complications.
- Internal injuries following trauma or surgery.
- Abdominal, gastro-intestinal and colorectal surgery.
- Bowel and bladder care (including stoma care and management).
- Intestinal failure.
- Nutritional and feeding issues (including intravenous nutrition, care and management).
- Home oxygen, dialysis and antibiotic therapy.
- Long term and degenerative conditions.
- Palliative care.
- Orthopaedic injuries including lower limb amputation and fractures.
- Associated pressure sores/pressure care.
Clinical Currency Statement
As at November 2021, I am engaged in the role of Team Lead Occupational Therapist (for medical and surgical wards) for Nottingham University Hospitals NHS Trust for an average of 80 hours per month.
Specific Injuries Experience
Angela has been an integral part of the medicine and surgery team at Nottingham University Hospitals NHS Trust since 2008. The hospital is a clinical nutrition specialist centre for the region and therefore patients regularly have bowel, bladder and medical nutrition needs.
Angela is proficient in dealing with the types of internal injuries commonly caused by surgery malpractice or degenerative conditions. She has plentiful experience in discharging clients to the community with high care needs and with needs that are unlikely to change significantly moving forwards.
Among the surgical patients Angela will often treat amputees, including bilateral amputees, following both trauma and elective surgeries, supporting them in their return to the community and return for revision surgeries. She is competent in facilitating the assessment and recommendation of assistive equipment, environmental adaptation, specialist seating and wheelchairs to facilitate safety in the community.
Angela regularly works with patients on the prevention of pressure sores.
Since qualifying with first class honours in 2002 Angela has worked her way from Band 5 rotational positions to now Band 7 Team Leader Occupational Therapist on the medical and surgical wards at Nottingham University Hospitals. She has held this position since 2014 but has been part of the team since 2008. Her role involves supporting the more complex patients, following significant and often life-changing surgeries or medical issues, back into the community.
Angela has a high level of knowledge in understanding the likely progression of clients and is competent in setting up a realistic and workable package of support, including care, aids and adaptations. Angela will support the implementation of this by her social and community care colleagues. She would be a significant influence on the number of carers required, the activities they were required to do (including medical tasks) and how frequently carers would visit.
In a ward-based environment Angela completes functional assessments to determine the required support for her patients. This will often include access and discharge visits to ensure the recommendations she has made are safe and suitable. Her assessments may include some standardised assessments where required.
In her role Angela has some management and advisory responsibility for the wards and is involved in the re-modelling of the therapies service for the acute Trust. She will often support in other areas of the hospital when required and complete recruitment and training of new staff members. Angela is part of the Harm Free Care forum in the Trust and leads on improvement projects within Therapies.
In 2020, Angela attended a Courtroom Skills Familiarisation Day with Inspire MediLaw.
Qualifications and Membership
- BSc (Hons) Occupational Therapy, First Class, Brunel University (2002).
- BA (Hons) Sociology and Social Policy, Durham University (1995).
- Association of Reflexologists (AoR).
- Member of the Health and Care Professions Council (HCPC).
- British Association of Occupational Therapists (BAOT).
- Member of the Royal College of Occupational Therapists (RCOT).
- British Association of Parenteral and Enteral Nutrition (BAPEN).
- BAPEN E-Learning Modules (2019).
- Disease related malnutrition
- Nutritional support
- Ethical and legal issues relating to nutrition support
- Coloplast Training in Stoma Care and Management (2019)
Jacqueline Webb & Co Ltd
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