An audit of dressing practice by occupational therapists in acute stroke settings in England

Worthington, Esme J., Whitehead, Phillip, Li, Zhaoying, Golding-Day, Miriam and Walker, Marion F. (2020) An audit of dressing practice by occupational therapists in acute stroke settings in England. British Journal of Occupational Therapy. ISSN 0308-0226 (In Press)

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Official URL: https://doi.org/10.1177/0308022620926103

Abstract

Introduction
Dressing independence is commonly affected after stroke, with clinical guidelines recommending that dressing practice should routinely be provided for those with dressing difficulties. The aim of this study was to update the literature on current practice in the treatment of dressing problems in stroke rehabilitation units.

Method
A questionnaire survey of occupational therapists experienced in stroke care was sent to 157 stroke units in England.

Results
Responses were received from 70 stroke units. Frequency and duration of dressing practice varied substantially between units, with respondents typically providing dressing practice for six to 10 patients per week and spending 30 to 45 minutes per treatment session. Only 17 respondents (24.3%) stated that they regularly used standardised assessments of dressing ability. The functional approach was used more widely than the remedial approach. Service priorities, working environment and limitations of time and staffing were reported to influence dressing practice.

Conclusion
There is widespread variability in dressing practice. There is a lack of use of standardised dressing assessments, and therapists’ rationale for their choice of approach is unclear.

Item Type: Article
Uncontrolled Keywords: Stroke, dressing practice, clinical audit, occupational therapy
Subjects: B300 Complementary Medicine
B700 Nursing
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Elena Carlaw
Date Deposited: 30 Apr 2020 09:21
Last Modified: 20 Aug 2020 12:30
URI: http://nrl.northumbria.ac.uk/id/eprint/42976

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