An Exploration into Occupation-Centered Practice in Skilled Nursing Facilities. (2nd January 2016)

• Record Type: Journal Article
• Authors: Jewell, Vanessa D.; Pickens, Noralyn D.; Hersch, Gayle; Jensen, Gail
• Is Part Of: Physical & occupational therapy in geriatrics. Volume 34:Number 1(2016)
• Page Start: 43
• Page End: 56
• Publication Date: 2016-01-02
• Subjects: Occupational therapy -- occupation-based -- geriatric rehabilitation -- occupation-centered intervention assessment; Physical therapy for older people -- Periodicals; Occupational therapy for older people -- Periodicals; Older people -- Rehabilitation -- Periodicals; 615.820846
• DOI: 10.3109/02703181.2015.1114062
• Languages: English
• ISSNs: 0270-3181

Abstract

ABSTRACT: Aims: The aims of this pilot study were to identify occupational therapy interventions provided to short-term rehabilitation clients at skilled nursing facilities and to determine if therapists engaged clients in interventions with an occupation-centered approach. Methods: This study utilized a prospective mixed methods design with in-depth observations of two occupational therapists and three clients. Field notes, schematic drawings, and the Occupation-Centered Intervention Assessment documented and captured 57 interventions. Results: Provision of interventions occurred primarily in the clinic (36/57), with exercise and rote practice as the most common intervention approach (26/57), and interventions that utilized occupation were rated higher on the OCIA indicating a more occupation-centered approach. Conclusions: More than half of the interventions did not involve the use or focus on occupation, indicating a gap between theoretical frameworks and interventions taught in professional school and what actually occurs in practice.