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Physical function in hospice patients and physiotherapy interventions: a profile of hospice physiotherapy

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dc.contributor.author Cobbe, Sinead
dc.contributor.author Kennedy, Norelee
dc.date.accessioned 2013-03-06T15:00:04Z
dc.date.available 2013-03-06T15:00:04Z
dc.date.issued 2012
dc.identifier.uri http://hdl.handle.net/10344/2938
dc.description peer-reviewed en_US
dc.description.abstract Objective: There is a dearth of international research on hospice physiotherapy. This study aims to profile hospice physiotherapy in an Irish setting in order to inform practice internationally. Design: The study design consisted of a retrospective chart audit over 6 months. Setting: The study took place at a specialist palliative care inpatient unit (hospice) in Limerick, Ireland. Participants: All patients were discharged (through death or discharge onwards) from January to June 2010. Outcome measure: The Edmonton Functional Assessment Tool (EFAT-2) was used as an outcome measure. Results: Sixty-five percent were referred for physiotherapy; 58% (n = 144) were assessed and treated. A wide range of patients was referred (mean functional score 11, range 1–23, SD 5). Rehabilitation activities were widespread: 48% with more than one functional score recorded made improvements; 53% of physiotherapy patients were eventually discharged home; 47% of physiotherapy patients died, of whom 52% received physiotherapy in the last week of life. The median physiotherapy program lasted 11 days (range 1–186, SD 22) whereas the median number of treatments was four (range 1–99, SD 10). The most common interventions were gait re-education (67%), transfer training (58%), and exercises (53%). One third of treatment attempts were unsuccessful because of the unavailability/unsuitability of patients. Challenges for physiotherapists included frequent suspension of treatment and large functional fluctuations in patients. Conclusion: There was a high referral rate to physiotherapy in this hospice. Functional changes in hospice patients were mapped, showing that physiotherapy involved both rehabilitative and quality of life/supportive measures. The most common treatments were physical activity interventions. en_US
dc.language.iso eng en_US
dc.publisher Mary Anne Liebert en_US
dc.relation.ispartofseries Journal of Palliative Medicine;15(7), pp. 760-767
dc.relation.uri http://dx.doi.org/10.1089/jpm.2011.0480
dc.rights This is a copy of an article published in Journal of Palliative Medicine © 2012 Mary Ann Liebert, Inc. Journal of Palliative Medicine, is available online http://online.liebertpub.com. en_US
dc.subject physiotherapy en_US
dc.subject palliative care en_US
dc.subject terminal illness en_US
dc.title Physical function in hospice patients and physiotherapy interventions: a profile of hospice physiotherapy en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.contributor.sponsor Irish Hospice Foundation en_US
dc.contributor.sponsor Milford Care Centre en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1388033


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