An audit of dressing practice by occupational therapists in acute stroke settings in England
Autor: | Marion F Walker, Esme Worthington, Miriam Golding-Day, Zhaoying Li, Phillip J Whitehead |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Occupational therapy
Clinical audit 030506 rehabilitation medicine.medical_specialty integumentary system business.industry media_common.quotation_subject Audit B300 medicine.disease equipment and supplies Independence B700 03 medical and health sciences 0302 clinical medicine Occupational Therapy medicine Physical therapy 0305 other medical science business Stroke human activities 030217 neurology & neurosurgery Acute stroke media_common |
ISSN: | 0308-0226 |
Popis: | Introduction Dressing independence is commonly affected after stroke, with clinical guidelines recommending that dressing practice should routinely be provided for those with dressing difficulties. The aim of this study was to update the literature on current practice in the treatment of dressing problems in stroke rehabilitation units. Method A questionnaire survey of occupational therapists experienced in stroke care was sent to 157 stroke units in England. Results Responses were received from 70 stroke units. Frequency and duration of dressing practice varied substantially between units, with respondents typically providing dressing practice for six to 10 patients per week and spending 30 to 45 minutes per treatment session. Only 17 respondents (24.3%) stated that they regularly used standardised assessments of dressing ability. The functional approach was used more widely than the remedial approach. Service priorities, working environment and limitations of time and staffing were reported to influence dressing practice. Conclusion There is widespread variability in dressing practice. There is a lack of use of standardised dressing assessments, and therapists’ rationale for their choice of approach is unclear. |
Databáze: | OpenAIRE |
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