Occupation

Abstracts
Posters
M.G.M. (2008). Community Occupational Therapy for older
patients with dementia and their care givers: cost effectiveness
study. British Medical Journal, 336, p134–138.
Graff, M.J.L., Vernooij-Dassen, M.J.M., Thijssen, M., Dekker, J.,
Hoefnagels, W.H.L & OldeRikkert, M.G.M. (2006). Community
based occupational therapy for patients with dementia and their
care givers: Randomised controlled trial. British Medical Journal,
333, p1196–1201.
Hynes, S.M., Field, B., Ledgerd, R., Swinson, T., Wenborn,J., Di
Bona, L., Moniz-Cook, E. & Orrell, M. (2015). Exploring the need
for a new UK occupational therapy intervention for people with
dementia and family carers: Community Occupational Therapy
in Dementia (COTiD). A focus group study. Aging and Mental
Health. DOI: 10.1080/13607863.2015.1037243
Keywords
Dementia, Research, Practice – present and future, NHS
Contact E-mail Addresses
l.dibona@sheffield.ac.uk
Author Biographies
Laura Di Bona: I am an occupational therapist currently
researching psychosocial interventions for people with dementia.
I am employed by the University of Sheffield to work on the
Valuing Active Life in Dementia occupational therapy research
programme. The main focus of my work is around training and
supervising occupational therapists to deliver an intervention.
Prior to this I worked clinically with a variety of service user
groups, mostly in mental health. I combined my work with
involvement in research, audit and evaluation activities. I also
completed an NIHR funded MSc in clinical research.
Jane Burgess: I am an occupational therapist clinical researcher
employed by North East London Foundation Trust to work
on the Valuing Active Life in Dementia occupational therapy
research programme. The main focus of my work is around
ensuring the quality of Community Occupational Therapy in
Dementia – UK intervention delivery. I deliver the intervention to
people with dementia and their carers and train and supervise
other occupational therapists to do the same.
Prior to this I worked clinically in dementia care as a Clincial Lead
of a Memory Service.
Trauma and Orthopaedics Annual Conference
Session 76.1
Preadmission education for elective hip and knee
arthroplasty patients. Are groups better?
Bennett J, Homerton University Hospital NHS Trust
Introduction: This study compared two different formats of
preadmission education for patients undergoing elective hip
or knee arthroplasty. The effects of a group education format
were compared with results of individual education sessions for
patients. The variables investigated were anxiety, function and
mobility which were measured preoperatively, postoperatively
during the inpatient stage, and in the community 6 weeks post
discharge. Length of hospital stay was also used as an outcome
measure.
Methods: A quasi-experimental design was utilised to compare
an intervention cohort of patients who attended a single
two hour group session conducted by an OT, a PT and an
orthopaedic nurse practitioner with a control cohort who
attended an individual thirty minute session provided by an
orthopaedic nurse practitioner and either an OT or a PT. The
preadmission education sessions were carried out between 1–3
weeks prior to surgery.
Results: Results showed that patients in the intervention cohort
were significantly less anxious than those in the control cohort
at the inpatient stage. No further statistically significant results
were found. The study results support the use of groups due
to the potential psychological benefits for the patient at the
inpatient stage.
Implications: This study is further evidence that educating
patients prior to surgery is a strategy which can limit negative
factors associated with this procedure (Walter, Bass, Bock
& Merkel 2006). As a result of the study findings, we have
introduced preadmission education groups for all elective
arthroplasty patients. As a development for the future we aim
to involve ‘expert patients’ into these groups. Further studies
that focus on the effect of a group preadmission education
session on other patient outcomes and cost implications
is recommended. Additionally, research of a qualitative
nature seeking to explore patients’ perspectives on different
preadmission methods would help to guide service provision.
References
Walter, F., Bass, N., Bock, G. & Markel, D. (2006) Success of
Clinical Pathways for Total Joint Arthroplasty in a Community
Hospital. Clinical Orthopaedics and Related Research, 457, pp.
133–137
Keywords
Adult physical health, Service improvement or transformation,
Innovative practice, NHS
Contact E-mail Addresses
joanna.bennett@homerton.nhs.uk
Author Biographies
Jo Bennett, Occupational Therapist, Homerton University
Hospital NHS Trust, London
Session 76.2
Does an early home visit improve outcomes for hip
fracture patients with dementia?
Bennett J, Homerton University Hospital NHS Trust
Introduction: Early discharge planning is a key component
of reducing length of hospital stay (LOS) for patients with
dementia. The risks of increased LOS to dementia patients
include hospital acquired infections respiratory complications
decline in function/cognition higher mortality rate decreased
likelihood of discharge to previous residence increased
institutionalisation. Patients with dementia stay in hospital for
an average 5–7 days longer than patients without dementia
(Alzheimer’s Society 2009). Locally, patients with dementia who
did not progress with inpatient rehabilitation were previously
not considered suitable for a home visit due to limited functional
ability on the ward. We hypothesised that these patients may
manage better in their familiar environment, and therefore
conducting an early OT home visit could enable them to return
home reduce LOS and improve patient outcomes.
Methods: 6 case studies were carried out over a 6-month period
on 2 wards in an acute hospital. Patients were included in the
study if they were admitted with a fractured neck of femur
(#NOF) had a diagnosis of dementia were not progressing with
rehabilitation and were medically stable.
Results: Five of the six patients had significantly improved
function within the home environment which enabled the team
to plan an early supported discharge home.
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