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

Whitehead, Phillip, Fellows, Karen, Sprigg, Nikola, Walker, Marion and Drummond, Avril (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 0308-0226

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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
Uncontrolled Keywords:	Pre-discharge home assessment visits, stroke rehabilitation
Subjects:	B900 Others in Subjects allied to Medicine L500 Social Work
Department:	Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User:	Becky Skoyles
Date Deposited:	20 Mar 2018 14:41
Last Modified:	11 Oct 2019 21:30
URI:	http://nrl.northumbria.ac.uk/id/eprint/33809

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