A profile of hospice-at-home physiotherapy for community-dwelling palliative care patients
| Autor: | Kathy Nugent, Shirley Real, Sinead Slattery, Sinead Cobbe, Margaret Lynch |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Clinical audit medicine.medical_specialty Palliative care Activities of daily living Referral Audit Physical function Activities of Daily Living Humans Medicine Referral and Consultation Physical Therapy Modalities Aged Retrospective Studies Aged 80 and over Advanced and Specialized Nursing Clinical Audit business.industry Palliative Care Hospices Infant Retrospective cohort study Middle Aged Home Care Services Family medicine Needs assessment Physical therapy Female business Ireland Needs Assessment |
| Zdroj: | International Journal of Palliative Nursing. 19:39-45 |
| ISSN: | 2052-286X 1357-6321 |
| DOI: | 10.12968/ijpn.2013.19.1.39 |
| Popis: | Aim: To profile a specialised palliative care physiotherapy service to community-dwelling patients. Design: Retrospective audit. Setting: Milford Care Centre, Limerick, Ireland. Participants: Patients referred to hospice-at-home physiotherapy during September 2010–February 2011. Outcome measure: Edmonton Functional Assessment Tool (EFAT-2). Results: 165 patients were referred, of whom 90% had cancer. Nurses referred 120 (73%). Referrals appeared to be increased by the presence of physiotherapists in the nursing bases. No asssessment was conducted for 55 referrals (33%), mainly owing to clinical deterioration. The remaining 110 patients were assessed, with 47 (43%) being contacted within 2 days of referral (mean 4 days, standard deviation 4.2, range 0–21 days). Physical function ranged from 0–18 (median 7, mode 4) on the EFAT-2 scale. The most commonly used treatments were exercises and advice/education. Conclusion: Referrals to the at-home physiotherapy service are heavily dependent on nurses and their understanding of the physiotherapy role. Patients tended to be relatively high functioning and tolerated numerous interventions. |
| Databáze: | OpenAIRE |
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