Capacity for Independent Living Capacity for Independent Living
The Occupational Therapy Department at Our Lady of Lourdes Hospital in Drogheda is enhancing their assessment practices for Decision Making Capacity (DMC) in independent living scenarios. Through research, education, and stakeholder collaboration, they aim to streamline assessment processes and improve confidence and consistency among their team members.
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Support Tool for Decision Making Support Tool for Decision Making Capacity for Independent Living Capacity for Independent Living Occupational Therapists Aine McNally Siobhan O Neill Claire Treanor Sinead O Rourke RCSI Hospital Group Quality & Patient Safety Conference 2022 - Occupational Therapy Department, Our Lady Of Lourdes Hospital, Drogheda
Background: The Assisted Decision Making (Capacity) Act 2015 is due to commence in June 2022. This legislation is rights based and outlines a system of supports for individuals who may have difficulty with decision making. Occupational Therapists have a role to play in the interdisciplinary assessment of Decision Making Capacity (DMC) and are often involved in DMC assessments for independent living in the acute setting. Occupational Therapists in Our Lady of Lourdes Hospital, Drogheda formed a working group in 2021 to streamline the recording of comprehensive and holistic assessment outcomes. Aim To review current practice within the Occupational Therapy (OT) team in relation to assessments used; the format of recording and current knowledge of the Decision Making Capacity (DMC) Act. To support the interdisciplinary assessment of DMC around independent living through easier access and interpretation of information. To provide a document with clear outcomes of the OT assessment in a succinct and consistent format which would act as a support tool for interdisciplinary assessment of DMC. RCSI Hospital Group Quality & Patient Safety Conference 2022 - Occupational Therapy Department, Our Lady Of Lourdes Hospital, Drogheda
Research of relevant national and international literature Need for education identified Discussion with and all stakeholders Adapt phase 2 of pilot. Decision made to pilot document on specific wards. Discussion with relevant medical teams Actions A questionnaire was circulated among the OT staff to ascertain the educational needs of the department. Perceptions of current practice in DMC assessment of independent living were gathered (See figure 1). Act Plan 67% Occupational Therapy team education on the DMC act was then provided. Study Do Of respondents were dissatisfied with the current process for DMC assessment for independent living Analysis of qualitative and quantitative data collected and review of outcomes to date Completion of survey among OT Department Formal education session among all OTs 100% No respondents agreed that the relevant assessment outcomes were easily accessible. Of respondents identified need for further training on DMC Act Results 45% No consistency in the format of recording assessment outcomes Figure 1 Of respondents do not feel confident in completing assessments contributing to DMC for independent living RCSI Hospital Group Quality & Patient Safety Conference 2022 - Occupational Therapy Department, Our Lady Of Lourdes Hospital, Drogheda
Spread Continued liaison with experienced research professionals in the field of Occupational Therapy with a view to eventually publishing. Displaying of poster at relevant conferences. Sustainment Value to patients This project will extend to gathering the perceptions of other MDT members using the survey. Education sessions have been completed with the entire Occupational Therapy Department. Formal education will also be provided to the Medical Consultants and Registrars on pilot wards. The group developed a clinical document to improve easy and consistent interpretation of OT assessment. This ensures person centred, comprehensive assessment to enhance the patient journey. Patient feedback will be collected on commencement of pilot. The OT team are better prepared for the commencement of the DMC act and have identified future training needs. Additional information The clinical document shall be evaluated following publication of the Decision Making Support Service Code of Conduct in mid-2022. RCSI Hospital Group Quality & Patient Safety Conference 2022 - Occupational Therapy Department, Our Lady Of Lourdes Hospital, Drogheda
