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

1986 ◽  
Vol 49 (11) ◽  
pp. 365-366 ◽  
Author(s):  
John J Whitaker ◽  
Jane Hornby

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.

1993 ◽  
Vol 56 (9) ◽  
pp. 325-329 ◽  
Author(s):  
Jane Hassall

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.


2019 ◽  
Vol 66 (3) ◽  
pp. 249-257 ◽  
Author(s):  
Maureen Godfrey ◽  
Petrea Cornwell ◽  
Sally Eames ◽  
Tenelle Hodson ◽  
Tara Thomas ◽  
...  

2020 ◽  
Vol 83 (10) ◽  
pp. 648-658
Author(s):  
Jennifer Read ◽  
Natalie Jones ◽  
Colette Fegan ◽  
Peter Cudd ◽  
Emma Simpson ◽  
...  

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.


2004 ◽  
Vol 33 ◽  
pp. 55-59 ◽  
Author(s):  
Alison Nelson ◽  
Heather Allison

AbstractThe need for additional support for Indigenous children at school is well documented. Occupational therapists are well positioned to form part of this support. However, many occupational therapists report that Indigenous families do not access their services and when they do, the occupational therapist feels uncertain about how best to meet their needs. This article documents a pilot project which delivered occupational therapy services within several schools and preschools in Brisbane which had significant numbers of Indigenous students. The project was evaluated using a qualitative methodology and included focus groups and interviews with teachers and parents. The results indicated that in general the service provided valuable support to students, teachers and parents. In particular, providing the service within the school context was seen as critical to its success. Suggestions for improvements in future support services are also provided.


2017 ◽  
Vol 9 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Jacqueline Nix ◽  
Tracy Comans

This article reports upon an initiative to improve the timeliness of occupational therapy home visits for discharge planning by implementing technology solutions while maintaining patient safety. A community hospital in Queensland, Australia, hosted a process evaluation that examined which aspects of home visiting could be replaced or augmented by alternative technologies. Strategies were trialled, implemented and assessed using the number of home visits completed and the time from referral to completion as outcomes. A technology-enhanced solution called “Home Quick” was developed using technology to facilitate pre-discharge home visits. The implementation of Home Quick resulted in an increase in the number of home visits conducted prior to discharge (50% increase from 145 to 223) and significantly increased the number of patients seen earlier following referral (X2=69.3; p<0.001). The substitution of direct home visits with technology-enabled remote visits is suitable for a variety of home visiting scenarios traditionally performed by occupational therapists. 


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