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Occupational
Therapists on The Front Line: The Importance of The Occupational
Therapy Role in The Emergency and Acute Care Setting
1 Iva Ricko
1 Joy john
1 Edel Mcmanus
1 Ellen McAulife
1 Jessie Basra
¹ Royal Berkshire Hospital, reading, United Kingdom
Article received: 30.08.2021.
Article accepted: 30.11.2021.
Author for correspondence:
Iva Ricko
Royal berkshire Hospital
London road, reading, rg15An, United Kingdom e-mail: iva.ricko@royalberkshire.nhs.uk
Keywords: occupational therapy, emergency department, audit, admission avoidance
Abstract
Introduction. There
is a growing focus on the need for an increased number of allied health
profession- als to reduce the pressure on acute hospitals through
admission avoidance. There is little in the way of guidelines on how
services should be delivered and a lack of evidence base demonstrating
effectiveness.
Methods. An
audit has been carried out by the occupational therapy team in the
emergency department to capture the total number of referrals to the
occupational therapy service in the emergency department at royal
berkshire Hospital and to capture discharge decisions made following
occupational therapy input.
Results. The
occupational therapy team in the emer- gency department focuses
particularly on admission avoidance using a home first approach to
prevent patients from being admitted to acute wards. The results showed
that the service was beneficial regarding both the number of referrals
and the utilisation of various discharge destinations from the
emergency department.
Conclusion. The
report has identified several areas for further research by the same
team and implications for the wider literature base. The hope is that
this report would highlight the role of occupational therapists working
in the emergency department at royal berkshire Hospital and encourage
the completion of further research in this area of practice.