2007
DOI: 10.1177/000841740707400203
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Discharge Decision-Making, Enabling Occupations, and Client-Centred Practice

Abstract: Client-defined models of decision-making are insufficient for frail, cognitively- impaired people. A new, client-centred Negotiated Model of Decision-Making is proposed, which facilitates decisions to enable older people with their occupations.

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Cited by 28 publications
(36 citation statements)
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References 19 publications
(56 reference statements)
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“…A transitional coach and a personal health record made patients feel comfortable and safe (Coleman et al 2004;Parry et al 2008). Home visits revealed the importance of being at home for the elderly patient (Moats 2007), although other patients having COPD felt they were sent home too early (Clarke et al 2010). A practical patientcentered checklist improved patients' and families' preparedness for discharge (Grimmer et al 2006a, b).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…A transitional coach and a personal health record made patients feel comfortable and safe (Coleman et al 2004;Parry et al 2008). Home visits revealed the importance of being at home for the elderly patient (Moats 2007), although other patients having COPD felt they were sent home too early (Clarke et al 2010). A practical patientcentered checklist improved patients' and families' preparedness for discharge (Grimmer et al 2006a, b).…”
Section: Discussionmentioning
confidence: 99%
“…Five studies used a quantitative design and were carried out as an intervention (Bull et al 2000;Coleman et al 2004;Jangland et al 2012;Preen et al 2005;Watkins et al 2012). Eight studies had a qualitative approach, using semi-structured interviews (Brooks 2002;Clarke et al 2010;Efraimsson et al 2006;Moats 2007), a combination of semi-structured interviews and focus groups (Griffith et al 2004;Reed and Stanley 2003), observation (Grimmer et al 2006a) and in combination with video-recorded meetings and follow-up interviews (Efraimsson et al 2004). Two studies were performed using both a quantitative and a qualitative approach (Grimmer et al 2006b;Parry et al 2008).…”
Section: Tools To Support Elderly Patients' Participation In Transitimentioning
confidence: 99%
“…Crennan and MacRae (2010) discovered that although occupational therapists with greater clinical experience were more likely to use a client-centered approach during interventions, achieving client-centered occupational therapy practice was inconsistent. In addition, discharge planning decision-making that incorporated client-centered models of care were found to be inadequate for those who were frail or cognitively impaired (Moats, 2006;Moats, 2007).…”
Section: Discharge Planning Differences Between the Novice And Experimentioning
confidence: 99%
“…In order to support the older adult who experiences a decline in health affecting function and prefers to remain at home, health and social practitioners need to know how to evaluate risk when the client's safety is a concern. While current research provides information on how practitioners define, identify, perceive, assess and manage such risk, the breadth and inconsistencies in research findings make it difficult for practitioners to apply them in their everyday practice (Clarke, 2000;Gunstone, 2003;MacCourt & Tuokko, 2010;Moats, 2007;Purdy, 2010).…”
Section: Introductionmentioning
confidence: 99%