Predicting Receipt and Types of Occupational Therapy Services for Patients with Arousal Deficits in the Neuro Critical Care Unit

Jessica Edelstein*, Lindsey Messenger, Adam R. Kinney, James E. Graham, Matt P. Malcolm

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Occupational therapy has been identified as a required service in the neuro critical care unit (NCCU), however who receives occupational therapy services and what services they receive are not well understood. We sought to determine if arousal deficits impacted patients’ likelihood to receive an occupational therapy evaluation or specific types of occupational therapy interventions in the NCCU. When compared to patients without arousal deficits, patients who were experiencing agitation or light sedation, but not deep sedation, were more likely to receive occupational therapy interventions in the therapeutic activities category. Arousal deficits were not associated with receipt of occupational therapy services or occupational therapy interventions in the self-care or therapeutic exercise categories. Determining predictors of occupational therapy services will help ensure the timely delivery of services by improving the allocation of resources and identifying potential gaps in care.

Original languageEnglish (US)
Pages (from-to)445-460
Number of pages16
JournalOccupational Therapy in Health Care
Volume37
Issue number4
DOIs
StatePublished - 2023

Keywords

  • Acute
  • Glasgow Coma Scale
  • intensive care unit
  • neuro critical care unit
  • Richmond Agitation and Sedation Scale

ASJC Scopus subject areas

  • Occupational Therapy

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