What are the common areas of risk and their characteristics found in intermediate care from an occupational therapy perspective? A scoping review

Craig Newman*, Phillip Whitehead, Mary Thomson

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)
2 Downloads (Pure)

Abstract

Introduction
Engaging with risk is a certain and unavoidable part of occupational therapy. Intermediate care services are mostly accessed by older people with complex needs, yet little is known in the literature about the extent, type and nature of risk involved in these services.

Method
A scoping review was systematically conducted to map the common areas of risk (risk domains) from an occupational therapy perspective. Thematic analysis was conducted in order to identify the risk characteristics related to the literature reviewed.

Results
25 journal articles were identified and arranged into 10 risk domains: Falls, discharge, practice errors, activities of daily living, pressure care, frailty management, patient handling, loneliness, nutritional care and language barriers. Three risk characteristics were identified: (1) Risk awareness and identifying risk, (2) decision-making under risk and (3) improving safety.

Conclusion
Occupational therapists play a diverse role in migrating risk for older people which is not fully explored beyond addressing deficits in functional ability and hazardous environments. The process of how risk is controlled and reconciled with occupation and how positive risk-taking is facilitated are implicit and not directly addressed within the literature reviewed. The findings reveal gaps in knowledge and provide a foundation for further research.
Original languageEnglish
Article number030802262210792
Pages (from-to)779-802
Number of pages24
JournalBritish Journal of Occupational Therapy
Volume85
Issue number10
Early online date29 Apr 2022
DOIs
Publication statusPublished - 1 Oct 2022

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