scholarly journals The Clinical Frailty Scale: Do Staff Agree?

Geriatrics ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. 40 ◽  
Author(s):  
Rebekah L. Young ◽  
David G. Smithard
Keyword(s):  
Medical Staff ◽  
Allied Health ◽  
Screening Method ◽  
Occupational Therapists ◽  
Junior Doctors ◽  
Case Scenario ◽  
Allied Health Professionals ◽  
Clinical Frailty Scale ◽  
Allied Health Professions ◽  
Staff Members

The term frailty is being increasingly used by clinicians, however there is no strict consensus on the best screening method. The expectation in England is that all older patients should have the Clinical Frailty Scale (CFS) completed on admission. This will frequently rely on junior medical staff and nurses, raising the question as to whether there is consistency. We asked 124 members of a multidisciplinary team (consultants, junior doctors, nurses, and allied health professionals; physiotherapists, occupational therapists, dietitians, speech and language therapists) to complete the CFS for seven case scenarios. The majority of the participants, 91/124 (72%), were trainee medical staff, 16 were senior medical staff, 12 were allied health professions, and 6 were nurses. There was broad agreement both between the professions and within the professions, with median CFS scores varying by a maximum of only one point, except in case scenario G, where there was a two-point difference between the most junior trainees (FY1) and the nursing staff. No difference (using the Mann–Whitney U test) was found between the different staff groups, with the median scores and range of scores being similar. This study has confirmed there is agreement between different staff members when calculating the CFS with no specific preceding training.

The contribution to palliative care of allied health professions

2019 ◽  
pp. 673-714
Keyword(s):  
Palliative Care ◽  
Health Professionals ◽  
Allied Health ◽  
Occupational Therapists ◽  
Health Professions ◽  
Palliative Care Team ◽  
Allied Health Professionals ◽  
Music Therapists ◽  
Allied Health Professions ◽  
Parent Discipline

This chapter outlines the key work of allied health professionals within the palliative care team. Palliative care has been very successful at taking ideas, values, and techniques from other disciplines in healthcare. Such borrowing of ideas has nearly always included considerable adaptation from the parent discipline. However, the notion of cross-boundary, interdisciplinary working is now highly developed in palliative care. Some disciplines such as medicine and nursing have become core parts of the specialist team, whereas others have been accessed on an as-required basis. Increasingly, individual allied health professions have seen the need to evolve the palliative care specialism within the generic discipline. Allied health professionals include occupational therapists, physiotherapists, nutritional experts, speech and language therapists, clinical psychologists, social workers, chaplains, pharmacists, and art and music therapists.

scholarly journals Exploration of implementation, financial and technical considerations within allied health professional (AHP) telehealth consultation guidance: a scoping review including UK AHP professional bodies’ guidance

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055823
Author(s):  
Enza Leone ◽  
Nicola Eddison ◽  
Aoife Healy ◽  
Carolyn Royse ◽  
Nachiappan Chockalingam
Keyword(s):  
Scoping Review ◽  
Allied Health ◽  
Data Extraction ◽  
Collaborative Work ◽  
Occupational Therapists ◽  
Legal Aspects ◽  
Future Research ◽  
Allied Health Professionals ◽  
Study Selection ◽  
The Uk

ObjectivesThe COVID-19 pandemic has resulted in a shift to remote consultations, but telehealth consultation guidelines are lacking or inconsistent. Therefore, a scoping review was performed to chart the information in the articles exploring telehealth for the UK allied health professionals (AHPs) and compare them with the UK AHP professional bodies’ guidelines.DesignScoping review following Aksey and O’ Malley methodological framework.Data sourcesCINHAL and MEDLINE were searched from inception to March 2021 using terms related to ‘telehealth’, ‘guidelines’ and ‘AHPs’. Additionally, the UK AHP professional bodies were contacted requesting their guidelines.Study selectionArticles exploring telehealth for patient consultations, written in English and published in peer-reviewed journal or guidelines available from UK AHP professional bodies/their websites were considered eligible for review.Data extractionOne reviewer extracted data concerning three overarching domains: implementation, financial and technological considerations.Results2632 articles were identified through database searches with 21 articles eligible for review. Eight guidelines were obtained from the UK AHP professional bodies with a total of 29 included articles/guidelines. Most articles were published in the last two years; there was variety in telehealth terminology, and most were developed for occupational therapists, physiotherapists and speech and language therapists. Information was lacking about the assessment of telehealth use and effectiveness, barriers and limitations, the logistical management, the family’s and caregiver’s roles and the costs. There was lack of clarity on the AHPs’ registration requirements, costs and coverage, and legal aspects.ConclusionThis study identified gaps in current guidelines, which showed similarities as well as discrepancies with the guidance for non-AHP healthcare professionals and revealed that the existing guidelines do not adequately support AHPs delivering telehealth consultations. Future research and collaborative work across AHP groups and the world’s leading health institutions are suggested to establish common guidelines that will improve AHP telehealth services.

The Allied Health Professions Health and Work Report and the fit note: Perspectives of patients and stakeholders

2020 ◽  
pp. 030802262094876
Author(s):  
Fiona Nouri ◽  
Carol Coole ◽  
Genevieve Smyth ◽  
Avril Drummond
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Allied Health ◽  
Occupational Therapists ◽  
Health Professions ◽  
Allied Health Professions ◽  
Telephone Interviews ◽  
Potential Value ◽  
Vocational Support

Introduction Although the role of occupational therapists in the provision of vocational support is established, there has been little research into their role in issuing Allied Health Professions Health and Work Reports or their potential to complete fit notes. Method Employed patients ( n = 14) and stakeholders ( n = 12) took part in semi-structured telephone interviews and were questioned about occupational therapy-run vocational clinics, experiences of the Allied Health Professions Health and Work Reports and their views of occupational therapists completing fit notes. Results Most interviewees saw the Allied Health Professions Health and Work Report as a valuable tool in affecting return to work and even employers with access to in-house occupational health predominantly found it useful in corroborating recommendations. There was consensus, amongst patients and stakeholders, that completion of the fit note by the occupational therapist could reduce the burden on the general practitioner, and potentially provide more in-depth advice via the ‘may be fit’ option. However, stakeholders strongly believed that the profile of the Allied Health Professions Health and Work Report needed to be raised nationally. Conclusion The potential value of Allied Health Professions Health and Work Reports in primary care is recognised. However, in order to maximise this, its profile and utility needs to be raised nationally as a matter of urgency. There was also support for occupational therapists completing fit notes.

scholarly journals Improving occupational therapists’ confidence in completing the Allied Health Professions Health and Work Report: Results from the CREATE feasibility study

2021 ◽  
pp. 030802262199858
Author(s):  
Joanne Ablewhite ◽  
Carol Coole ◽  
Stathis T Konstantinidis ◽  
Aaron Fecowycz ◽  
Sayeed Khan ◽  
...  
Keyword(s):  
Allied Health ◽  
Occupational Therapists ◽  
Health Professions ◽  
Training Data ◽  
Training Methods ◽  
Face To Face ◽  
Allied Health Professions ◽  
Telephone Interviews ◽  
Further Development

Introduction There is a concern that occupational therapists lack confidence in advising on fitness to work. The aim of this study was to compare two training methods of improving occupational therapists’ confidence in completing the Allied Health Professions Health and Work Report (AHP H&WR). Method A mixed-methods study was conducted. Occupational therapists were recruited to face-to-face ( n = 14) or online ( n = 18) training. Data were collected via questionnaires at baseline, one week and eight weeks post-training, and using semi-structured telephone interviews. Questionnaire data were analysed descriptively; interviews were analysed thematically. Results It was possible to recruit and retain participants to the study. Occupational therapists from both groups reported that the training improved their confidence in completing the AHP H&WR. However, the majority did not have the opportunity to complete an AHP H&WR in practice during the follow-up period. Conclusion Similar results for both training methods shows promise for further development and testing. There is therefore potential to conduct a definitive study in this area.

The Allied Health Professions

2021 ◽  
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick
Keyword(s):  
Case Studies ◽  
Allied Health ◽  
Research Evidence ◽  
Occupational Therapists ◽  
Health Professions ◽  
Allied Health Professions ◽  
Sociology Of Health

The allied health professions have gained legitimacy through the pursuit of research evidence and the standardisation of practice. Yet there remains very little analysis or understanding of these professions. Adopting theory from the sociology of health professions, this book explores the sociological, economic, political and philosophical pressures that have shaped the professions. Drawing on case studies and examples from occupations including optometrists, occupational therapists and physiotherapists to emerging vocations, including pedorthists and allied health assistants, the book offers an innovative comparison of allied health professions in Australia and Britain. By telling the story of their past, the book prepares the allied health professions for a new and different future.

Health-Related Physical Fitness Knowledge of Student Allied Health Professions

2000 ◽  
Vol 23 (3) ◽  
pp. 305-317 ◽  
Author(s):  
Michael G. Miller ◽  
David C. Berry
Keyword(s):  
Physical Fitness ◽  
Athletic Training ◽  
Allied Health ◽  
Health Professions ◽  
Well Being ◽  
Choice Test ◽  
Allied Health Professionals ◽  
Allied Health Professions ◽  
Post Test ◽  
Health Related

Each allied-health profession has their own particular expertise but also shares some commonalities. One such commonality should be knowledge of health-related physical fitness relating to the health and well-being of individuals. Although the benefits of health-related physical fitness has been well documented, few studies have examined the level of health-related physical fitness knowledge among allied-health professions. Therefore, the purpose of this investigation was to assess the health-related physical fitness knowledge of three allied-health professions using a 40 item multiple-choice test designed to assess knowledge in five domains of health-related physical fitness. Results indicated that student athletic trainers scored significantly higher on the post-test versus pre-test. On the post-test, athletic training and physical therapy groups scored significantly higher than the nursing group. The information from this study may be valuable in aiding educators in developing appropriate curriculums to better prepare students for their role as allied-health professionals.

scholarly journals Using a Delphi study approach to develop competencies for Allied Health Professionals working in Acute Medicine

2017 ◽  
Vol 16 (4) ◽  
pp. 177-184
Author(s):  
Thomas Edwards ◽  
Keyword(s):  
Health Professionals ◽  
Delphi Study ◽  
Allied Health ◽  
Occupational Therapists ◽  
National Standard ◽  
Allied Health Professionals ◽  
Diverse Range ◽  
Acute Medicine ◽  
Study Approach

A Delphi study approach was used to develop a national standard of competencies for Occupational Therapists and Physiotherapists working in acute medicine. Nineteen expert therapists participated in the Delphi study, which consisted of four rounds. A total of two hundred and seventy one competencies were developed and agreed for inclusion in a single document. This paper describes the methodology and challenges presented in developing such a diverse range of competencies.

scholarly journals Using Learning Style Preferences to Enhance the Education and Training of Allied Health Professionals

2014 ◽  
Author(s):  
Thomas Sinnerton ◽  
Laurence Leonard ◽  
Katherine Rogers
Keyword(s):  
Learning Style ◽  
Allied Health ◽  
Health Educators ◽  
Allied Health Professionals ◽  
Course Content ◽  
Allied Health Professions ◽  
Learning Style Preferences ◽  
The Many ◽  
Style Preferences ◽  
Health Programmes

Paramedics-in-training enter the service from a variety of academic backgrounds; this is similar to a pattern observed in the training of other allied health professions such as nursing. Given the diverse academic backgrounds of these students, the purpose is to investigate how an educator’s awareness of learning style preferences could help students to engage more deeply with the training material and reduce the pattern of shallow learning sometimes observed in these students because of the protocol-nature of certain aspects of the paramedic (and other allied health) courses. By encouraging paramedic trainers and allied health educators to become aware of the various tools available to assess learning style preferences, it is hoped that they would use a variety of teaching strategies when delivering their courses to encompass the many learning style preferences existing among their students. The hope is that by employing these strategies, educators can help students to study according to their learning style preferences, engage more deeply with the course content, and hence improve overall student outcomes for paramedics-in-training and all students in allied health programmes.

The support workforce within the allied health division of labour

2021 ◽  
pp. 131-150
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick
Keyword(s):  
Occupational Therapy ◽  
Health Professionals ◽  
Allied Health ◽  
Health Professions ◽  
Division Of Labour ◽  
Allied Health Professionals ◽  
Allied Health Professions

This chapter draws on the examples of occupational therapy assistants (OTAs) and podiatry assistants to examine the development and growth of the support workforce in allied health, and the considerations for the allied health professions. Allied health professionals have successfully devolved several aspects of their work to a growing support workforce, such as allied health assistants. These roles are becoming increasingly standardised in terms of training, titles, recognition and regulation. These occupations are often seen as transitional roles rather than aspiring professions in their own right, and may occupy an interdisciplinary space; however, there is evidence of growth and extended scope within these disciplines, such as the expansion of OTA roles into assistant practitioners.

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