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Team, Occupational Therapist and Geriatrician

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Occupational Therapy for Older People

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Abstract

Older adults have multi-factorial problems and needs, which require an interdisciplinary teamwork. Comprehensive geriatric assessment (CGA) is an effective multidimensional, interdisciplinary, and coordinated approach to evaluate the bio-psycho-social domains. The role of the occupational therapist within the team is critical, because this figure adds specific information about the person and the environment, as well as a participatory approach to patient care.

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References

  1. Fox S. Older Americans and the internet. Washington: Pew Internet and American Life Project; 2004.

    Google Scholar 

  2. American Geriatrics Society (AGS), Association of Directors of Geriatric Academic Programs (ADGAP). Geriatric medicine: a clinical imperative for an aging population, part I. Ann Long-Term Care. 2005;13(3):18–22.

    Google Scholar 

  3. Tinetti ME, Fried TR, Boyd CM. Designing health care for the most common chronic condition--multimorbidity. JAMA. 2012;307(23):2493–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. OECD. Society at a Glance 2016: OECD Social Indicators. Paris: OECD Publishing; 2016.

    Book  Google Scholar 

  5. Ward BW, Schiller JS, Goodman RA. Multiple chronic conditions among US adults: a 2012 update. Prev Chronic Dis. 2014;11:E62.

    PubMed  PubMed Central  Google Scholar 

  6. Sistema statistico nazionale Istituto nazionale di statistica. Annuario Statistico Italiano. Roma: ISTAT; 2017. www.istat.it. ISBN 978-88-458-1932-2.

  7. Salute Md. Rapporto sull’attività di ricovero ospedaliero. Dati SDO 2016; 2017.

    Google Scholar 

  8. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century; 2001. http://www.nap.edu/books/0309072808/html/.

  9. Baztan JJ, Suarez-Garcia FM, Lopez-Arrieta J, Rodriguez-Manas L, Rodriguez-Artalejo F. Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis. BMJ. 2009;338:b50.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bachmann S, Finger C, Huss A, Egger M, Stuck AE, Clough-Gorr KM. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ. 2010;340:c1718.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Beswick AD, Rees K, Dieppe P, Ayis S, Gooberman-Hill R, Horwood J, et al. Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. Lancet. 2008;371(9614):725–35.

    Article  PubMed  PubMed Central  Google Scholar 

  12. World Federation of Occupational Therapists. Definition of occupational therapy; 2012. http://www.wfot.org/.

  13. World Health Organization. International statistical classification of diseases and related health problems. 10th revision. Geneva: World Health Organization; 2001. https://www.who.int/classifications/icd/ICD10Volume2_en_2010.pdf.

  14. Thyer L, Brown T, Roe D. The Validity of the Canadian Occupational Performance Measure (COPM) when used in a sub-acute rehabilitation setting with older adults. Occup Ther Health Care. 2018;32(2):137–53.

    Article  PubMed  Google Scholar 

  15. Canadian Association of Occupational Therapists. Occupational therapy guidelines for client-centred practice. Toronto; 1991.

    Google Scholar 

  16. Kielhofner G. Conceptual foundations of occupational therapy. 4th ed. Philadelphia: F.A. Davis; 2009.

    Google Scholar 

  17. Ianes P, Polatajko H. L’enablement dell’occupazione: una prospettiva centrata sul cliente, basata sull’occupazione e orientate al miglioramento della vita. G Ital Ter Occup. 2010;5:49–64.

    Google Scholar 

  18. Tinetti ME, Fried T. The end of the disease era. Am J Med. 2004;116(3):179–85.

    Article  PubMed  Google Scholar 

  19. Cesari M, Marzetti E, Thiem U, Pérez-Zepeda MU, Abellan Van Kan G, Landi F, et al. The geriatric management of frailty as paradigm of “The end of the disease era”. Eur J Intern Med. 2016;31:11–4.

    Article  PubMed  Google Scholar 

  20. Goodwin JS. Geriatrics and the limits of modern medicine. N Engl J Med. 1999;340(16):1283–5.

    Article  CAS  PubMed  Google Scholar 

  21. Johansson JE, Holmberg L, Johansson S, Bergström R, Adami HO. Fifteen-year survival in prostate cancer. A prospective, population-based study in Sweden. JAMA. 1997;277(6):467–71.

    Article  CAS  PubMed  Google Scholar 

  22. Brath H, Mehta N, Savage RD, Gill SS, Wu W, Bronskill SE, et al. What is known about preventing, detecting, and reversing prescribing cascades: a scoping review. J Am Geriatr Soc. 2018;66(11):2079–85.

    Article  PubMed  Google Scholar 

  23. Cherubini A, Del Signore S, Ouslander J, Semla T, Michel JP. Fighting against age discrimination in clinical trials. J Am Geriatr Soc. 2010;58(9):1791–6.

    Article  PubMed  Google Scholar 

  24. Rubenstein LZ, Stuck AE, Siu AL, Wieland D. Impacts of geriatric evaluation and management programs on defined outcomes: overview of the evidence. J Am Geriatr Soc. 1991;39(9 Pt 2):8S. 16S; discussion 7S-8S.

    Article  CAS  PubMed  Google Scholar 

  25. Ellis G, Gardner M, Tsiachristas A, Langhorne P, Burke O, Harwood RH, et al. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database Syst Rev. 2017;9:CD006211.

    PubMed  Google Scholar 

  26. Connors MH, Sachdev PS, Kochan NA, Xu J, Draper B, Brodaty H. Cognition and mortality in older people: the Sydney Memory and Ageing Study. Age Ageing. 2015;44(6):1049–54.

    Article  PubMed  Google Scholar 

  27. Zekry D, Herrmann FR, Grandjean R, Vitale AM, De Pinho MF, Michel JP, et al. Does dementia predict adverse hospitalization outcomes? A prospective study in aged inpatients. Int J Geriatr Psychiatry. 2009;24(3):283–91.

    Article  PubMed  Google Scholar 

  28. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189–98.

    Article  CAS  PubMed  Google Scholar 

  29. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23(10):433–41.

    Article  CAS  PubMed  Google Scholar 

  30. Bellelli G, Speciale S, Morghen S, Torpilliesi T, Turco R, Trabucchi M. Are fluctuations in motor performance a diagnostic sign of delirium? J Am Med Dir Assoc. 2011;12(8):578–83.

    Article  PubMed  Google Scholar 

  31. Berman P, Hogan DB, Fox RA. The atypical presentation of infection in old age. Age Ageing. 1987;16(4):201–7.

    Article  CAS  PubMed  Google Scholar 

  32. Grosmaitre P, Le Vavasseur O, Yachouh E, Courtial Y, Jacob X, Meyran S, et al. Significance of atypical symptoms for the diagnosis and management of myocardial infarction in elderly patients admitted to emergency departments. Arch Cardiovasc Dis. 2013;106(11):586–92.

    Article  PubMed  Google Scholar 

  33. Gill TM, Allore HG, Han L. Bathing disability and the risk of long-term admission to a nursing home. J Gerontol A Biol Sci Med Sci. 2006;61(8):821–5.

    Article  PubMed  Google Scholar 

  34. Odden MC, Peralta CA, Haan MN, Covinsky KE. Rethinking the association of high blood pressure with mortality in elderly adults: the impact of frailty. Arch Intern Med. 2012;172(15):1162–8.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Guralnik JM, Seeman TE, Tinetti ME, Nevitt MC, Berkman LF. Validation and use of performance measures of functioning in a non-disabled older population: MacArthur studies of successful aging. Aging (Milano). 1994;6(6):410–9.

    CAS  Google Scholar 

  36. Katz S. Assessing self-maintenance: activities of daily living, mobility, and instrumental activities of daily living. J Am Geriatr Soc. 1983;31(12):721–7.

    Article  CAS  PubMed  Google Scholar 

  37. Hickson M. Malnutrition and ageing. Postgrad Med J. 2006;82(963):2–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Mazzola P, Ward L, Zazzetta S, Broggini V, Anzuini A, Valcarcel B, et al. Association between preoperative malnutrition and postoperative delirium after hip fracture surgery in older adults. J Am Geriatr Soc. 2017;65(6):1222–8.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Donini LM, Savina C, Rosano A, De Felice MR, Tassi L, De Bernardini L, et al. MNA predictive value in the follow-up of geriatric patients. J Nutr Health Aging. 2003;7(5):282–93.

    CAS  PubMed  Google Scholar 

  40. Visvanathan R, Penhall R, Chapman I. Nutritional screening of older people in a sub-acute care facility in Australia and its relation to discharge outcomes. Age Ageing. 2004;33(3):260–5.

    Article  PubMed  Google Scholar 

  41. Bellelli G, Carnevali L, Corsi M, Morandi A, Zambon A, Mazzola P, et al. The impact of psychomotor subtypes and duration of delirium on 6-month mortality in hip-fractured elderly patients. Int J Geriatr Psychiatry. 2018;33:1229.

    Article  Google Scholar 

  42. Morandi A, Di Santo SG, Zambon A, Mazzone A, Cherubini A, Mossello E, et al. Delirium, dementia and in-hospital mortality: the results from the Italian Delirium Day 2016, a national multicenter study. J Gerontol A Biol Sci Med Sci. 2018;74:910.

    Article  Google Scholar 

  43. Kane RL, Shamliyan T, Talley K, Pacala J. The association between geriatric syndromes and survival. J Am Geriatr Soc. 2012;60(5):896–904.

    Article  PubMed  Google Scholar 

  44. Barr VJ, Robinson S, Marin-Link B, Underhill L, Dotts A, Ravensdale D, et al. The expanded chronic care model: an integration of concepts and strategies from population health promotion and the chronic care model. Hosp Q. 2003;7(1):73–82.

    PubMed  Google Scholar 

  45. Hopman P, Schellevis FG, Rijken M. Health-related needs of people with multiple chronic diseases: differences and underlying factors. Qual Life Res. 2016;25(3):651–60.

    Article  PubMed  Google Scholar 

  46. Chang JH, Vines E, Bertsch H, Fraker DL, Czerniecki BJ, Rosato EF, et al. The impact of a multidisciplinary breast cancer center on recommendations for patient management: the University of Pennsylvania experience. Cancer. 2001;91(7):1231–7.

    Article  CAS  PubMed  Google Scholar 

  47. Sainsbury R, Haward B, Rider L, Johnston C, Round C. Influence of clinician workload and patterns of treatment on survival from breast cancer. Lancet. 1995;345(8960):1265–70.

    Article  CAS  PubMed  Google Scholar 

  48. Ledwidge M, Barry M, Cahill J, Ryan E, Maurer B, Ryder M, et al. Is multidisciplinary care of heart failure cost-beneficial when combined with optimal medical care? Eur J Heart Fail. 2003;5(3):381–9.

    Article  PubMed  Google Scholar 

  49. Mas M, Inzitari M, Sabaté S, Santaeugènia SJ, Miralles R. Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care. Age Ageing. 2017;46(6):925–31.

    Article  PubMed  Google Scholar 

  50. Borrill CS, Carletta J, Carter AJ, Dawson JF, Garrod S, Rees A, Richards A, Shapiro D, West MA. The effectiveness of health care teams in the national health service. Birmingham: University of Aston in Birmingham; 2000. http://homepages.inf.ed.ac.uk/jeanc/DOH-final-report.pdf.

  51. Flaherty JE, Hyer K, Fulmer T. Hazzard’s geriatric medicine and gerontology. 6th ed. New York: McGraw-Hill Companies; 2009.

    Google Scholar 

  52. Royal College of Physicians and Royal College of Nursing. Ward rounds in medicine. 6th ed. London: Royal College of Physicians and Royal College of Nursing; 2012.

    Google Scholar 

  53. Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Mukamel DB, Peterson DR, Temkin-Greener H, Delavan R, Gross D, Kunitz SJ, et al. Program characteristics and enrollees’ outcomes in the Program of All-Inclusive Care for the Elderly (PACE). Milbank Q. 2007;85(3):499–531.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Coutu D. Why teams don’t work. Har Bus Rev. 2009;87:98.

    Google Scholar 

  56. Tuckman BW. Developmental sequence in small groups. Psychol Bull. 1965;63(6):384–99. https://psycnet.apa.org/doiLanding?doi=10.1037%2Fh0022100.

    Article  CAS  PubMed  Google Scholar 

  57. Taplin SH, Foster MK, Shortell SM. Organizational leadership for building effective health care teams. Ann Fam Med. 2013;11(3):279–81.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Mccarthy D, Ryan J, Klein S. Models of care for high-need, high-cost patients: an evidence synthesis. Issue Brief. 2015;31:1.

    PubMed  Google Scholar 

  59. Fossey EM, Harvey CA. A conceptual review of functioning: implications for the development of consumer outcome measures. Aust N Z J Psychiatry. 2001;35(1):91–8.

    Article  CAS  PubMed  Google Scholar 

  60. Persson M, Nilsson S, Iwarsson S. Development of multi-disciplinary team I-ADL assessment in community health care: an interrater reliability study of the measure of instrumental daily activity. Arch Gerontol Geriatr. 1999;29(2):149–63.

    Article  CAS  PubMed  Google Scholar 

  61. Iwarsson S, Wahl HW, Nygren C, Oswald F, Sixsmith A, Sixsmith J, et al. Importance of the home environment for healthy aging: conceptual and methodological background of the European ENABLE-AGE Project. Gerontologist. 2007;47(1):78–84.

    Article  PubMed  Google Scholar 

  62. Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The Canadian occupational performance measure: an outcome measure for occupational therapy. Can J Occup Ther. 1990;57(2):82–7.

    Article  CAS  PubMed  Google Scholar 

  63. College of Occupational Therapists Ltd. Reducing the pressure on hospitals: a report on the value of occupational therapy in Scotland. London: College of Occupational Therapists Ltd; 2016. www.COT.co.uk.

  64. Townsend E, Polatajko H. Enabling occupation II: advancing an occupational therapy vision for health, well-being & justice through occupation. Ottawa: CAOT Publications ACE; 2007.

    Google Scholar 

  65. Parkinson S, Forsyth K, Kielhofner G. Model of human occupation screening tool (MOHOST, version 2.0). University of Illinois: The Model of Human Occupation; 2006.

    Google Scholar 

  66. Kielhofner G, Burke JP. A model of human occupation, part 1. Conceptual framework and content. Am J Occup Ther. 1980;34(9):572–81.

    Article  CAS  PubMed  Google Scholar 

  67. Kielhofner G. Model of human occupation. 4th ed. Baltimore: Lippincott Williams & Wilkins; 2008.

    Google Scholar 

  68. Taylor R. Kielhofner’s model of human occupation: theory and application. 5th ed. Philadelphia: Wolters Kluwer; 2017.

    Google Scholar 

  69. Fisher A, Jones KB. Assessment of motor and process skills, vol. 1: development, standardization, and administration manual. 7th ed. Fort Collins: Three Star Press; 2012.

    Google Scholar 

  70. Fisher A, Jones KB. Assessment of motor and process skills. 8th ed. Fort Collins: Three Star Press; 2014.

    Google Scholar 

  71. Fisher A, Atler K, Potts A. Effectiveness of occupational therapy with frail community living older adults. Scand J Occup Ther. 2007;14:240–9.

    Article  PubMed  Google Scholar 

  72. Law M, Baptiste S, Carswell-Opzoomer A, McColl M, Polatajko H, Pollock N. Canadian occupational performance measure manual. 5th ed. Toronto: CAOT Publications ACE; 2014.

    Google Scholar 

  73. Enemark Larsen A, Rasmussen B, Christensen JR. Enhancing a client-centred practice with the Canadian occupational performance measure. Occup Ther Int. 2018;2018:5956301.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  74. Atwal A, Owen S, Davies R. Struggling for occupational satisfaction: older people in care homes. Br J Occup Ther. 2003;66:118–24.

    Article  Google Scholar 

  75. van Seben R, Reichardt L, Smorenburg S, Buurman B. Goal-setting instruments in geriatric rehabilitation: a systematic review. J Frailty Aging. 2017;6(1):37–45.

    PubMed  Google Scholar 

  76. Maritz R, Baptiste S, Darzins SW, Magasi S, Weleschuk C, Prodinger B. Linking occupational therapy models and assessments to the ICF to enable standardized documentation of functioning. Can J Occup Ther. 2018;85:330.

    Article  PubMed  Google Scholar 

  77. Graff MJ, Vernooij-Dassen MJ, Thijssen M, Dekker J, Hoefnagels WH, Rikkert MG. Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial. BMJ. 2006;333(7580):1196.

    Article  PubMed  PubMed Central  Google Scholar 

  78. Graff M, Vernooij-Dassen M, Zajec J, Olde Rikkert M, Hoefnagels W, Dekker J. How can occupational therapy improve the daily performance and communication of an older patient with dementia and his primary caregiver? A case study. Dementia. 2006;5:503–32.

    Article  Google Scholar 

  79. Pierce D. Occupational science for occupational therapy. Thorofare: Slack Incorporated; 2014.

    Google Scholar 

  80. Clark F, Azen SP, Zemke R, Jackson J, Carlson M, Mandel D, et al. Occupational therapy for independent-living older adults. A randomized controlled trial. JAMA. 1997;278(16):1321–6.

    Article  CAS  PubMed  Google Scholar 

  81. Clark F, Jackson J, Carlson M, Chou CP, Cherry BJ, Jordan-Marsh M, et al. Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial. J Epidemiol Community Health. 2012;66(9):782–90.

    Article  PubMed  Google Scholar 

  82. Clark F, Blanchard J, Sleight A, Cogan A, Florindez L, Gleason S, editors. Lifestyle Redesign®: the intervention tested in the USC well elderly studies. 2nd ed. Bethesda: AOTA Press; 2015.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Medicine and Surgery, University of Milano Bicocca, Milan, Italy

    Giuseppe Bellelli

  2. Acute Geriatric Unit, San Gerardo Hospital, Monza, Monza, Italy

    Giuseppe Bellelli

  3. Parc Sanitari Pere Virgili and Vall d’Hebrón Research Institute, Barcelona, Spain

    Marco Inzitari & Juan Antonio López Segura

  4. Universitat Autònoma de Barcelona, Barcelona, Spain

    Marco Inzitari

  5. Catalan Society of Geriatrics and Gerontology, Catalonia, Spain

    Marco Inzitari

  6. Directeur des Soins Honoraire, Membre du Comité Scientifique de l’Association Nationale Française des Ergothérapeutes, Bordeaux, France

    Marie Chantal Morel-Bracq

  7. Scientific Board of the Italian Scientific Society of Occupational Therapy, Rome, Italy

    Yann Michel Bertholom

  8. Centro Abilitativo del “Paese di Oz” e “Quadrifoglio” di ANFFAS Trento, Trento, Italy

    Yann Michel Bertholom

Authors
  1. Giuseppe Bellelli
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  2. Marco Inzitari
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  3. Juan Antonio López Segura
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  4. Marie Chantal Morel-Bracq
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  5. Yann Michel Bertholom
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Corresponding author

Correspondence to Giuseppe Bellelli .

Editor information

Editors and Affiliations

  1. University of Applied Sciences and Arts, SUPSI University of Applied Sciences and Arts, Manno, Switzerland

    Christian Pozzi

  2. NODAIA Dementia Unit, Private Hospital Villa Igea, Modena, Italy

    Alessandro Lanzoni

  3. Radboud University Nijmegen, Nijmegen, The Netherlands

    Maud J. L. Graff

  4. Department of Rehabilitation and Aged Care, Hospital Ancelle, Cremona, Italy

    Alessandro Morandi

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Bellelli, G., Inzitari, M., Segura, J.A.L., Morel-Bracq, M.C., Bertholom, Y.M. (2020). Team, Occupational Therapist and Geriatrician. In: Pozzi, C., Lanzoni, A., Graff, M., Morandi, A. (eds) Occupational Therapy for Older People. Springer, Cham. https://doi.org/10.1007/978-3-030-35731-3_2

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  • DOI: https://doi.org/10.1007/978-3-030-35731-3_2

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