Focused Occupational Therapy Interventions for Clients with Heart Failure in Skilled Nursing Facilities
The ultimate goal of the SNF is to help clients stabilize their medical conditions and attain their therapy goals so that they can return home (Orr, Boxer, Dolansky, Allen, & Forman, 2016). However, approximately 27% of heart failure (HF) clients are readmitted to the hospital after being discharged from the SNF (Allen et al., 2011). High readmission rates may be due to the cognitive, psychosocial, and lifestyle barriers HF clients face. However, interventions in the SNF tend to be emphasized on activities of daily living (ADLs) and therapeutic exercise (Rafeedie, Metzler, & Lamb, 2018). This project aims to create and implement a clinical pathway for occupational therapists (OT) within SNFs, in order to address patient barriers and improve the quality of care. To create the clinical pathway, needs assessments in the form of interviews and Likert surveys will be conducted at Ensign SNFs. The project team will create a clinical pathway addressing the identified gaps in OT practice with evidence-based research. The project team will present the clinical pathway to Ensign OTs in northern California. A survey will collect feedback from the OTs on strengths of the pathways, areas to improve, gaps to be addressed, areas of concern, and the likeliness that the pathway could be used effectively in a SNF. In addition, online modules and surveys will be created for Ensign OTs who cannot be at the presentation. The project team will incorporate the feedback into the clinical pathway and present the finished product to Ensign Facility Services.
Principal Contact: Elena Vaccaro
Study Collaborators: In Hwa Chae and Camille Schilling