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dc.contributor.authorRahja, Miia
dc.contributor.authorComans, Tracy
dc.contributor.authorClemson, Lindy
dc.contributor.authorCrotty, Maria
dc.contributor.authorLaver, Kate
dc.date.accessioned2019-05-29T12:46:18Z
dc.date.available2019-05-29T12:46:18Z
dc.date.issued2018
dc.identifier.issn0045-0766
dc.identifier.doi10.1111/1440-1630.12514
dc.identifier.urihttp://hdl.handle.net/10072/382919
dc.description.abstractBackground/aim: Randomised trials have demonstrated that occupational therapy can delay functional decline, improve quality of life and increase leisure participation in people with dementia. However, surveys conducted with occupational therapists suggest that clinical practice does not reflect the type of intervention shown to be effective in research studies. Case note audits can be used to quantify practice and demonstrate how and where provision of care could improve without the potential bias associated with self‐report. Method: A total of 87 occupational therapy case notes were audited from different service contexts in two states in Australia. The case notes were reviewed against criteria including duration of service, assessments conducted and interventions used. Descriptive statistics were used to present the data and examine associations between intervention, age of the person with dementia and whether or not the person lived alone. Results: Services tended to be short‐term with an average of 2.1 consultations per referral. The most common assessments related to home safety, falls risk and function. Intervention most commonly focussed on referrals to other services, environmental modification advice and assistive device prescription. Conclusion: This audit reveals that current occupational therapy practice for people with dementia focusses on assessment and management of risk and is usually limited to a couple of consultations. Future work should seek to evaluate if such approaches to care are effective for people with dementia.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofpagefrom565
dc.relation.ispartofpageto574
dc.relation.ispartofissue6
dc.relation.ispartofjournalAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL
dc.relation.ispartofvolume65
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleAre there missed opportunities for occupational therapy for people with dementia? An audit of practice in Australia
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorComans, Tracy


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