Rehabilitation in skilled nursing centres for elderly people with lower limb amputations: a mixed-methods, descriptive study.

Abstract:

OBJECTIVES:To describe the current set-up, barriers and potential for providing rehabilitation to people with lower limb amputation in skilled nursing centres. DESIGN:Survey and interviews. SUBJECTS/PARTICIPANTS:Elderly care physicians, physiotherapists. METHODS:In 2011, clinicians from 34 skilled nursing centres participated in a semi-structured interview covering rehabilitation and daily care, personal skills and training, team work and communication, and discharge processes. RESULTS:Each centre sees only a small proportion of people with amputation (a maximum of 3.6% of all admissions). This limited number of patients appears to be the main barrier in providing care, as it is difficult for clinicians to maintain knowledge, and resources are spread widely. Two main areas of improvement were suggested by participants: (i) use of guidelines in care; and (ii) collaboration with specialized team members. CONCLUSION:The spread of patients across many centres makes it difficult for professionals working in skilled nursing centres to obtain the necessary skills and knowledge for care of people with amputation. A designated skilled nursing centre for amputation rehabilitation is presented as a solution, but smaller clinical changes are also suggested, including improvements in communication and training.

journal_name

J Rehabil Med

authors

Fortington LV,Rommers GM,Wind-Kral A,Dijkstra PU,Geertzen JH

doi

10.2340/16501977-1210

subject

Has Abstract

pub_date

2013-11-01 00:00:00

pages

1065-70

issue

10

eissn

1650-1977

issn

1651-2081

journal_volume

45

pub_type

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