A profile of hospice-at-home physiotherapy for community-dwelling palliative care patients.
AffiliationMilford Care Centre, Castletroy, Limerick, Ireland. email@example.com
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CitationA profile of hospice-at-home physiotherapy for community-dwelling palliative care patients. 2013, 19 (1):39-45 Int J Palliat Nurs
JournalInternational journal of palliative nursing
AbstractTo profile a specialised palliative care physiotherapy service to community-dwelling patients.
Milford Care Centre, Limerick, Ireland.
Patients referred to hospice-at-home physiotherapy during September 2010-February 2011.
Edmonton Functional Assessment Tool (EFAT-2).
165 patients were referred, of whom 90% had cancer. Nurses referred 120 (73%). Referrals appeared to be increased by the presence of physiotherapists in the nursing bases. No asssessment was conducted for 55 referrals (33%), mainly owing to clinical deterioration. The remaining 110 patients were assessed, with 47 (43%) being contacted within 2 days of referral (mean 4 days, standard deviation 4.2, range 0-21 days). Physical function ranged from 0-18 (median 7, mode 4) on the EFAT-2 scale. The most commonly used treatments were exercises and advice/education.
Referrals to the at-home physiotherapy service are heavily dependent on nurses and their understanding of the physiotherapy role. Patients tended to be relatively high functioning and tolerated numerous interventions.
The following license files are associated with this item:
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