Pre-discharge home visits by occupational therapists completed for patients following hip fracture

This study examined why hospital-based occupational therapists carry out post-discharge home visits with elderly people, due to the varying frequency within local practice, and used qualitative methods to answer the research question. The results showed that activities concerned with the provision of equipment were the most frequent and that little time was spent in monitoring or treating the patient after discharge. Time was mentioned as a major factor in not carrying out visits, but in fact most visits took less than half an hour. The study emphasised a significant gap in the service, covering patients' post-discharge needs and treatment sessions in the community, and showed the importance of improving communication between multidisciplinary teams and effective planning before discharge. There is a need in Salford for an occupational therapist to work with elderly people to fill this gap and liaise with the hospital multidisciplinary team about plans for discharge.

Download Full-text

Pre‐discharge home visits: A qualitative exploration of the experience of occupational therapists and multidisciplinary stakeholders

Australian Occupational Therapy Journal ◽

10.1111/1440-1630.12561 ◽

2019 ◽

Vol 66 (3) ◽

pp. 249-257 ◽

Cited By ~ 1

Author(s):

Maureen Godfrey ◽

Petrea Cornwell ◽

Sally Eames ◽

Tenelle Hodson ◽

Tara Thomas ◽

...

Keyword(s):

Home Visits ◽

Occupational Therapists ◽

Discharge Home ◽

Qualitative Exploration

Download Full-text

A Review of Home Visits by Occupational Therapists in a Geriatric Assessment Unit

British Journal of Occupational Therapy ◽

10.1177/030802268604901110 ◽

1986 ◽

Vol 49 (11) ◽

pp. 365-366 ◽

Cited By ~ 19

Author(s):

John J Whitaker ◽

Jane Hornby

Keyword(s):

Occupational Therapy ◽

Geriatric Assessment ◽

Home Visit ◽

Home Visits ◽

Occupational Therapists ◽

Discharge Home ◽

Assessment Unit ◽

Additional Support ◽

At Home

A review of occupational therapy home visits carried out from a geriatric assessment unit over a 6-month period is reported. There were 179 non-respite admissions of patients previously living at home and 33% of these patients had a pre-discharge occupational therapy home visit. Almost 90% of visits led to discharge home, with the provision of additional aids in 63% and the recommendation of other additional support arrangements in almost 80%. Only one of the 54 patients discharged home was considered to have had a failed discharge.

Download Full-text

Clinical Reasoning during Community Health Home Visits: Expert and Novice Differences

British Journal of Occupational Therapy ◽

10.1177/030802260506800505 ◽

2005 ◽

Vol 68 (5) ◽

pp. 215-223 ◽

Cited By ~ 27

Author(s):

Robyn Mitchell ◽

Carolyn A Unsworth

Keyword(s):

Community Health ◽

Clinical Reasoning ◽

Home Visits ◽

Occupational Therapists ◽

Video Camera ◽

Conditional Reasoning ◽

Health Practice ◽

Verbal Reports ◽

Quantitative Results ◽

Sensitive Issues

Very little is known about the differences between novice and expert clinical reasoning in community health practice. This article presents the findings of a study of the clinical reasoning of five expert and five novice community health occupational therapists (CHOTs) during the conducting of home visits. A head-mounted video camera was used to record the visits, followed by the participants reporting their clinical reasoning verbally using a video-assisted debriefing method. The transcripts from these verbal reports were analysed quantitatively and qualitatively. The quantitative results demonstrated many differences between experts and novices in terms of the amounts and types of clinical reasoning used. For example, the novices used more procedural reasoning whereas the experts used more conditional reasoning and mixes of different reasoning types. The qualitative results demonstrated that the experts used a free-flowing conversational approach when reasoning during home visits whereas the novices depended on external structures such as assessment forms to guide the process. Given their experience and familiarity with the process, the experts were confident and clear in their reasoning whereas the novices were more awkward and self-conscious. The experts handled sensitive issues whereas the novices seemed to avoid them. The study findings may provide insights for student and novice therapists concerning expert CHOTs' practice and promote reflection in general on the attainment of expertise in clinical practice.

Download Full-text

Who should have a pre-discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views

British Journal of Occupational Therapy ◽

10.4276/030802214x14071472109752 ◽

2014 ◽

Vol 77 (8) ◽

pp. 384-391 ◽

Cited By ~ 7

Author(s):

Phillip Whitehead ◽

Karen Fellows ◽

Nikola Sprigg ◽

Marion Walker ◽

Avril Drummond

Keyword(s):

Qualitative Study ◽

Occupational Therapists ◽

Discharge Home ◽

Assessment Visit

Download Full-text

Reasons for readmission to hospital after hip fracture: Implications for occupational therapy

British Journal of Occupational Therapy ◽

10.1177/0308022618756000 ◽

2018 ◽

Vol 81 (5) ◽

pp. 247-254 ◽

Cited By ~ 2

Author(s):

Kylee J Lockwood ◽

Katherine E Harding ◽

Jude N Boyd ◽

Nicholas F Taylor

Keyword(s):

Hip Fracture ◽

Home Visit ◽

Independent Predictor ◽

Occupational Therapists ◽

Occupational Therapist ◽

Falls Prevention ◽

Common Reason ◽

Multivariate Logistic Regression ◽

Discharge From Hospital ◽

The Relationship

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.

Download Full-text