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Article type: Research Article
Authors: Burgess, Gilliana; b; * | Jensen, Lou E.b; c
Affiliations: [a] University of California, San Francisco, Medical Center, San Francisco, CA, USA | [b] School of Pharmacy and Health Professions, Creighton University, Omaha, NE, USA | [c] Department of Occupational Therapy, Creighton University, Omaha, NE, USA
Correspondence: [*] Address for correspondence: Gillian Burgess, 2500 California Plaza, Omaha, NE 68178, USA. Tel.: +1 478 227 3896; E-mail: [email protected].
Abstract: The number of adults diagnosed with brain tumors is increasing, as are the survival rates. Neurological impairments from brain tumors can impact activity and participation. Adults with brain tumors benefit from post-acute rehabilitation. However, there is limited evidence from the acute care setting. The purpose of this study was to examine how acute care occupational therapy services were utilized and whether patients made functional gains after receiving occupational therapy services. A retrospective chart review of 153 electronic medical records was completed for patients who received occupational therapy services at a large teaching hospital. Data collected included number of occupational therapy visits, the types of interventions, and patient performance using the Boston University Activity Measure for Post-Acute Care “6 Clicks for Daily Activity” short form (AM-PAC). More than half the patients received one occupational therapy visit (54.2%) with a median length of stay of three days. Most interventions focused on activities of daily living (ADLs). Of those patients who received more than one visit, 67% showed improvements in their AM-PAC scores. Occupational therapy practitioners provided interventions that addressed ADLs, and patients demonstrated gains in functional performance. These findings suggest that patients benefit from occupational therapy services provided in the acute care setting.
Keywords: Neurorehabilitation, occupational therapy, oncology, rehabilitation
DOI: 10.3233/NRE-192799
Journal: NeuroRehabilitation, vol. 45, no. 2, pp. 151-161, 2019
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