Document Type
Capstone
Abstract
This project was established to explore how occupational therapy practitioners working in the acute care setting can address visual impairments post-stroke, and how these impairments effect occupational performance. Project objectives were aimed to provide occupational therapy practitioners with an increase in perceived knowledge regarding how to identify, assess, and characterize visual perceptual deficits, allowing them to use this knowledge to develop tailored interventions to address limitations with activities of daily living (ADL) performance. Goals of this project were: to highlight the importance of providing early vision assessment and intervention within the acute setting; to increase the likelihood of acute occupational therapy practitioners incorporating vision assessment and treatment when working with clients poststroke; to improve confidence in providing assessment of visual impairments; and to improve confidence in providing interventions to address visual impairments with clients post-stroke. A literature review was conducted to evaluate current research regarding vision's impact on occupation and the effectiveness of occupational therapy in providing early assessment and intervention to address visual impairments post-stroke. Twenty-nine currently practicing occupational therapy practitioners participated in receiving the educational material with twenty-two participants completing the pre-survey prior to the in-service presentation and thirteen participants completing the post-survey after the presentation of the educational PowerPoint and reviewing the resource binder. The resource binder was designed for occupational therapy implementation of vision assessment and intervention for clients post-stroke in the acute care setting. The resource binder consists of vision assessment resources using assessments within the Brain Injury Visual Assessment Battery for Adults (biV ABA) including subtest instructions, subtest documents, scanning worksheets, vision goal examples, and the scancourse activity. Pre-test and post-test surveys were compared using the results ofthe thirteen participants who completed both surveys. Post-test results revealed the PowerPoint and resource manual contributed to the occupational therapy practitioners reporting an increase in confidence, likelihood, and frequency of implementation of vision assessment and intervention for clients post-stroke in the acute care setting. Additionally, participants revealed changes in their knowledge of: the most common vision impairment post-stroke; their ability to name basic screening assessments to identify vision impairments; use of the biVABA; the ability to name interventions to address visual impairments; knowledge of the most common and most effective vision intervention; ability to write vision related goals; and use of referrals after discharge from acute care to further address the visual impairments post-stroke. In conclusion, the project was effective in both educating occupational therapy practitioners on the importance of providing early assessment of visual impairments post-stroke and increasing the likelihood of implementation of vision intervention in the acute care setting.
Publication Date
4-18-2022
Recommended Citation
Penuel, Kari, "The Role of Acute Occupational Therapy in Providing Assessment and Intervention for Visual Impairments Post-stroke" (2022). MOT Student Capstones. 123.
https://riches.cabarruscollege.edu/mot-student-capstones/123
