What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services

Abstract

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Exploring factors influencing occupational therapists’ perception of patients’ rehabilitation potential after acquired brain injury

“…Here, age, pre‐morbid function, physical function, behaviour, cognitive function, social support, functional gains during acute hospitalisation and ability to participate to therapy during acute hospitalisation have been identified as influential factors in physicians’ decisions (Hayward et al ., ; Kennedy et al ., ). A recent study examining health care professionals’ perspectives further identified that patient and family expectations also influence professionals’ perceptions of patients’ RP (Burton, Horne, Woodward‐Nutt, Bowen & Tyrrell, ). It therefore seems that patient‐related factors identified in this study provide a relatively comprehensive picture of factors deemed essential to consider when assessing RP.…”

Association of cognition with functional trajectories in patients admitted to geriatric wards: A retrospective observational study

“…The data might hint at a more risk‐averse approach to those with dementia; that is, clinicians might be more likely to keep those with dementia rehabilitating in the acute hospital as opposed to with intermediate care. Another potential factor is the common belief that patients should have the opportunity to demonstrate rehabilitation potential by participation in therapy and being able to “carry over.” The present study might help provide a better understanding of inpatient functional trajectories of patients with cognitive impairments, and could provide a foundation to challenge preconceptions of whether a diagnosis of dementia affects rehabilitation potential.…”

Rehabilitation referral process in acute stroke: decision-making of multidisciplinary teams and rehabilitation assessors

“…One of the key concepts that appears in the literature around rehabilitation referral and acceptance decision-making is 'rehabilitation potential'. This term has been used in the literature to describe the clinician's estimate of a person's capability to make functional gains after injury or illness (Burton, Horne, Woodward-Nutt, Bowen, & Tyrrell, 2015;Enderby et al, 2017;Lam Wai Shun, Bottari, Ogourstova, & Swaine, 2017;Shun, Bottari, & Swaine, 2016). A survey of 17 Australian rehabilitation physicians found rehabilitation potential was cited as an important factor in considering patients with stroke for rehabilitation, however when presented with hypothetical referrals, this potential was perceived differently in practice (Kennedy, Brock, Lunt, & Black, 2012).…”

“…unable to observe performance in the usual/home setting) (Lam Wai Shun et al, 2017). The findings of multidisciplinary focus groups by Burton et al (2015) suggest that rehabilitation potential can be interpreted as a judgement of a person's visible achievement of goals and carry-over of therapy between treatment sessions, thereby suggesting that rehabilitation potential may not be visible unless patients are given opportunities to engage in therapy in hospital. The factors that predict the receipt or denial of rehabilitation post-stroke have been widely investigated, some of which may be considered indicators of a patient's rehabilitation potential.…”

“…Families of patients with stroke may also play a role in advocating for rehabilitation or for discharge home (Pollack & Disler, 2002). A family's willingness and availability to be involved has been favourably associated with rehabilitation potential, as they can contribute to rehabilitation and provide support on discharge from hospital (Burton et al, 2015).…”