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

Whitehead, Phillip J.; Fellows, Karen Rachael; Sprigg, Nikola; Walker, Marion F.; Drummond, Avril E.R.

Authors

Phillip J. Whitehead

Karen Rachael Fellows

Nikola Sprigg Nikola.Sprigg@nottingham.ac.uk

Avril E.R. Drummond Avril.Drummond@nottingham.ac.uk



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.

Journal Article Type Article
Publication Date Aug 15, 2014
Journal British Journal of Occupational Therapy
Print ISSN 0308-0226
Electronic ISSN 1477-6006
Publisher SAGE Publications (UK and US)
Peer Reviewed Peer Reviewed
Volume 77
Issue 8
APA6 Citation Whitehead, P. J., Fellows, K. R., Sprigg, N., Walker, M. F., & Drummond, A. E. (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), doi:10.4276/030802214X14071472109752
DOI https://doi.org/10.4276/030802214X14071472109752
Keywords Pre-discharge home assessment visits, stroke rehabilitation
Publisher URL http://journals.sagepub.com/doi/abs/10.4276/030802214X14071472109752
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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