PMID: 8585599Nov 1, 1995Paper

Issuing assistive devices to older patients in rehabilitation: an exploratory study

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
L N Gitlin, D Burgh

Abstract

Occupational therapists play a critical role in determining which assistive devices are provided to older adults and when and how instruction occurs during rehabilitation. This exploratory qualitative study used focus group methodology and Fleming's concept of the therapist with a three-track mind to examine how occupational therapists describe the process of issuing assistive devices to elderly persons in rehabilitation. We identified six interrelated steps involved in issuing an assistive device to an older person with a cerebrovascular accident. These steps were the selection of a device, an activity, a site for instruction, a method of instruction, the time to introduce a device during hospitalization, and reinforcement of its use. Therapists used procedural, interactive, and conditional reasoning to make decisions within each step and individualize device training. The findings from this study underscore the complex series of decisions and skilled clinical judgments involved in issuing assistive devices to older persons. Additionally, the study shows that focus group methodology is a valuable approach by which to identify how therapists reason about specific therapeutic practices.

Citations

Sep 11, 2004·Assistive Technology : the Official Journal of RESNA·James A Lenker, Victor L Paquet
May 20, 1998·Clinical Rheumatology·M A van Kuyk-Minis
Feb 19, 2014·PM & R : the Journal of Injury, Function, and Rehabilitation·Prasath JayakaranKenneth Gilhooly
Nov 3, 2010·Archives of Gerontology and Geriatrics·Yu-Tien ChengChun Pei
Mar 24, 2006·Journal of Advanced Nursing·Marc RoelandsVeerle Stevens
Jan 11, 2005·Archives of Physical Medicine and Rehabilitation·Hamid Bateni, Brian E Maki
Jan 1, 1996·Scandinavian Journal of Occupational Therapy·Maare Tamm
May 19, 2004·Scandinavian Journal of Caring Sciences·Louise NygårdSusanne Hydling
Jul 10, 2018·American Journal of Physical Medicine & Rehabilitation·Sandra L WinklerHua Feng
May 24, 2019·Disability and Rehabilitation·Marie-Céline Lorenzini, Walter Wittich
Jan 10, 2016·Disability and Rehabilitation. Assistive Technology·Walter Wittich, Christina Nadon
Apr 4, 2021·International Journal of Environmental Research and Public Health·Jun SuzurikawaTomoko Kondo

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