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Patients’ and caregivers’ perceptions of occupational therapy and adapting to discharge home from an inpatient palliative care setting / Celia Marston in The British Journal of Occupational Therapy, Volume 78 numéro 11 (Novembre 2015)
[article]
Titre : Patients’ and caregivers’ perceptions of occupational therapy and adapting to discharge home from an inpatient palliative care setting Type de document : texte imprimé Auteurs : Celia Marston, Auteur ; Meera Agar, Auteur ; Ted Brown, Auteur Année de publication : 2015 Article en page(s) : p.688-696 Langues : Anglais (eng) Mots-clés : Occupational therapy discharge planning palliative care Résumé : Introduction: There is limited research into the role of occupational therapy in discharge planning in palliative care. This study aimed to explore patients’ and caregivers’ perceptions of occupational therapy in the context of discharge home from an inpatient palliative care setting.
Method: Semi-structured interviews were conducted with patients and caregivers following discharge home from inpatient palliative care. Participants were selected using purposive sampling and data was thematically analysed.
Results: Five caregivers and three patients were interviewed. Three main themes emerged: (1) shared roles in discharge planning; (2) perceived benefits of occupational therapy; and (3) adapting to discharge home. Patients and caregivers viewed occupational therapy as the practical help needed to achieve discharge. They had difficulty differentiating between professional roles and perceived the discharge process as a shared responsibility between themselves and the clinicians. Adapting to discharge home involved coping with the uncertain and unexpected, where limited understanding of professional roles meant participants did not know who to seek assistance from.
Conclusion: Occupational therapy was viewed as the practical help needed for discharge home from a palliative care setting. Clinicians need to take primary responsibility for understanding each other’s roles and providing information on who can assist after discharge.En ligne : http://bjo.sagepub.com/content/78/11/688.abstract Permalink : ./index.php?lvl=notice_display&id=40959
in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.688-696[article] Patients’ and caregivers’ perceptions of occupational therapy and adapting to discharge home from an inpatient palliative care setting [texte imprimé] / Celia Marston, Auteur ; Meera Agar, Auteur ; Ted Brown, Auteur . - 2015 . - p.688-696.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Volume 78 numéro 11 (Novembre 2015) . - p.688-696
Mots-clés : Occupational therapy discharge planning palliative care Résumé : Introduction: There is limited research into the role of occupational therapy in discharge planning in palliative care. This study aimed to explore patients’ and caregivers’ perceptions of occupational therapy in the context of discharge home from an inpatient palliative care setting.
Method: Semi-structured interviews were conducted with patients and caregivers following discharge home from inpatient palliative care. Participants were selected using purposive sampling and data was thematically analysed.
Results: Five caregivers and three patients were interviewed. Three main themes emerged: (1) shared roles in discharge planning; (2) perceived benefits of occupational therapy; and (3) adapting to discharge home. Patients and caregivers viewed occupational therapy as the practical help needed to achieve discharge. They had difficulty differentiating between professional roles and perceived the discharge process as a shared responsibility between themselves and the clinicians. Adapting to discharge home involved coping with the uncertain and unexpected, where limited understanding of professional roles meant participants did not know who to seek assistance from.
Conclusion: Occupational therapy was viewed as the practical help needed for discharge home from a palliative care setting. Clinicians need to take primary responsibility for understanding each other’s roles and providing information on who can assist after discharge.En ligne : http://bjo.sagepub.com/content/78/11/688.abstract Permalink : ./index.php?lvl=notice_display&id=40959 Exemplaires (1)
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Exclu du prêtVirtually home: Feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke / Kate Threapleton in The British Journal of Occupational Therapy, Vol.81 Issue 4 (Avril 2018)
[article]
Titre : Virtually home: Feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke Type de document : texte imprimé Auteurs : Kate Threapleton ; Karen Newberry ; Greg Sutton ; Esme Worthington ; Avril Drummond Année de publication : 2018 Article en page(s) : p. 196-2016 Langues : Anglais (eng) Mots-clés : Occupational therapy virtual reality stroke rehabilitation discharge planning home visits Résumé : Introduction
Virtual reality has the potential to assist occupational therapists in preparing patients for discharge by facilitating discussions and providing education about relevant practical issues and safety concerns. This study aimed to explore the feasibility of using a virtual reality intervention to support patient discharge after stroke and pilot its use.
Method
Practical aspects of delivering a virtual reality intervention prior to discharge were explored by means of a non-randomised feasibility study and a subsequent pilot randomised controlled trial. Factors considered included eligibility, recruitment, intervention delivery, attrition and suitability of outcome measures. Outcome measures included standardised assessments of stroke severity, mobility, health-related quality of life, functional ability, satisfaction with services and concerns about falling.
Results
Thirty-three participants were recruited in total: 17 to the feasibility study and 16 to the pilot trial. At 1-month follow-up, 14 participants (82%) were re-assessed in the feasibility study and 12 (75%) in the pilot trial. The main difficulties encountered related to recruitment, particularly regarding post-stroke cognitive impairments, the presence of mild deficits or illness.
Conclusion
It was feasible to recruit and retain participants, deliver the intervention and collect outcome measures, despite slow recruitment rates. These findings could inform the design of a definitive trial.Permalink : ./index.php?lvl=notice_display&id=80067
in The British Journal of Occupational Therapy > Vol.81 Issue 4 (Avril 2018) . - p. 196-2016[article] Virtually home: Feasibility study and pilot randomised controlled trial of a virtual reality intervention to support patient discharge after stroke [texte imprimé] / Kate Threapleton ; Karen Newberry ; Greg Sutton ; Esme Worthington ; Avril Drummond . - 2018 . - p. 196-2016.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 4 (Avril 2018) . - p. 196-2016
Mots-clés : Occupational therapy virtual reality stroke rehabilitation discharge planning home visits Résumé : Introduction
Virtual reality has the potential to assist occupational therapists in preparing patients for discharge by facilitating discussions and providing education about relevant practical issues and safety concerns. This study aimed to explore the feasibility of using a virtual reality intervention to support patient discharge after stroke and pilot its use.
Method
Practical aspects of delivering a virtual reality intervention prior to discharge were explored by means of a non-randomised feasibility study and a subsequent pilot randomised controlled trial. Factors considered included eligibility, recruitment, intervention delivery, attrition and suitability of outcome measures. Outcome measures included standardised assessments of stroke severity, mobility, health-related quality of life, functional ability, satisfaction with services and concerns about falling.
Results
Thirty-three participants were recruited in total: 17 to the feasibility study and 16 to the pilot trial. At 1-month follow-up, 14 participants (82%) were re-assessed in the feasibility study and 12 (75%) in the pilot trial. The main difficulties encountered related to recruitment, particularly regarding post-stroke cognitive impairments, the presence of mild deficits or illness.
Conclusion
It was feasible to recruit and retain participants, deliver the intervention and collect outcome measures, despite slow recruitment rates. These findings could inform the design of a definitive trial.Permalink : ./index.php?lvl=notice_display&id=80067 Exemplaires (1)
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Exclu du prêtReasons for readmission to hospital after hip fracture: Implications for occupational therapy / Kylee J. Lockwood in The British Journal of Occupational Therapy, Vol.81 Issue 5 (Mai 2018)
[article]
Titre : Reasons for readmission to hospital after hip fracture: Implications for occupational therapy Type de document : texte imprimé Auteurs : Kylee J. Lockwood ; Katherine E. Harding ; Jude N. Boyd ; Nicholas F. Taylor Année de publication : 2018 Article en page(s) : p. 247-254 Langues : Anglais (eng) Mots-clés : Occupational therapy readmission hip fracture home visit falls discharge planning Résumé : Introduction
The aim of this study was to determine the rate of readmission to hospital after hip fracture. The relationship between readmission to hospital and a range of social and functional variables, including receiving a home visit by an occupational therapist prior to discharge from hospital, was explored.
Method
A retrospective cohort study was conducted of 154 patients returning to community living following hip fracture. Multivariate logistic regression identified variables associated with risk of readmission to hospital.
Results
One in three patients was readmitted to hospital within 12 months after discharge, with 7% readmitted within 30 days. The most common reason for readmission was another fall. A low level of mobility prior to hip fracture was the strongest independent predictor of risk of readmission to hospital. There was no association between receiving a pre-discharge home visit by an occupational therapist and risk of readmission to hospital.
Conclusion
Rates of readmission to hospital are high after hip fracture, and falls are the single most common reason for readmission. Interventions provided by occupational therapists, including home visits, should emphasise and incorporate evidence-based falls prevention strategies.Permalink : ./index.php?lvl=notice_display&id=80078
in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 247-254[article] Reasons for readmission to hospital after hip fracture: Implications for occupational therapy [texte imprimé] / Kylee J. Lockwood ; Katherine E. Harding ; Jude N. Boyd ; Nicholas F. Taylor . - 2018 . - p. 247-254.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 5 (Mai 2018) . - p. 247-254
Mots-clés : Occupational therapy readmission hip fracture home visit falls discharge planning Résumé : Introduction
The aim of this study was to determine the rate of readmission to hospital after hip fracture. The relationship between readmission to hospital and a range of social and functional variables, including receiving a home visit by an occupational therapist prior to discharge from hospital, was explored.
Method
A retrospective cohort study was conducted of 154 patients returning to community living following hip fracture. Multivariate logistic regression identified variables associated with risk of readmission to hospital.
Results
One in three patients was readmitted to hospital within 12 months after discharge, with 7% readmitted within 30 days. The most common reason for readmission was another fall. A low level of mobility prior to hip fracture was the strongest independent predictor of risk of readmission to hospital. There was no association between receiving a pre-discharge home visit by an occupational therapist and risk of readmission to hospital.
Conclusion
Rates of readmission to hospital are high after hip fracture, and falls are the single most common reason for readmission. Interventions provided by occupational therapists, including home visits, should emphasise and incorporate evidence-based falls prevention strategies.Permalink : ./index.php?lvl=notice_display&id=80078 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt