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Occupational Therapy Tertiary Prevention: Occupational Capstone Project

Benefits

This research will result in improved patient outcomes, which will benefit the patients, skilled nursing facilities, occupational therapists and other stakeholders.

Goals

This project will focus on ways to determine when occupational therapy would be helpful for patients and when it would not likely be of benefit.

SMART Process Objectives

This research will result in a deliverable that will present the results of the data obtained during the research study. This document will present the literature review, data and analysis from the research study. This research will provide a data breakdown as to the conditions and initial assessment categories of the patients. It will evaluate the effectiveness of occupational therapy for each of these patient categories.

Deliverables

The key deliverable for this project will be the final report detailing the conduct, data, and results of the study.

Success Criteria

The project will be a success if differences are found that are predictive of the outcome of occupational therapy in skilled nursing facility patients.

Strategic Plan

Description

Completion Date

Design Study and find all study instruments

March 1, 2011

Conduct Literature Review

July 1, 2011

Contact Skilled Nursing Facilities, Obtain Permissions and Make Arrangements

August 1, 2011

Conduct Baselines

September 1, 2011

Conduct Second Set of Measurements

December 1, 2011

Conduct Third Set of Measurements

March 1, 2011

Conduct Fourth Set of Measurements

August 1, 2011

Data Analysis

October 1, 2011

Final Report Writing and Editing

December 31, 2011

Presentation of Final Report

January 1, 2012

Risk Management/Support Strategies

The key risk in this study is the inability to assess certain patients due to their physical condition. For instance, they might not be able to talk, or to physically respond to the...

In these cases, the nurses will be enlisted to help complete the assessment. Another risk is that the sample population might change between the beginning and the end of the study. The final study will be assessed according to the number of patients who actually complete the study.
References

Chin, T., Duncan, J., & Johnstone, B. (2005). Management of the upper limb in cerebral palsy. Journal of Pediatric Orthopaedics B. 14(6):389-404.

Hsieh, C., Putnam, K., & Nichols, D. et al. (2010). Physical and Occupational Therapy in Inpatient Stroke Rehabilitation: The Contribution of Therapy Extenders. American Journal of Physical Medicine & Rehabilitation. 89(11):887-898.

Johnston, K., Barras, S., & Grimmer-Somers et al. (2010). Relationship between pre-discharge occupational therapy home assessment and prevalence of post-discharge falls. Journal of Evaluation in Clinical Practice. 16(6):1333-1339.

Sackley, C., van den Berg, & Lett, K. (2009). Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomised controlled trial. BMJ. 339:b3123.

Sackley, C., Wade, D., & Mant, D. (2006). Cluster Randomized Pilot Controlled Trial of an Occupational Therapy Intervention for Residents With Stroke in UK Care Homes. Stroke. 37(9):2336-2341.

Vincent, H. & Vincent, K. (2008). Functional and Economic Outcomes of Cardiopulmonary Patients: A Preliminary Comparison of the Inpatient Rehabilitation and Skilled Nursing Facility Environments. American Journal of Physical Medicine & Rehabilitation. 87(5):371-380.

Appendices

At the current time, the surveys and instruments that will be used in the final assessment have not be created or obtained. It is expected that the following research instruments will be obtained or created for conduct of the research study.

1. functional independence measure [FIM]

2. Physical Capabilities Assessment

3. Daily Living Skills Assessment

4. Emotional Wellbeing Scale

5. Assessment of opinions of overall satisfaction with occupational therapy.

Sources used in this document:
References

Chin, T., Duncan, J., & Johnstone, B. (2005). Management of the upper limb in cerebral palsy. Journal of Pediatric Orthopaedics B. 14(6):389-404.

Hsieh, C., Putnam, K., & Nichols, D. et al. (2010). Physical and Occupational Therapy in Inpatient Stroke Rehabilitation: The Contribution of Therapy Extenders. American Journal of Physical Medicine & Rehabilitation. 89(11):887-898.

Johnston, K., Barras, S., & Grimmer-Somers et al. (2010). Relationship between pre-discharge occupational therapy home assessment and prevalence of post-discharge falls. Journal of Evaluation in Clinical Practice. 16(6):1333-1339.

Sackley, C., van den Berg, & Lett, K. (2009). Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomised controlled trial. BMJ. 339:b3123.
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