Why Do Hospital-Based Occupational Therapists Carry Out Post-Discharge Home Visits with Elderly People?

1993 ◽  
Vol 56 (9) ◽  
pp. 325-329 ◽  
Author(s):  
Jane Hassall
Keyword(s):  
Qualitative Methods ◽  
Elderly People ◽  
Multidisciplinary Team ◽  
Research Question ◽  
Home Visits ◽  
Occupational Therapists ◽  
Multidisciplinary Teams ◽  
Discharge Time ◽  
Post Discharge ◽  
Discharge Home

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.

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

2019 ◽  
Vol 66 (3) ◽  
pp. 249-257 ◽  
Author(s):  
Maureen Godfrey ◽  
Petrea Cornwell ◽  
Sally Eames ◽  
Tenelle Hodson ◽  
Tara Thomas ◽  
...  
Keyword(s):  
Home Visits ◽  
Occupational Therapists ◽  
Discharge Home ◽  
Qualitative Exploration

A Discussion on the Skills of the Occupational Therapist Working within a Multidisciplinary Team

1989 ◽  
Vol 52 (12) ◽  
pp. 466-468 ◽  
Author(s):  
Anne Joice ◽  
Denise Coia
Keyword(s):  
Mental Health ◽  
Multidisciplinary Team ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Multidisciplinary Teams ◽  
Individual Interest ◽  
Health It ◽  
Advantages And Disadvantages ◽  
The Individual

Occupational therapists who have experience of working in multidisciplinary teams will be aware of the advantages and disadvantages. A frequent area of confusion and sometimes conflict lies in defining the role of the individual disciplines. This article looks at the history and the philosophy of occupational therapy and discusses the skills contributed by the occupational therapist working within a multidisciplinary team in mental health. It divides the skills of the occupational therapist into: practices restricted to occupational therapists; those expected of occupational therapists; those shared with other disciplines; and specialist skills acquired through individual interest and enthusiasm. The authors hope that it will encourage occupational therapists working in multidisciplinary teams to define more clearly, and with greater confidence, their skills in their areas of work.

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
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.

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

2016 ◽  
Vol 64 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Kylee J. Lockwood ◽  
Nicholas F. Taylor ◽  
Jude N. Boyd ◽  
Katherine E. Harding
Keyword(s):  
Hip Fracture ◽  
Home Visits ◽  
Occupational Therapists ◽  
Discharge Home

Baby Steps: A Post-Discharge Home Visiting Program By Neonatology Fellows

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 489A-489A
Author(s):  
Janice E. Hobbs ◽  
Jacky M. Jennings ◽  
Megan Tschudy ◽  
Brenda Hussey-Gardner ◽  
Renee Boss
Keyword(s):  
Home Visiting ◽  
Post Discharge ◽  
Discharge Home ◽  
Home Visiting Program

#69: Improving Communication About the Care and Prevention of Infections in a Pediatric Oncology Unit by Using Patient Daily Goals in Multidisciplinary Rounds

2021 ◽  
Vol 10 (Supplement_1) ◽  
pp. S22-S22
Author(s):  
Escobedo-Melendez Griselda ◽  
Martinez-Albarran Manuel ◽  
Magaña-Saldivar Isadora ◽  
Jimenez Norma ◽  
Gomez-Huerta Elizabeth ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Pediatric Oncology ◽  
Multidisciplinary Team ◽  
Statistical Significance ◽  
Healthcare Providers ◽  
Multidisciplinary Teams ◽  
Use Of Resources ◽  
Multidisciplinary Rounds ◽  
Prevention Of Infections ◽  
Oncology Unit

Abstract Background In children with cancer infections are the most frequent complication, with fatal outcomes if not addressed promptly. Therefore, care and prevention of infections in these patients require multidisciplinary interventions, with effective communication among healthcare providers to reduce the morbidity, length of stay, and the inappropriate use of resources. We used the Institute of Healthcare Improvement (IHI) model for improving the communication among healthcare providers by using patient daily goals after the oncology pediatric unit multidisciplinary rounds. Methods A multidisciplinary team was identified in the pediatric oncology unit. The team received weekly coaching on the IHI methodology. The methodology used included the creation of a block diagram to understand the baseline processes and a key driver diagram. Then, after a literature review, a data collection plan and measures were identified. The team identified different ideas for changes and prioritized them using an impact-effort matrix. Finally, several rounds of Plan-Do-Study-Act (PDSA) cycles reached the desired changes that organized the patient daily goals for sharing in the form of a worksheet. This worksheet was shared with nurses and pharmacist staff, a chat group was created, and the routine use of the daily goals for patient management was taught and incorporated into the rest of the care team staff. The percentage of excellent communication among all multidisciplinary teams and outcomes (length of stay, intensive care unit admission, and mortality) were recorded at baseline and endline. We determined the statistical significance of the baseline vs. endline difference by using χ 2 and t-tests. Results A total of 105 patients with suspected infections were included over a 6-month period (June through November 2019). We found a significant increase per month in the percent of agreement in excellent communication in the patient daily goals between infectious diseases specialist faculty and fellows, nurses, pharmacist, and pediatric oncology faculty and fellows (33.3% vs. 91.3%) (P = 0.004). Length of stay decreased monthly after our interventions (baseline: mean 14.7 days [SD 12.4] vs. after intervention: mean 6.7 days [SD 2.7]) (P = 0.014). There were only one ICU admission and no deaths during the implementation period. Conclusions Our approach using patient daily goals improved communication among a multidisciplinary team, leading to decreased length of stay and supporting adequate outcomes.

scholarly journals Enhancing Our Understanding of Transitional Care Programs

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 136-137
Author(s):  
Katherine McGilton ◽  
Shirin Vellani ◽  
Alexandra Krassikova ◽  
Alexia Cumal ◽  
Sheryl Robertson ◽  
...  
Keyword(s):  
Older Adults ◽  
Transitional Care ◽  
Discharge Planning ◽  
Grey Literature ◽  
Occupational Therapists ◽  
Community Dwelling ◽  
Bibliographic Databases ◽  
Multidisciplinary Teams ◽  
Term Care ◽  
Hospitalized Older Adults

Abstract Many hospitalized older adults experience delayed discharge. Transitional care programs (TCPs) provide short-term care to these patients to prepare them for transfer to nursing homes or back to the community. There are knowledge gaps related to the processes and outcomes of TCPs. We conducted a scoping review following Arksey & O’Malley’s framework to identify the: 1) characteristics of older patients served by TCPs, 2) services provided within TCPs, and 3) outcomes used to evaluate TCPs. We searched bibliographic databases and grey literature. We included papers and reports involving community-dwelling older adults aged ≥ 65 years and examined the processes and/or outcomes of TCPs. The search retrieved 4828 references; 38 studies and 2 reports met the inclusion criteria. Most studies were conducted in Europe (n=19) and America (n=13). Patients admitted to TCPs were 59-86 years old, had 2-10 chronic conditions, 26-74% lived alone, the majority were functionally dependent and had mild cognitive impairment. Most TCPs were staffed by nurses, physiotherapists, occupational therapists, social workers and physicians, and support staff. The TCPs provided 5 major types of services: assessment, care planning, treatment, evaluation/care monitoring and discharge planning. The outcomes most frequently assessed were discharge destination, mortality, hospital readmission, length of stay, cost and functional status. TCPs that reported significant improvement in older adults’ functions (which was the main goal of the TCPs) included multiple services delivered by multidisciplinary teams. There is a wide variation in the operationalization of TCPs within and between countries.

scholarly journals Improvement in Company of Development of Technological Solutions

2017 ◽  
Author(s):  
daniel sarcos
Keyword(s):  
Supply Chain ◽  
Multidisciplinary Team ◽  
Swot Analysis ◽  
Current Model ◽  
Multidisciplinary Teams ◽  
Building Projects ◽  
Business Opportunity ◽  
P Supply ◽  
Great Complexity ◽  
Centres Of Expertise

Supply chain between the commercial and consultancy is analyzed. This allows to know the process from creating a business opportunity to sell the final product or service. As a result it is concluded that the company under study has some shortcomings in the current model based on multidisciplinary teams. Although effective in the implementation of projects, it is considered that the current methodology is of great complexity, which accommodates the development of proposals to improve the process.A study of the key to be improved in the supply chain through the SWOT analysis of the same factors ago. Through various interviews and meetings with staff and directors of the company, it is concluded that should improve the chain from three (3) different components: people, processes and technology.Aims to simplify the current model of consulting through the creation of Centres of Expertise and the introduction of the concept of Deliverable. This new methodology industrialization in some way the process for building projects. Each Expertise Center is considered a specialist in one area of activity and not as a multidisciplinary team equipment.

Alternatives to Post-Discharge Home Medication Reviews for High-Risk Patients: Doctors' and Pharmacists' Views

2012 ◽  
Vol 42 (4) ◽  
pp. 273-277 ◽  
Author(s):  
Vaishali Padhye ◽  
Anne P Ponniah ◽  
Lisa K Spurling ◽  
Xin Jou Bong ◽  
Sepehr Shakib ◽  
...  
Keyword(s):  
High Risk ◽  
Post Discharge ◽  
High Risk Patients ◽  
Home Medication ◽  
Discharge Home ◽  
Medication Reviews ◽  
Risk Patients

Predictive Factors for Limb Salvage and Foot Ulcer Recurrence in Patients with Chronic Limb-Threatening Ischemia After Multidisciplinary Team Treatment: A 6-Year Japanese Single-Center Study

2021 ◽  
pp. 153473462110414
Author(s):  
Miki Fujii ◽  
Akitoshi Yamada ◽  
Kohei Yamawaki ◽  
Shigeyasu Tsuda ◽  
Naokazu Miyamoto ◽  
...  
Keyword(s):  
Wound Healing ◽  
Limb Salvage ◽  
Predictive Factors ◽  
Multidisciplinary Team ◽  
Foot Ulcer ◽  
Multidisciplinary Teams ◽  
Ulcer Recurrence ◽  
Single Center ◽  
Wound Recurrence ◽  
Adequate Blood Supply

Chronic limb-threatening ischemia (CLTI) is associated with a short-term risk of limb loss. Multidisciplinary teams are often involved in CLTI treatment; however, in Asian countries, multidisciplinary teams that include podiatrists specializing in foot wounds and vascular surgeons who can perform distal bypass surgery are lacking. We investigated predictive factors for limb salvage and foot ulcer recurrence in patients with CLTI treated by a Japanese single-center intensive multidisciplinary team over 6 years. We retrospectively investigated 84 patients with CLTI and foot ulcers who had undergone revascularization and wound treatment between October 2013 and December 2019. Following postrevascularization treatment, including undertaking minor amputations, the healing rate was 77.8%, and the average wound healing time was 75 ± 68 days. To achieve adequate blood supply, 17.7% of patients were treated using a combination of endovascular revascularization and bypass surgeries. Thirty-three (44%) patients had wound recurrence and there was wound recurrence within 6 months in 58.9% of these patients. Multivariate logistic regression analysis showed that postrevascularization skin perfusion pressure was significantly associated with wound healing (odds ratio [OR] 1.13, 95% confidence interval [CI] 1.033-1.243, P = .0078). Diabetes mellitus (OR 9.72, 95% CI 1.855-50.937, P = .0071), and heart disease (OR 3.51, 95% CI 1.052-11.693, P = .0411) were significantly associated with wound recurrence ( P < .05). Treatment within a single-center intensive multidisciplinary team resulted in good patient outcomes. Our study indicates that the revascularization endpoint of CLTI treatment should be marked by attainment of adequate blood supply and wound healing. The timing of revascularization and debridement is of utmost importance for the successful treatment of CLTI wounds.

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