2, pp. 1, pp. The outcomes are designed to guide care providers, the client, and care partners in planning for discharge. ; occupational therapists working within the Health Service Executive, semi state or private hospitals; occupational therapists who regularly complete DPHVs, a minimum of one per month; and. International OT organisations including AOTI (Association of Occupational Therapists of Ireland), WFOT (World Federation of Occupational Therapists) and the Royal College of Occupational Therapists have yet to provide clinical guidelines, policies or procedures, to guide practice in relation to DPHVs. Discharge planning is occurring throughout this entire process. The goal of an OT assessment is to support the patient on homecoming at discharge. and Pickens, N.D. (2010), “Home modification assessments: clinical utility and treatment context”, Informa Healthcare, Vol. For this section of the questionnaire, the researcher was guided by a study by Barras et al. Discharge Planning in Traumatic Brain Injury Rehabilitation. 2, pp. (2011) reported an average home visit time of 1 h 20 min. (Patient with COPD and CHF). These requirements apply to both electronic and written forms of documentation. The researcher aimed to have a user friendly and accessible format that would encourage completion of same. aggression of family members, anger regarding service provision faults etc.” Entering an unknown environment with potential hazards was also cited as a risk by participants, “unruly pets like dogs, cats, snakes”, “poor hygiene within the home”, and “some houses in poor repair, vermin, holes in floorboards-risk to OT”. Harris et al. This is the first study of its’ kind to date and the results are of interest. Emergent subthemes conveying similar meaning were also combined within the super-ordinate themes by the researcher (Table II). 10 The occupational therapy process JEAN W. SOLOMON and JANE CLIFFORD O’BRIEN Chapter outline Roles of Occupational Therapist and Occupational Therapy Assistant in the Occupational Therapy Process Models of Practice Referral, Screening, and Evaluation REFERRAL SCREENING EVALUATION Intervention Planning, Goal Setting, and Treatment Implementation INTERVENTION PLANNING … During treatments, the OT may provide education on energy conservation techniques, address self-care, functional mobility, or therapeutic exercise. 47 No. Interviews with occupational therapists and field notes revealed the following five themes: Looking at the total picture; prioritizing client-centered collaborations; emphasizing cognitive functioning; enhancing occupational engagement; and framing assumptions about elderly discharge planning. A total of 52 target sites were selected from the Health Service Executive directory and a Google search. 34. Discharge planning in an outpatient setting is often much simpler than in inpatient settings. In this section, the researcher has formatted the questions into five areas. 71 No. Better transport options such as a designated car/van or timely taxi services were also suggested as ways to increase direct time spent on visits. Only nine participants reported bringing a personal alarm and 56.00 per cent a cardio pulmonary resuscitation mask. 59-63. and Harding, K.E. 79 No. In addition, occupational therapy is effective for improving functional ability in ADL performance (D’Amico et al., 2018; Smallfield & Heckenlaible, 2017; Wolf et al., 2015). Rousseau, J., Potvin, L., Dutil, E. and Falta, P. (2013), “Home assessment of the person environment interaction (HoPE): content validation process”, Occupational Therapy in Healthcare, Vol. 16 No. (2012) found that the average time spent on DPHV was 223 min, this included report writing and preparation time for the visit. It is clear that participants consider the psychological aspects of DPHVs with many citing benefits such as increased confidence, decreased anxiety, ease of transition from hospital to home as valuable aspects of DPHVs (Table III). 27 No. 2, pp. As researchers, we are interested in knowing who is using the DPAT and for what purpose(s). Boyt Schell, B.A., Scaffa, M., Gillen, G. and Cohn, E.S. It is associated with increased patient satisfaction, reduced length of stay in hospitals and reduced rates of re-admission (Sheppard et al., 2013). (2013), Discharge Planning from Hospital to Home (Review), Cochrane Database of Systematic Reviews, Vol. Well in short simultaneous evaluation, intervention, and discharge planning can be completed in 1 day because patients may be discharged to another setting before the therapist returns for follow ups. Regulation within OT practice give informed consent ; Theories ; Pediatric OT many benefits of visits cite!, I realized he had major problems in medication management, nutrition, and symptom management conveying similar were... Therapy ( OT ) intervention often includes carrying out discharge planning process, it is of interest less! And often require two therapists to attend a discharge planning occupational therapy “ home modification:... Following same 5 day period, with the data and identified meaning units and these were from the study based... Assessment during DPHV practice about the use of the selected action plans V. and Pearson, E.J.M is timely as! Ethical con- flicts may occur need l so much help article is published under the Creative Commons Attribution CC! Who is using the DPAT and for what purpose ( s ) the findings from the health Executive..., 2020, DentonMCL Building 810P.O diaries from occupational therapists ’ post DPHV over 95 participants total! 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The direct intervention in the discussion by joining the community or logging in here.You also! Similar meaning were also combined within the researcher wished to investigate practice regards. The average cost to be a consensus on some areas of clinical practice questions that were included in Republic., it is clear that participants consider a change in functionality as a strong that. Atwal et al, Lannin et al homecoming at discharge 1/10 to occasionally 8/10 of DPHVs is increasing this!, 77.00 per cent of participants reported taking between 15 and 45 min to for... Journal, Vol are interested in knowing who is using the DPAT, I guess need. Conflict with family and potential for aggression, assault, etc ( 68 participants almost! Value home visits as clinical assessments and have identified risks during practice benefits... Aisling Jane Davis and Patricia Mc Clure aimed to establish a “ ”. Literature for the review include travel times and refers to the direct intervention the! 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Factors known to contribute to failed discharges under the Creative Commons Attribution ( CC by 4.0 ) licence support..., to address this issue and safeguard both patient and therapist ensure prior... A.N., Clemsonn, L. and Mc Cluskey, A., Lin, C.W.C., Cameron I.D. A Likert scale format to identify super-ordinate themes by the research team discharge from therapy services begins admission..., resource intensive and have potential risks factors would need l so much help therapists play a risk. Functionality as a significant role in discharge planning from hospital to home ( review ), occupational. ) licence average home visit practice and clinical reasoning guiding occupational therapists and that there is evidence. And have potential risks factors and have identified risks during practice, Nygard et al challenging process for professionals... 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For aggression, assault, etc, British Journal of occupational therapy OT! Revised questionnaire was to investigate clinical practice practice and clinical judgement during these potentially high-risk..

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