Occupational Therapy Goals during Acute Discharge for Older Adults
| Field | Value | Language |
| dc.contributor.author | Waller, Paige | |
| dc.date.accessioned | 2016-01-11 | |
| dc.date.available | 2016-01-11 | |
| dc.date.issued | 2016-01-11 | |
| dc.identifier.uri | http://hdl.handle.net/2123/14208 | |
| dc.description | Background: As the population ages, the number of older adults admitted to hospital can be expected to increase. Efficient and safe discharge planning, including goal setting, needs to be achieved to effectively manage this. Aim: To describe the characteristics and nature of occupational therapy goals set by older adults during and immediately following discharge from an acute hospital. Exploration of the characteristics and nature of goals and associations with specific characteristics of the sample can identify the needs of the older adult population during discharge. Methods: A parallel mixed-methods study design was conducted using secondary analysis of data from a randomised trial. Content analysis was used to identify key themes and categories within the goals. Descriptive statistics were used to describe characteristics of the participants. Chi-square was used to determine associations between participant characteristics and goal themes. Results: From a random sample of 50 participant files, 414 goals were identified. Two key themes, (a) ‘desire to get back to doing’, and (b) ‘engaging in doing’ emerged from the goals. Four sub-themes were identified describing the ‘what’, ‘how’, ‘who’ and ‘where’ components of goals. Instrumental activities of living goals were identified most frequently. An association was found between type of goals and living arrangement, participation, comorbidities and functional independence. Conclusion: Older adults set goals based on their desire or want to engage in occupations. The high frequency of instrumental activities of daily living goals needs to be considered in delivering health services to effectively meet the needs of older people during discharge from acute and medical wards. | en_AU |
| dc.description.abstract | This thesis investigates the characteristics and nature of occupational therapy goals during acute discharge for older adults. The thesis is presented in two chapters: 1. Literature review 2. Journal manuscript The literature review chapter presented first provides a background of older adults and their experiences with acute hospitalisation. The literature describes the role of goal setting during discharge from acute and rehabilitation settings. The review examines existing research on the types of goals set by clients of various ages within a range of clinical settings. From this review it was identified that there is limited research into the characteristics and nature of occupational therapy goals for older adults during discharge from acute hospitalisation. The findings from the literature review were used to inform the design and completion of a parallel mixed methods study to identify the themes and categories of occupational goals and determine if there is an association between the goals and participant characteristics. The mixed methods study is presented as a journal manuscript in the second chapter of this thesis. The manuscript describes the methods, the results and implications of this research. | en_AU |
| dc.language.iso | en_AU | en_AU |
| dc.subject | Aged | en_AU |
| dc.subject | aged 80 and over | en_AU |
| dc.subject | patient discharge | en_AU |
| dc.title | Occupational Therapy Goals during Acute Discharge for Older Adults | en_AU |
| dc.type | Thesis | en_AU |
| dc.contributor.department | Discipline of Occupational Therapy | en_AU |
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