1 Key: GREEN Where occupational therapy can make a difference Causes

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Presentation transcript:

1 Key: GREEN Where occupational therapy can make a difference Causes ENVIRONMENT PERSON LOCAL COMMUNITY IT Communications across organisations are not compatible Care and support for personal care only Social isolation WELLBEIING Fear of falling Social isolation Loss of valued occupations (activities) FITNESS Loss of function Stiffness, pain, declining mobility HOSPITAL Assessment of need made in hospital Discharged – no plan between services to review need once home HOME Hazards Hinders independence FRED Identified as high risk of a fall and unplanned presentation/ admission in to hospital AGE HEALTH Comorbidities Previous fall resulted in brief admission to hospital PARTICIPATION Not able to engage in valued activities (stiffness / pain, environment does not support independence Less active (poor mobility, fear of falling) VALUE Occupations supported are systems generated Lack of valued activities Not able to access local facilities RISK Focus on safety not value of activity History of falls PERFORMANCE Loss of confidence Dependency (care package, no reablement or rehabilitation) Key: GREEN Where occupational therapy can make a difference OCCUPATIONS

2 Outcomes from occupational therapy ENVIRONMENT PERSON OUTCOMES LOCAL COMMUNITY Access Transport WELLBEING Identified with Fred what he wants and needs to be able to do Practice with Fred re-engaging in occupations Supported Fred to organise finances to pay for weekly taxi OUTCOMES FITNESS Arranged for Fred to attend a 12 week Strength and Balance class HOME Assessment and removal of homes hazards, rugs etc Advice on changes to the home to improve independence Agreed goals met Improved sense of health and wellbeing Participation in valued occupations (activities) Reduction in care package Medicines optimised HEALTH Asked GP to review Fred’s medication RISK Completed risk enablement plan AGE PARTICIPATION Assessment: identified the barriers – fear of falling, dizziness, poor balance, unsteady gait, physical barriers Review of existing care and support Advice Equipment provision and home adaptations VALUE Goals agreed to restore valued occupations e.g. local café to meet friends, making meals and refreshments Care and support reviewed RISK Agreed a risk enablement plan Liaison with GP, care agency and family PERFORMANCE Observation and analysis of engagement in occupation Practice techniques and strategies Referral to Strength and Balance Class OCCUPATIONS