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Pre-discharge home visits with older people: time to review practice
- Authors:
- MOUNTAIN Gail, PIGHILLS Alison
- Journal article citation:
- Health and Social Care in the Community, 11(2), March 2003, pp.146-154.
- Publisher:
- Wiley
Uses available evidence to make a case for reconsideration of the practice of pre-discharge home visits with frail older people as part of decisions regarding a return home, which is embedded into the routine activity of acute medical wards for older people and occupies a large proportion of the time of hospital employed therapy staff, with consequent financial and resource implications. Assessments are often conducted to provide information on safe discharge rather than being located in the interests of the older person and their carer. The introduction of a new range of services bridging hospital and home raises the need for urgent critical appraisal.
Occupational therapy led health promotion for older people: feasibility of the lifestyle matters programme
- Authors:
- MOUNTAIN Gail, et al
- Journal article citation:
- British Journal of Occupational Therapy, 71(10), October 2008, pp.406-413.
- Publisher:
- Sage
The aim of this feasibility study was to see if an occupation-based health-promoting intervention for community-living older people could be delivered successfully and also to provide some information to guide a future trial of clinical effectiveness. The participants' ages ranged from 60 to 92 years from a city in the North of England. Twenty-eight participants commenced the 8-month programme and 26 completed it; they have continued to meet independently following facilitator withdrawal. The participants were interviewed qualitatively before and after the 8-month programme. Additionally, pre-programme and post-programme measurements of cognition, depression, functional dependency and quality of life were conducted with each participant before and after the intervention. The post-intervention interviews illustrated the individualised benefits experienced by the participants, with greater self-efficacy being a significant theme. A comparison of the pre-intervention and post-intervention scores on the quantitative measures showed an upward trend on all dimensions of quality of life. The measurement of cognition, depression and dependency proved useful for screening purposes and for identifying individuals at risk, but not as an outcome measure. The delivery of the programme was feasible and its benefit to participants was observed, but there is a need for further research to test the intervention rigorously and to explore applicability in a range of settings.
Occupational therapy with older people
- Author:
- MOUNTAIN Gail
- Publisher:
- Whurr
- Publication year:
- 2004
- Pagination:
- 330p.
- Place of publication:
- London
This book is about older people, and the contribution occupational therapy can make towards the maintenance of their health and the appropriate provision of rehabilitation and care. The aim is to help occupational therapists and those involved in the commissioning of occupational therapy services for older people to target their efforts both sensitively and effectively, and to anticipate the demands which will shape service provision in the future. The entire work is underpinned by current evidence regarding best practice and opinions voiced by older people during several research projects undertaken by the author. The first chapters examine the experience of growing older, from both societal and individual perspectives, the factors contributing towards vulnerability in older age and the provision of services to meet needs. The second part of the book concentrates upon the occupational therapy assessment and treatment processes. The final chapter considers the challenges for occupational therapy.
The Casson Memorial Lecture 2005: challenge – to confront, defy, face up to; a difficulty that stimulates interest or effort
- Author:
- MOUNTAIN Gail
- Journal article citation:
- British Journal of Occupational Therapy, 68(7), July 2005, pp.290-300.
- Publisher:
- Sage
This article provides an overview of the life and work of Dr. Elizabeth Casson. It goes on to provide a vision of what the occupational therapy profession could look like in the 21st Centry, reflecting on what Dr Casson's intentions would have been. The paper was given as the Casson Memorial Lecture 2005, given on 23 June at the 29th Annual Conference of the College of Occupational Therapists, held at the Devonshire Park Centre, Eastbourne. The conference theme was 'Activity, Participation, Occupation'.