Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views

Whitehead, Phillip J. and Fellows, Karen Rachael and Sprigg, Nikola and Walker, Marion F. and Drummond, Avril E.R. (2014) Who should have a pre–discharge home assessment visit after a stroke? A qualitative study of occupational therapists' views. British Journal of Occupational Therapy, 77 (8). pp. 384-391. ISSN 1477-6006

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Abstract

Introduction:

The number of patients who have a pre-discharge home assessment visit following a stroke has been reported to vary nationally. The purpose of this research was to explore the factors influencing occupational therapists' decisions to complete such visits.

Method:

Semi-structured interviews were completed with 20 senior occupational therapists working with stroke in-patients, from a range of urban and rural locations in the United Kingdom. The interviews explored their views about those patients for whom a pre-discharge home assessment visit would and would not be required. The interviews were analysed using thematic analysis.

Findings:

Three themes were identified: the patient's level of physical, cognitive, or perceptual impairment and its impact on performance in activities of daily living; factors relating to the patient's home environment, including the availability of support within the home environment; and other influences on occupational therapists. The presence of a cognitive impairment was a particularly important factor.

Conclusions:

Occupational therapists balanced aspects from each of these themes in order to determine whether a visit was needed or not. Although the level of impairment was important, the most dependent patients were not necessarily those believed to be the most likely to need a visit.

Item Type: Article
Keywords: Pre-discharge home assessment visits, stroke rehabilitation
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Rehabilitation and Ageing
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Health Sciences
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine
Identification Number: 10.4276/030802214X14071472109752
Depositing User: Dziunka, Patricia
Date Deposited: 05 Jul 2017 10:20
Last Modified: 07 Jul 2017 17:03
URI: http://eprints.nottingham.ac.uk/id/eprint/43785

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