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.
