2016/09/05 by Schmidt, Heike, Beutner, Katrin, Berndt, Ute +6
Medicine · #610 Medical sciences #Assessment #Krebs #Medicine #Patientenüberleitung #Rehabilitation #cancer #nursing assessment #patient transition #rehabilitation
paper · doi:10.3205/ors000028
Introduction: Multiple symptoms and functional restrictions might impair workability and participation. Rehabilitation for cancer patients aims to achieve improvement of reintegration, participation and quality of life. Studies show insufficient cooperation and flow of information regarding patients’ individual condition and needs between primary care and rehabilitation. Method: The study aimed to develop and pilot-test a modular assessment tool based on standard nursing assessments and ICF criteria in order to optimize patient transition between acute care and rehabilitation. The qualitative dominant mixed methods study was carried out comprising 4 phases: 1st semi-structured survey of heads of German rehabilitation clinics (n=138), 2nd analysis of exemplary patient records and structured survey of health care professionals (HCP) with respect to care transition, 3rd development and consent (Delphi-survey) of optimization measures and 4th pilot-testing of developed material in order to obtain first results regarding feasibility and acceptance. Results: The first study phase indicated insufficient assessment, documentation and communication of functional impairments and partly insufficient patient information. Standardized patient-information and an assessment tool based on nurse routine documentation and ICF criteria were developed. The pilot-testing showed reasonable time frames for completing the OPTIREHA-Assessment. Rehabilitation experts valued the information summarized in the OPTIREHA-Assessment. Conclusion: First results indicate feasibility and possible benefit of the OPTIREHA-Assessment. Additional studies are needed to investigate further clinical benefit.