This paper is only available as a PDF. To read, Please Download here.
Research Objectives
To utilize the MBI, FES, and a self-created HRS to examine functional scores of patients
at PT eval and discharge that would qualify for OT services on our established OT
screening tool for patients following joint replacements. To utilize OT screening
tool to identify appropriate OT candidates within 2 acute care orthopedic hospital
setting over a 6-week period.
Design
Process improvement study using the current standardized tool to identify patients
who would qualify for OT. Within that population, three functional screening tools
were utilized to obtain further data regarding ADL deficits, fear of falling, and
home readiness.
Setting
Two 20 bed orthopedic acute care hospitals.
Participants
71 patients were assessed at the Allentown Hospital site. 7 patients qualified for
OT based on OT screening tool. 64 patients were assessed at the Bethlehem Hospital
site. 12 patients qualified for OT based on the OT screening tool.
Interventions
Data was collected. PTs provided the Modified Barthel Index (MBI), Fall Efficacy scale
(FES) and Home Readiness Scale (HRS) at evaluation and at discharge to the patients
that qualified for OT services.
Main Outcome Measures
OT screening tool, MBI, FES, and HRS.
Results
Utilization of only PT, the scores on MBI, FES, and HRS indicated moderate dependency
on the MBI; moderate fear of falling on the FES; and scoring on the HRS ranged from
3-11 showing poor to adequate readiness for return home. Results indicated patients
that qualified would benefit from OT to address the functional deficits in the areas
of ADL, IADL, and functional household mobility.
Conclusions
Scores on MBI, FES, and HRS still indicated moderate dependency on the MBI; moderate
fear of falling on the FES; and scoring on the HRS ranged from 3-11 which indicated
poor to adequate readiness for return home. The results indicated the patients that
qualified would benefit from OT to address the functional deficits in the areas of
ADL, IADL, and functional mobility. This study helps to advocate for the benefit of
OT to address the functional deficits.
Author(s) Disclosures
No.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Archives of Physical Medicine and RehabilitationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Article info
Identification
Copyright
© 2022 Published by Elsevier Inc.
