- Orthopaedic injuries and limb weakness.
- Joint replacements (hip and knee) and conditions affecting the joints (arthritis).
- Lower limb amputations.
- Internal injuries necessitating colostomy and ileostomy.
- Renal complications.
- Respiratory conditions including COPD.
- Cancer, terminal illness and palliative care.
- Pain (including Chronic Regional Pain Syndrome).
- Neurological conditions (including stroke, MS, MND, Parkinson’s and adult Cerebral Palsy).
- Moving and handling.
- Associated psychological, mental health, cognitive difficulties.
- Associated mild-moderate brain injury.
- Associated hearing loss and visual impairment.
- Associated paediatrics.
Clinical Currency Statement
As at March 2021, I am engaged in the role of Community Occupational Therapist for Lewisham Adult Social Care for an average of 148 hours per month.
Specific Injuries Experience
Helen commonly deals with the ongoing support, equipment and major adaptation needs of those with lower limb amputations and orthopaedic injuries resulting from traumatic injury or elective surgeries. The cohort of individuals she frequently deals with have issues with joints, either following orthopaedic surgery, joint replacement or due to arthritis. This will often result in weakness in one limb and/or chronic pain. Helen is responsible for managing their ongoing needs and will work with individuals across a wide age range.
Helen has experience both in children’s and transitional cases, often working with cerebral palsy, learning disabilities and neurological conditions in clients from their late teens/early 20s into adulthood. Helen’s post requires her to have a sound knowledge of child development, in order to be able to clearly differentiate between expected age-related development, and condition related difficulties.
Related to the above, much of Helen’s caseload suffer from neurological impairments either as a result of a traumatic event or through acquired brain injury (Stroke, MS, MND, Huntington’s, Parkinson’s etc). This commonly results in associated cognitive deficits and mental health complications. She has presented at Vulnerable Adult Panels for approval and funding and has developed pathways for discharge to long term residential and nursing care where required.
Many of Helen’s clients also have medical needs following internal injuries and therefore require health related equipment, such as catheters, stoma and PEG feed systems. These require ongoing management in the community which Helen co-ordinates. Helen also provides support to clients at varying stages of kidney failure, as well as those who are ventilated or require oxygen due to respiratory conditions.
As Helen works with clients who have chronic and lifelong conditions, she is skilled at managing their changing needs over a long period of time. This will sometimes ultimately conclude with her supporting the client and their family with end of life/palliative care.
Helen’s role within Adult Community Health and Social Care requires her to provide timely and accurate assessments and reports. As part of a multi-disciplinary team, she works with adults who have long term substantial physical, neurological, cognitive or learning difficulties. She has assisted at varying degrees with personal care, medication, domestic tasks, community and leisure based activities, and money management.
Helen completes full functional assessments of clients within their home and local community. She assesses for and provides standard and specialist equipment to maintain and/or compensate for loss of independence/safety. She considers provision of assistive technology to monitor environments for clients with vulnerabilities such as cognitive impairment, dementia and epilepsy is included within this. Helen also considers provision of moving and handling equipment and training for agency staff and informal carers. She assesses the suitability of a client’s property and where this is not considered to be suitable Helen completes a Housing Needs Report and makes recommendations for a new property or minor or major adaptations to the existing property.
Helen also reviews the appropriateness of care packages for clients needing continuing care at home. This involves double handed care reviews post discharge from acute hospital settings, setting up new simple and complex high-level care packages (including 24-hour care support), adjusting existing care packages and reviewing all single and double handed care plans including applications for direct payment funding.
In her current role Helen often works with young adults and supports them with the transition between paediatric and adult services. Prior to this, she worked in a paediatric service with children up to the age of 18 with learning/behavioural difficulties, acquired or congenital physical difficulties. Helen completed functional assessments with children and their families within their own homes and assessed for and provided similar equipment and adaptations as within adult services, with the addition of wheelchair assessments. She has former supporting knowledge of this from a 5-year role as a qualified childcare practitioner prior to training as an OT.
In 2020, Helen attended Inspire MediLaw’s Courtroom Skills Day.
Qualifications and Membership
- BSc (Hons) Occupational Therapy, (2006).
- Health and Care Professions Council (HCPC).
- British Association of Occupational Therapists (BAOT).
Jacqueline Webb & Co Ltd
Lewisham Council, Adult Community Health & Social Care
Lewisham Council, Children’s Services
Occupational Therapist Assistant
South London & Maudsley NHS, Assertive Outreach Team