Graduation Year
2024
Document Type
Capstone
Degree Type
Open Access Capstone
Degree Name
Doctor of Occupational Therapy (OTD)
Department
Occupational Therapy
Abstract
Background: Musculoskeletal conditions are the highest contributing cause of the need for rehabilitation globally, and are common conditions treated by occupational therapy in inpatient rehabilitation. Basic activities of daily living (BADLs) are the main focus of rehabilitation in these settings, which may leave clients unprepared to complete important higher level instrumental activities of daily living (IADLs) at home.
Purpose: The purpose of this study was to determine the impact that instrumental activities of daily living (IADL) intervention and training has on individuals’ perceived discharge readiness and quality indicator scoring for those admitted to an inpatient rehabilitation facility with a musculoskeletal condition.
Theoretical Framework: The theoretical framework used to guide this study was the Canadian Model of Occupational Participation (CanMOP), in which the central focus of the capstone was on occupational participation and performance of valued occupations.
Methods: This quasi-experimental study compared functional outcomes and readiness for discharge for clients with musculoskeletal conditions who received the standard of care focus on BADLs in inpatient rehabilitation, as compared to clients who received the addition of (IADL) intervention and training. Outcomes measures included quality indicator scoring via Section GG Self-Care and Mobility items and discharge readiness via the Readiness for Hospital Discharge Scale (RHDS).
Results: There were 8 participants total, including 4 in the intervention group and 4 in the control group, who completed some or all of the study outcomes measures pre and post-test. Participants in both groups realized gains in functional performance and readiness for discharge, although those in the intervention group had greater improvements in the study outcomes as compared to the control group.
Conclusions: This study demonstrated that incorporation of IADLs into inpatient occupational therapy sessions for clients with musculoskeletal conditions increases quality indicator scoring and patients’ perceived discharge readiness. Future research should include a larger sample size and explore other diagnoses.
Faculty Mentor
Renee Causey-Upton, Ph.D., OTD, OTR/L, CLA, FAOTA
Department Affiliation
Occupational Therapy
Committee Member
Dana Howell, Ph.D., OTD, OTR/L, FAOTA
Department Affiliation
Occupational Therapy
Committee Member
Shirley P. O'Brien, Ph.D., OTR/L, FAOTA
Department Affiliation
Occupational Therapy
Copyright
2024 Kasi B. Gannon
Recommended Citation
Gannon, Kasi B., "Impact of IADL Interventions on Discharge Readiness: Musculoskeletal Conditions in Inpatient Rehabilitation" (2024). Occupational Therapy Doctorate Capstone Projects. 131.
https://encompass.eku.edu/otdcapstones/131
IRB Approval Number (if applicable)
6031
Comments
The following capstone was completed with great support and guidance from my faculty mentor, Dr. Causey-Upton, who spent countless hours over a year and a half to ensure implementation and success of this capstone. The following capstone was completed alongside committee members Dr. Causey-Upton and Dr. Howell which contributed a great amount to aid in the success and completion of capstone. Thank you, Dr. Causey-Upton, Dr. Howell, Dr. Shirley O’Brien and Dr. Camille Skubik-Peplaski for not only being a part of this journey, but becoming a part of my life through this doctorate program! I have learned a great amount about research, the occupational therapy field, and higher education. Thank you to the inpatient rehabilitation site for allowing me to implement my capstone in your inpatient rehabilitation facility. Thank you to my EKU classmate, Suanne Waldron, who was always there for me without a hesitation, constantly supporting and encouraging me through this program and has now become a friend! Thank you! To Cory Gannon, the most supportive husband, thank you for sacrificing so much of your time and energy to selflessly support me to complete this capstone. From taking the kids to countless practices, going to school events, and making sure I have the time and space to complete this doctorate program, your efforts did not go unnoticed… thank you, and I love you, always! To my sweet daughter, Harper and Kathryn Gannon, thank you for “doing homework with me,” for all the cuddles, encouragement, and nights of popcorn and hot chocolate during late nights getting through this program. Mommy could not have done it without you girls. You were my greatest reason to continue my education. I love you, both. To my mother, Betty Webb, thank you for your constant support, the countless times you provided dinner, cleaned my house, played with my kids and allowed me the time to complete this capstone and doctorate degree, I love you. To my sister, Chelsea, you have provided me great advice, support, encouragement and have so selflessly been there for me through this program. Thank you, sister… I love you. Thank you to my brother-in-law, Ed, as well for always being there for me, I love you. To my dad and stepmom, Gary and Roberta Webb, thank you for always being there for me, being so good to my girls, and making sure I take the time to laugh and rest. I love you, both. To my mother-in-law, Kathy, thank you for the constant encouragement to never give up, the prayer and the love you have shown me and all the times you’ve helped with the kids. To my sister-in-law, Brittany, thank you, too. To ALL my family, you have helped so much during my doctorate. I love you, ALL. To my co-workers and friends, Brittany, Crystal, Avery, Mackenzie, Devon, Tori, Amos, all the OT’s, PT’s, SLP’s, thank you all. I could not have done this without you all! To all my best girlfriends, thank you for all you’ve done throughout this process to ensure I am not only successful but that I still have love and support from each of you even in my absence of from you all during this program. I love you, all. It takes a village, and I have the best!