57 Improving Patient Centred Care On An Acute Older Persons Unit: A Quality Improvement Project

Abstract

Abstract Topic Improving patient centred care through the implementation of an occupational therapy assessment that is framed by ‘gold standard’ intervention of comprehensive geriatric assessment (CGA) and Canadian Model of Occupational Performance and Engagement (CMOP-E). Occupational therapy staff had limited knowledge of the CGA process. Intervention Implementation of an adapted occupational therapy assessment form that reflects the CMOP-E and addresses the domains of the CGA; using the Plan, Do, Study, Act methodology to support a sequential cycle of change over a three month period (Dec 2019 – Feb 2019). The form also addresses patient centred care and personalised care planning. An education session was undertaken with occupational therapy staff to increase the knowledge and understanding of the CGA process resulting in more effective participation in multidisciplinary team (MDT) meetings. Improvement The above intervention resulted in successful implementation of an adapted occupational therapy assessment form for older people addressing the domains of the CGA within the CMOP-E framework and encompassing patient centred care. Occupational therapy staff had increased confidence with their knowledge of the CGA and participation in MDT meetings and patients felt more involved in their care. Discussion It is possible to have both an evidenced MDT model of practice and a uni-professional occupational therapy model working alongside each other to provide patient centred care and effectively address the complex needs of frail, older people.