Occupational therapy and allied health use for older people in acute care: A description of services, time, and readmission in an Australian setting

2020 ◽  
pp. 030802262095657
Author(s):  
Linda Barclay ◽  
Aislinn Lalor ◽  
Bianca Furmston ◽  
Ellie Fossey ◽  
Louise Farnworth ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Older People ◽  
Acute Care ◽  
Allied Health ◽  
Care Service ◽  
Health Care Service ◽  
Hospital Setting ◽  
Occupational Therapists ◽  
Preliminary Evidence ◽  
Hospital Data

Introduction Acute care readmissions of older people are an ongoing concern in many countries. Occupational therapists are well positioned to play a significant role in contributing to improved outcomes and fewer readmissions following discharge from acute hospitals, yet there is a lack of empirical evidence to support this claim. Methods This study used a retrospective clinical audit of secondary hospital data to investigate and describe the time spent on occupational therapy, and the range of occupational therapy and other allied health services provided to older people admitted to acute care, in one Australian health care service. Results Occupational therapists conducted numerous assessments and interventions to support patients and to prepare them for safe discharge home. Occupational therapy was significantly associated with length of stay. Readmission was not related directly or significantly to time spent in occupational therapy or any other factor included in this study. However, of the people who received occupational therapy, there was a higher percentage readmitted when they had more services already in place on admission and when they lived alone. Conclusions This study provides preliminary evidence regarding the contact time and range of occupational therapy assessments and interventions provided to older people in the acute hospital setting.

scholarly journals Can welfare-rights advice targeted at older people reduce social exclusion?

2008 ◽  
Vol 28 (6) ◽  
pp. 875-899 ◽  
Author(s):  
SUZANNE MOFFATT ◽  
GRAHAM SCAMBLER
Keyword(s):  
Older People ◽  
Social Exclusion ◽  
Social Relations ◽  
Care Service ◽  
Health Care Service ◽  
Age Groups ◽  
Median Income ◽  
Welfare Rights ◽  
Welfare Benefits ◽  
The Impact

ABSTRACTIt is known that, in general, people of pensionable age have gained in income compared to other age groups in the British population over the last two decades, but that a substantial minority still experience relative poverty. This paper reports a small qualitative study into the effectiveness of a welfare-rights advice and acquisition service for men and women aged 60 or more years that was provided through a local primary health-care service. Additional financial and non-financial resources were obtained by accessing previously unclaimed state-welfare benefits. It was found that these significantly improved the participants' quality of life. Fourteen of the 25 participants received some type of financial award as a result of the service offered, with the median income gain being £57 (€84 or US $101) per week. The impact of additional resources was considerable and included: increased affordability of necessities and occasional expenses; increased capacity to cope with emergencies; and reduced stress related to financial worries. Knowledge of and access to welfare-rights services also appeared to have a positive effect. It is argued that a level of material resources above a basic level is necessary for social relations and for accessing services and civic activities, and can reduce social exclusion among older people.

Single-System Design: An Effective Strategy for Evaluating Clinical Change

2000 ◽  
Vol 63 (6) ◽  
pp. 283-287 ◽  
Author(s):  
Anjali S Joshi
Keyword(s):  
Occupational Therapy ◽  
System Design ◽  
Quantitative Research ◽  
Care Service ◽  
Health Care Service ◽  
Single Subject ◽  
Single System ◽  
System Research ◽  
Integrative Therapy ◽  
Single Subject Research

Documentation and research are two essential factors for the growth of any profession and, therefore, have priority in occupational therapy. Documentation is the key to the communication of the clinical services rendered by the occupational therapist to clients and to other members of the professional team (Gillette 1982, Ottenbacher and York 1984). Single-system research, sometimes referred to as single-subject research, is a quantitative research method. In single-system research, the efficacy of a certain intervention can be evaluated in a systematic way by studying one subject in a single setting (Ottenbacher 1984). A therapist can make use of any therapeutic technique to work in a single-system design. Gillette (1982, p499) stated: ‘Each occupational therapy clinic is a virtually untouched laboratory, a storehouse of evidence that, properly recorded, analysed and published, would serve to confirm the value of occupational therapy as a health care service.’ This article describes the application of single-system design in a clinical setting. The client discussed was treated using sensory integrative therapy. The purpose of this article is to show how a selected behaviour can be recorded and measured effectively using a single-system design.

scholarly journals Remote Home Visit: Exploring the feasibility, acceptability and potential benefits of using digital technology to undertake occupational therapy home assessments

2020 ◽  
Vol 83 (10) ◽  
pp. 648-658
Author(s):  
Jennifer Read ◽  
Natalie Jones ◽  
Colette Fegan ◽  
Peter Cudd ◽  
Emma Simpson ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Digital Technology ◽  
Home Visit ◽  
Hospital Setting ◽  
Occupational Therapists ◽  
Service Development ◽  
Snowball Sampling ◽  
Data Governance ◽  
Integration Of Care ◽  
Potential Benefits

Introduction Home assessments are integral to the occupational therapy role, providing opportunities to personalise and integrate care. However, they are resource intensive and declining in number. A 3-month service development within one United Kingdom National Health Service acute hospital setting explored the concept of using digital technology to undertake remote home assessments. Methods Four work streams explored the concept’s feasibility and acceptability: real-world testing; user consultations; narrative case study collection; traditional visit resource use exploration. Project participants were occupational therapists and patient and public representatives recruited via snowball sampling or critical case sampling. Qualitative data were thematically analysed identifying key themes. Analysis of quantitative data provided descriptive statistics. Findings The remote home visit concept was feasible within four specific contexts. Qualitative themes suggest acceptability depends on visitor safety, visitor training, visitor induction and standardisation of practice. Consultees perceived the approach to have potential for resource savings, personalisation and integration of care. Barriers to acceptance included data security, data governance, technology failure and threat to occupational therapists’ role and skills. Conclusion Applying digital technology to occupational therapy home assessment appears feasible and acceptable within a specific context. Further research is recommended to develop the technology, and test and investigate perceived benefits within wider contexts and stakeholder groups.

scholarly journals Satisfaction to healthcare among elderly; comparison study between Egypt and Saudi Arabia

2018 ◽  
Vol 5 (8) ◽  
pp. 3180
Author(s):  
Faten Sami Ali Mostafa ◽  
Ekram M. El-Shabrawy ◽  
El Morsy Ahmed El Morsy ◽  
Shaimaa Ahmed Senosy
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Older People ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Care Program ◽  
Cross Sectional ◽  
Total Satisfaction ◽  
Significant Difference

Background: In the context of health care services; clinicians use consumer or patient satisfaction assessment to monitor their performance and alter the delivery of care in order to retain and attract customers. Also to determine how they can better meet the needs of patients and, so, improve patient compliance. This study was designed to examine the satisfaction status of elderly patients utilize the selected geriatric health centers in the study in a comparison way between Egypt and Saudi Arabia in order to improve the geriatric health care program in Egypt.Methods: This is a cross-sectional study to assess the geriatric service through assessing the structure, process and geriatric satisfaction from the geriatric health services by an observational checklist and questionnaire. Statistical analysis was done using SPSS version 22 and Spectrum-5 software.Results: Saudi Arabia centers were significantly higher in patients' satisfaction; there were a statistically significant difference between both countries regarding total satisfaction score (p<0.001).Conclusions: The indicators in both countries under the study suggest a growing proportion of older people in the populations. This study has revealed that efforts to improve health care service for older people have not been fully implemented. Many older people still do not satisfy the offered medical service due to several obstacles. Policymakers must invest in the systems that would encourage and facilitate formal care provision, through partnership between the state and civil society for example and through investing in both old age and family support policies.

scholarly journals Relationship Between Caring Behavior of Nurse with Patient Satisfaction in VCT Clinic Gambiran Hospital with Watson Theory Approach

2014 ◽  
Vol 1 (3) ◽  
pp. 177-183
Author(s):  
Titik Juwariyah ◽  
Nanang Bagus Witjayanto Joyo ◽  
Winanda Rizki Bagus Santosa
Keyword(s):  
Patient Satisfaction ◽  
Design Research ◽  
Care Service ◽  
Health Care Service ◽  
P Value ◽  
Theory Approach ◽  
Hospital Data ◽  
Caring Behavior ◽  
Relationship Of

Caring can be seen through the attitude and action that are characteristic of the behavior. As the health care service, caring so important for patient. Patient satisfaction is indicator of quality insurance of hospital. The purpose of this study was to analyze the relationship of caring behavior of nurse with patient satisfaction in VCT clinic Gambiran hospital with Watson theory approach. Methode: Research study was analytic corelational design. Research samples was 50 of patient at VCT clinic Gambiran hospital. Data collected at July to September 2014 by using questionnaire and proceeded by Spearman Rho test. The result of this study was that caring behavior nurse correlated with patient satisfaction with p-value=0,000. According the result of this study are expected to be the input for hospitals to improve quality of service by apply minimum standart service that are caring behavior.

Occupational therapy in older people with stroke

2020 ◽  
pp. 249-268
Author(s):  
Rowena Padamsey ◽  
Avril Drummond
Keyword(s):  
Occupational Therapy ◽  
Older People ◽  
Occupational Therapists ◽  
Therapeutic Interventions ◽  
Younger Adults ◽  
Person Following ◽  
Key Aspects ◽  
Insight Into

‘Occupational therapy in older people with stroke’ examines how occupational therapists (OTs) increase people’s independence, quality of life, and satisfaction in all aspects of daily life. A fundamental philosophy of OT is to treat everyone as an individual, taking into account their personal roles, beliefs, attitudes, function, and environment. Consequently, the approaches to rehabilitation described in this chapter may be applied to both older and younger adults. A case study has been used for illustration. Key aspects of functioning affected by stroke are explored, focusing in particular on cognition and perception. The OT will work with the patient and their family to identify areas of function which are particularly important to them, and will aim to enable people to complete these activities as independently as possible. This chapter gives an insight into key fundamental therapeutic interventions with the older person following a stroke.

scholarly journals Can we talk about it? A qualitative study exploring occupational therapists’ decision making in judging when to ask an older person about drinking alcohol

2020 ◽  
pp. 1-18
Author(s):  
Fiona Maclean ◽  
Jan Dewing ◽  
Sarah Kantartzis ◽  
Jenna P. Breckenridge ◽  
Brendan McCormack
Keyword(s):  
Alcohol Use ◽  
Older People ◽  
Qualitative Methodology ◽  
Hospital Setting ◽  
Occupational Therapists ◽  
Later Life ◽  
Acute Hospital ◽  
Care Practice ◽  
Drinking Alcohol ◽  
Allied Health Professionals

Abstract Older people now currently drink alcohol more frequently than previous generations, indicating a need to understand how this influences health and wellbeing in older adults. However, knowledge and awareness of the changing role alcohol plays in the lives of older people is not necessarily widely understood by allied health professionals in acute hospital contexts. In turn, conversations about drinking alcohol in later life may not be routinely addressed as part of practice, limiting an older person's choice to make informed decisions about their drinking. This paper qualitatively examines when occupational therapists (N = 17) in an acute hospital setting will initiate a conversation with older people (65+ years) about their drinking, guided by a theoretical lens that encompasses both person-centredness and collective occupation. Adopting a qualitative methodology, this study illustrates a typology of reasoning describing how, and in what circumstances, therapists ask older people about their alcohol use. Three themes were generated that provide further insight into the typology, these being ‘hesitancy in practice’, ‘failure to link life transitions to alcohol use’ and ‘challenges of focusing on healthfulness’. These findings provide a potentially useful tool for therapists, services and organisations to self-assess their approach to asking older people about alcohol use; a necessary element of professional health-care practice as social trends in alcohol use continue to increase.

scholarly journals Older Thai Peoples’ Perceptions and Experiences of Major Depression

2017 ◽  
Vol 9 (9) ◽  
pp. 26 ◽  
Author(s):  
Duangkaew Kleebthong ◽  
Sukjai Chareonsuk ◽  
Lisbeth Kristiansen
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Literacy ◽  
Major Depression ◽  
Older People ◽  
Mental Health Literacy ◽  
Mental Health Problems ◽  
Care Service ◽  
Health Care Service ◽  
Major Depressive

BACKGROUND: Depressive disorders are common mental health problems and may be disabling among the general older population. Although older people have significant symptoms of depression, the symptoms are likely to be underreported. The condition often co-exist along with somatic ill and has often been unrecognized. The aim of the study was to explore and understand the perceptions and experiences of older Thai people diagnosed with major depressive disorder.METHODS: A qualitative inductive research design was used and latent content analysis was utilized. The data were collected through face-to-face, in-depth interviews. Fourteen older people diagnosed with major depressive disorder were selected for participant using purposive sampling. FINDINGS: Older Thai peoples’ perceptions and experiences of depression were abstracted into two themes. First theme was leading a life in detachment, which included three subthemes: living with meaninglessness, holding distress with one’s self, and feeling judged by surrounded people. The second theme was inconvenience of approaching mental health treatment, which included two subthemes: sensing an unapproachable health care service, and lacking knowledge about clinical depression.CONCLUSION: Older Thai peoples’ perceptions and experiences of major depression were affected with high level suspected existential loneliness that might even be worse in a collect oriented society as in the Thai context. Further, it seem hard to approach the mental health care. The central reason for this is interpreted as lack of mental health literacy, and in this case, specifically, knowledge on depression. Future studies should focus on relatives’ experiences of living with an older family member that suffered from major depression, and on the state of mental health literacy in the rural Thai population.

scholarly journals Willingness and associated factors of working with older people among undergraduate nursing students in China: a cross-sectional study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yujie Guo ◽  
Lei Yang ◽  
Lingli Zhu ◽  
Yu Wan ◽  
Shujun Zhang ◽  
...  
Keyword(s):  
Nursing Students ◽  
Older People ◽  
Career Choice ◽  
Associated Factors ◽  
Care Service ◽  
Health Care Service ◽  
Chinese Version ◽  
Undergraduate Nursing Students ◽  
Undergraduate Nursing ◽  
Ordinal Logistic Regression Analysis

Abstract Background The aging population has become a serious challenge for health care service and will lead to an increasing demand for nurses to work with older people. However, working with older people has always been an unpopular career choice among nursing students. This study aimed to further explore the willingness and associated factors of undergraduate nursing students to work with older people in China. Methods A convenience sampling method was employed from May to July 2017 among undergraduate nursing students from a nursing school in Nantong China. Demographic data, the Chinese version of the Kogan’s Old Person’s Scale, the Chinese version of the Facts of Aging Quiz and the motivation questionnaire were used to collect data. A series of Mann-Whitney U test, Kruskal-Wallis H test, Spearman correlation test and Ordinal logistic regression analysis were applied to analyze the data. Results Of the 853 students surveyed, 38.1 % were willing to work with older people after graduation. Expectancy, interest, attainment value, cost, prejudice, whether they like nursing profession and whether they participated in elderly-related activities were the most significant predictors of the students’ willingness to work with older people. Conclusions Nursing students expressed a low level of willingness to work with older people upon graduation. Nursing educators have an important part in challenging students’ stereotype of older people and inspire their career choice in caring for older people through both well-designed curriculum and elderly-related activities, and relevant education departments should actively optimize aged-related courses, strengthen professional ethics and gratitude education, and improve nursing students’ sense of identity and mission in caring for older people, so as to improve their willingness to work with older people.

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