An occupational therapy consultation provided to older adults presenting to accident and emergency improves ADL functioning and reduces falls and hospital stays

Prepared by:

Sonia Patterson (sonia_patterson@health.qld.gov.au)
Melanie Williams (melanie_williams@health.qld.gov.au)
The Townsville Hospital Occupational Therapy Department

Date:

August 2005

Review Date:

August  2007

Clinical Question:

 Among elderly people presenting to emergency and acute medical assessment units, does an OT referral/consultation result in greater ADL independence and safety post discharge when compared to those who do not receive OT?

Clinical Scenario:

Elderly people presenting to hospital emergency departments (ED) or accident and emergency (A and E) with symptoms after a fall are often not admitted to hospital. However, their ability to independently perform activities of daily living (ADL) can be significantly affected. While occupational therapy (OT) services are often available, a referral is not always made to assess home environment, supports and ability to perform ADLs. Does OT consultation improve functional outcomes for these people?

Clinical Bottom Line:

Older adults (65 to 75 years +) presenting to A and E with a primary diagnosis of a fall, limb, back or rib trauma, and with no cognitive impairment or dementia, who receive an OT consultation have greater independence in ADL, reduced falls and less days in hospital up to a year following discharge.

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