Self-referral received from a 50 year old woman reporting difficulties with chair transfers due to osteoarthritis.
Case study: Transfers and video recording
Provided by Gemma Marshall, Senior Community Reablement Occupational Therapist, Adult Social Care, Reading Borough Council
The first step was telephone triage to gather information on her medical history and perceived ability. This allowed a risk assessment to be completed, and she was identified as being suitable for a virtual appointment. The telephone call allowed me to gain consent for and explain the proposed process of a virtual assessment. She had family whom could assist and provide a video on her behalf.
I requested a video of transfers, from current seating to standing and mobility around the home be sent to my work phone via WhatsApp. Once received, I was able to identify the barriers and propose and confirm an intervention via a follow-up telephone call.
New seating was provided and a video appointment was arranged for review. During the video call, I provided instructions for the client to re-arrange postural support cushions for herself and provide further advice on seating and postural management. Transfers were also re-assessed during the call.
Once transfer, pressure relief and postural needs were safely met, the case was closed.
As the client had declined a home visit due to anxieties surrounding COVID, telephone triage followed by a virtual assessment meant she could still be seen.
The telephone and online appointments and use of video recordings led to a number of positive outcomes for the client, including:
- increased independence with transfers;
- increased postural support and comfort;
- increased pressure relief management;
- improved safety and reduced risk of falls;
- reduced need for a long-term care package;
- increased quality of life.