GPs' Assessments of People Aged 75 and Over: Identifying the Need for Occupational Therapy Services

1993 ◽  
Vol 56 (4) ◽  
pp. 123-127 ◽  
Author(s):  
Andrew Nocon

Since April 1990, general practitioners (GPs) have been required to offer an annual home visit and assessment to all people aged 75 and over. This article reports on a research study into the outcomes of these assessments. More referrals were made to community occupational therapy than to any other service — 5% of all people assessed were referred to community occupational therapy — although all the referrals were made following assessments by nurses rather than by GPs themselves. Interviews with a separate sample of elderly people revealed that 17% needed occupational therapy. Once people had been referred, the mean time they had to wait for a community occupational therapy visit was 14 weeks. Even after occupational therapy contact ceased, a number of people still needed further occupational therapy. The study shows that the assessments are a valuable way of identifying elderly people's needs. It also raises questions about the way the assessments are carried out and the resources required to meet identified needs.

2021 ◽  
Vol 17 (9) ◽  
pp. 1625-1649
Author(s):  
Aleksandr E. VARSHAVSKII ◽  
Mariya S. KUZNETSOVA

Subject. We analyze development trends in iPhone by reviewing the way their key technological and economic indicators change. Objectives. We trace patterns and trends in technological and economic indicators of iPhone, correlations of the indicators, and the dependence of the price and SAR on technological indicators. Methods. Following our methodology, we study and model indicators of smartphones. Results. We traced and determined the correlation of technological and economic indicators of iPhone. The article demonstrates how the price and SAR mainly depend on technological indicators of smartphones. Conclusions and Relevance. As the findings show, as the above smartphone gets more technologically sophisticated, i.e. the price and SAR increase, we can expect higher risks for the man and the environment, though the mobile device development trends may still persevere. As seen from the analysis, SAR increases as smartphones have more cores and processor frequency, operation memory, which basically entails higher prices. In the mean time, the above indicators lower as the smartphone dimensions grow (screen diagonal, weight, battery capacity).


1759 ◽  
Vol 51 ◽  
pp. 529-534 ◽  
Keyword(s):  
The Mean ◽  

As I recollect nothing in the way of business, which I have not already wrote you about; and as I know not when this letter may get away, I shall, in the mean time, give you some account of the earthquakes here, which have thrown the people into a terrible consternation.


1994 ◽  
Vol 57 (3) ◽  
pp. 85-88 ◽  
Author(s):  
Janice Bore

A questionnaire was directed towards establishing whether therapist, patients and carers had similar concerns at the point of discharge from a small community hospital, and whether or not these concerns were addressed effectively by the predischarge occupational therapy home visit. On the whole, the visits were found to be comprehensive and very helpful to all participants. There was, however, a significant difference between the three groups in how helpful they had found the discussions on social isolation. There were further differences in the way the three groups responded to advice on financial benefits and community services and in the intended reassuring nature of the visit. Results point to a need for the therapists to re-examine the way in which these particular topics are addressed and the priority they are given within the visit. There is also a need to re-examine the service offered to carers.


1997 ◽  
Vol 22 (2) ◽  
pp. 202-203 ◽  
Author(s):  
A. A. BOKHARI ◽  
A. N. STIRRAT

We carried out a retrospective and prospective study of 67 patients who had sustained hand injuries from punching glass over a period of 33 months. All had consumed alcohol and had argued with a partner. The mean age was 25 years, 90% were male and 56% were unemployed. Seventy per cent of injuries occurred between 23.00 and 04.00 hours. Total damage included division of 149 tendons, 33 nerves and nine arteries. Fifty-two per cent of patients required admission for more than 1 day. The mean number of follow-up visits was 3.6 and the majority needed hand therapy and occupational therapy services. Cost per injury was estimated as £1,120. Such injuries cause major disability in an already disadvantaged section of society. The challenge is to educate the susceptible patient group.


1994 ◽  
Vol 57 (8) ◽  
pp. 315-318 ◽  
Author(s):  
John Øvretveit

Although most occupational therapy managers have now mastered the basics of contracting, it is important that their junior staff understand the issues. This article summarises issues in contracting, and also shows how occupational therapists can retain their own management structures by contracting services rather than being managed by directorates or localities. It explains why contracting to becoming more Important for occupational therapy, gives an introduction to the concepts underlying contracts, and shows how managers can prepare and negotiate contracts with internal purchasers (for example, directorates) and external purchasers (for example, general practitioners). This article to adapted with permission from: Øvretveit J. Physiotherapy service contracts and ‘business autonomy’. Physiotherapy 1994; 80(6): 372–376.


1857 ◽  
Vol 21 (3) ◽  
pp. 377-401 ◽  
Author(s):  
C. Greville Williams

Twenty-two years have now elapsed, since Runge first published his remark, able experiments on coal naphtha, and it would, perhaps, be difficult to instance any chemical investigation which has formed the point of departure of a greater number of researches. When we consider the vast quantity of bodies which have, first and last, been obtained from coal-tar, it might appear that little more remained to be done,—that the mine was exhausted,—but so far from this being the case, the discovery of one substance has only served to pave the way for the isolation of others.Among the bodies examined by Runge, there was one which apparently possessed comparatively few features of interest; indeed its very name (the first syllable derived from λευχός was intended to express its supposed inability to produce coloured reactions, a feature which, in the chemistry of the time, militated greatly against its claims to notice. I have used the expression “supposed inability,” because I shall show further on, that this substance is capable, under certain conditions, of affording extremely brilliant colorations. Eventually, Gerhardt, by acting on quinine, cinchonine, and strychnine, with hydrate of potash, obtained the same body. The first chemist who succeeded in procuring any of its compounds in a state of tolerable purity was Hofmann, whose analysis of the platinum salt is very nearly exact. But, at the time of that analysis, he was of opinion that the products obtained from coal and chinoline were essentially different, an opinion which he subsequently retracted. In the mean time, the alkaloid, as obtained from cinchonine was examined by Bromeis and Laurent, their results, however, not elucidating the composition of the basic fluid obtained in the manner alluded to.


1814 ◽  
Vol 104 ◽  
pp. 102-106 ◽  

In a paper formerly communicated to this Society by Sir Everard Home, and since published in the Philosophical Transactions for the year 1809, some facts were stated which render it probable that the various animal secretions are dependent on the influence of the nervous system, and this opinion seemed to derive support from some physiological experiments which were afterwards instituted by myself, and in which it was observed, that after the functions of the brain had been destroyed, although the action of the heart continued, and the circulation of the blood was maintained as under ordinary circumstances, the secreting organs invariably ceased to perform their office. It has been attempted by former physiologists to determine how far the nerves are necessary to secretion, but there are considerable obstacles in the way of this inquiry, and no observations, that have been hitherto made, appear to throw a great deal of light on the subject. The only method, which can be devised, of ascertaining by direct experiment, whether the nerves are really necessary to secretion, is that of dividing the nervous branches by which the glands are supplied. But this, with respect to the greater number of the glands, is an experiment impossible to perform; and, with respect to others, can not be executed without so much disturbance and injury to the other parts, as must render it extremely difficult to arrive at any positive results. Perhaps in future investigations, some circumstances may arise, which will enable us to determine more satisfactorily this important physiological question. In the mean time, as the labours of physiologists have hitherto contributed so little to this purpose, any facts that tend to its elucidation may deserve to be recorded, and I am therefore induced to lay before the Society the following experiments, which afford one example of a secretion being dependent on the influence of the nerves.


1993 ◽  
Vol 56 (8) ◽  
pp. 283-286 ◽  
Author(s):  
Binoy G Chakravorty

This article surveys the level of awareness among hospital consultants and general practitioners with regard to the functions of a district occupational therapy service. The results of a questionnaire study undertaken during 1990/91 show that a greater level of awareness needs to be developed, for which some suggestions are made.


1982 ◽  
Vol 49 (2) ◽  
pp. 53-56 ◽  
Author(s):  
Arlene Shimeld

The nature of Quality Assurance is outlined, as well as the range of activities encompassed in a Quality Assurance program. The need to provide occupational therapy personnel with an organizational framework within which to develop the skills to implement a Quality Assurance program is given as the rationale for utilizing a model that focuses on five key areas of professional practice. The model is described, and the way it has facilitated the Quality Assurance program in the Occupational Therapy Services Department of the University Hospital, London, Ontario is discussed. Reference material, useful when implementing a program, is included.


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