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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.
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.
Two 20 bed orthopedic acute care hospitals.
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.
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.
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.
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.
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