Boca Raton, FL: CRC Press. -Occupational therapist working in rehabilitation, I was able to stop a discharge today. Diagnoses; Evaluation . High numbers of participants identified the opportunity to assess patients within their own, familiar environment as a benefit of DPHV, for example, one participant stated “you see the patient in their own physical environment. Drummond, A.E.R., Whitehead, P., Fellows, E.C. Of interest, many participants believed having additional time to complete visits would afford a more thorough assessment and allow the patient to adjust to being in their home. Barras, S., Grimmer-Sommers, K. and May, E. (2010), “Consensus on core/essential and ideal world criteria of a pre-discharge occupational therapy home assessment”, Journal of Evaluation in Clinical Practice, Vol. The tool measures critical factors known to contribute to failed discharges. (2011) in which a screening tool was developed to identify patients who would require a home visit prior to discharge. These results would be in line with the findings from this study, however the participants in this study required substantially less time to prepare for a visit with 88 per cent of the participants requiring less than 45 min. It is concerning that many participants expressed concerns regarding exposure to potentially aggressive/dangerous situations or persons, “risk of unknown social factors, e.g. Occupational therapists play an integral role in the discharge planning process and determining whether a patient can safely return to their home environment (Lockwood et al., 2015). There appears to be a consensus on some areas of clinical practice during visits; however, this requires further investigation and standardisation. This study aimed to establish a consensus on “core/essential” criteria and “ideal word” criteria for assessment during a pre discharge home visit. A pioneering study by Barras et al. 2, pp. therapy’s role in hospital readmissions, discharge planning and the impact that occupational therapy has on quality of health measures throughout the continuum of care. Dad was so independent before. Renforth, P., Yapa, R.S. This article is published under the Creative Commons Attribution (CC BY 4.0) licence. and Mc Clure, P. (2019), "An exploratory study of discharge planning home visits within an Irish context – investigating nationwide practice and nationwide perspectives", Irish Journal of Occupational Therapy, Vol. 3, pp. Search. However, there is a dearth of evidence to support or refute their efficacy and limited policies or standards to guide clinical practice. 74 No. ADLs are critically important for occupational therapy practitioners to consider in evaluation, intervention, and discharge planning. Atwal, A., McIntyre, A., Craik, C. and Hunt, J. It helps me in talking with clients (patients post-stroke). 52-58. 4, pp. This study identified seven areas to consider when assessing the need for a DPHV – mobility, ADLs, social supports, readiness for discharge, environmental barriers, patient knowledge and medical conditions. To provide occupational therapists with the necessary tools to ensure quality service provision and promote a seamless discharge plan for patients, there is a clear need for the development of standards of practice in this area. Descriptive statistics were gathered in the form of summary statistics to summarise and synopsise the answers to the survey, central tendency statistics such as mean, median and standard deviation were captured to summarise a large quantity of data. Research suggests that DPHVs are costly and high-risk interventions (Rousseau et al., 2013). The researcher aimed to have a user friendly and accessible format that would encourage completion of same. A prolonged hospital admission was also identified as a reason to complete a DPHV. [The] nurse practitioner supported additional days for education. Thank you for your interest in the DPAT. 7 No. A study by Lannin, Clemson and McCluskey in 2011, which consisted of a survey of current pre discharge home visiting practices of Occupational Therapists in Australia, also noted inconsistencies in practice. 77 No. Twelve partcipants reported taking less than 15 min and two participants report their home visit preparation takes 1 h+ to complete. If the patient has a sudden change in function or health, the hospital may refer to Occupational Therapy. (2008) acknowledged that DPHVs are historically accepted in OT practice, however this study highlights the need for further research by occupational therapists to develop an evidence base to support their practice and justify both the high costs and use of clinical time. Therapy Course: The patient attended scheduled therapy daily for either one hour or for two 30-minute sessions and came in extra time to work on his activity program. 55 No. Profiting from Consensus Methods in Occupational Therapy: Using a Delphi Study to Achieve Consensus on Multiprofessional Discharge Planning: British Journal of Occupational Therapy Vol 66(2) Feb 2003, 65-70. The caregiver really responded to being part of the planning. 9 No. There are a number of reasons why being relentless around your discharge planning is important. All data was inputted into the SPHINX programme by the researcher and quantitative data analysis was performed utilising the SPHINX statistical analysis package. 9, pp. OECD (2012), “Good practices in survey design step-by-step”, in Measuring Regulatory Performance: A Practitioner’s Guide to Perception Surveys, OECD Publishing, Paris, available at: http://dx.doi.org/10.1787/9789264167179-6-en. The researcher aimed to achieve saliency with the questions so they would be relevant, important and of interest to the participants (OECD, 2012). (2014) found the average cost to be £183. It was clear that the time spent on documentation is an issue for participants as several suggested ways to reduce this, such as “Secretarial back up to complete reports or help organise visits.” Collaboration with community services and MDT members was cited as a way to improve practice, “involve the community occupational therapist early as well as public health nurses and other community base teams to minimise the revolving door type patients and maximise sustainability of home discharges” (Table VI). As part of discharge planning occupational therapists set goals, which are used to guide the therapy. Published in Irish Journal of Occupational Therapy. An audit of occupational therapy practice in oncology and palliative care, Feasibility and results of a randomised pilot study of pre discharge occupational therapy home visits, Survey of current pre- discharge home visiting practices of occupational therapists, Pre-discharge home assessment visits in assisting patient’s return to community living: a systematic review and meta analysis, Design and use of questionnaires: a review of best practice applicable to surveys of health service staff and patients. This study reported 80 per cent of participants were in agreement regarding core/essential assessment criteria, and suggested that a general consensus regarding best practice may be achievable. Method . 31 No. Burns, K.E.A., Duffett, M., Kho, M.E., O’Meade, M., Adhilari, N.K., Sinuff, T. and Cook, D.J. Definitions. Basic Rehab Admission Criteria Be able to tolerate 3 hours of therapy daily of 2 or 3 therapies; Occupational (ot) Physical (pt) or Speech (st) Therapies • Have a discharge plan to the community. These requirements apply to both electronic and written forms of documentation. 79 No. Only 3.00 per cent of participants take less than 30 min to write reports; 41.00 per cent of participants reported they take between 1 h and 1 h 30 min+ to complete reports. The questions in the survey were grouped into pre visit, during visit and post visit in order for same to flow and follow the pathway of an Occupational Therapist completing the full process of a DPHV. (2008) found that home visit preparation time ranged from 31-80 min. A DPHV affords the occupational therapist the opportunity to assess a patient’s occupational performance within their home environment (Lannin et al., 2007) which has the potential to provide unique functional information that can assist health-care teams to make appropriate discharge plans. Several studies have highlighted the importance of adequate and thorough preparation for home visits (Boronowski et al., 2012 and Sampson et al., 2014). -Daughter responsible for father discharging from rehabilitation, Page last updated 10:47 AM, July 10, 2020, DentonMCL Building 810P.O. There is also a dearth of formal guidelines or policies to inform clinical practice and clinical judgement during these potentially high-risk assessments. (2014), “Factors influencing occupational therapy home visit practice: a qualitative study”, Scandinavian Journal of Occupational Therapy, Vol. Of note, 44.00 per cent (53 participants) completed 2-5 visits per month, while 8.00 per cent (10 participants) completed 5-9 visits. 4, pp. Following a thorough literature review for this study, it was found that there has not been a study to date that has investigated or commented on the risk factors to occupational therapists during DPHV. Discharge home was reported by the vast majority of participants as an indication of a successful DPHV, with many participants citing the importance of a “sustainable” and “safe” discharge. The codes were analysed and divided into sub themes which were them categorised under super ordinate themes for each qualitative question. Many Occupational Therapists reported that standardised guidelines or protocols would afford consistency in practice during visits, “standardise guidelines/criteria to enhance clinical reasoning and minimise unnecessary “just in-case home visits”. Several extract examples were selected as these provided nuanced representation of the data (Vasimoradi et al., 2013). This paper examines the moral basis of discharge planning, relating it to the four fundamental bio‐ethical principles of respect for autonomy, beneficence, non‐maleficence and justice. Box 425648Denton, TX 76204-5648(940) 898-2801 phone(940) 898-2806 faxot@twu.edu, DallasIHSD 85005500 Southwestern MedicalDallas, TX 75235(214) 689-7750 phone(214) 689-7753 faxot@twu.edu, HoustonIHSH 70266700 Fannin StreetHouston, TX 77030(713) 794-2128 phone(713) 794-2122 faxot@twu.edu, Doctor of Occupational Therapy (Entry-Level), Doctor of Occupational Therapy (Post-Professional), Doctor of Philosophy in Occupational Therapy, Discharge Planning Assessment Tool (DPAT). Compliance levels for areas of clinical assessment, List of themes regarding the benefits of completing DPHVs, List of themes regarding the risks of completing DPHVs, List of themes regarding the criteria for a patient who requires a DPHV, List of themes regarding hoe DPHV practice can be improved, List of themes regarding what makes a DPHV successful. It also identified the necessity for best practice guidelines to be established, to ensure that patient’s safety and independence on discharge are not compromised. 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