Table 2 Type and scope of physiotherapy in Australian RACFs
Variable | n (%) |
|---|---|
Most common reason for physiotherapy referral (12.2% missing data) | |
Management of chronic pain as per ACFI framework | 175 (89.7) |
Management of chronic pain – non-ACFI | 10 (5.1) |
Falls | 135 (69.2) |
Reduced mobility | 70 (35.9) |
Decline in function/deconditioning | 53 (27.2) |
New admission | 37 (19.0) |
Post-hospital discharge | 7 (3.6) |
Regular/routine review | 75 (38.5) |
Dementia | 14 (7.2) |
Othera | 5 (2.6) |
Source of physiotherapy referral (21.2% missing data) | |
General practitioner | 114 (65.1) |
Nurse | 153 (87.4) |
Resident | 79 (45.1) |
Family | 79 (45.1) |
Routine for new admission | 144 (82.3) |
Routine for scheduled review | 129 (73.7) |
Blanket referral for specific incidents/issues | 116 (66.3) |
Otherb | < 5 |
Physiotherapy role (8.6% missing data) | |
ACFI Chronic pain management | 193 (93.6) |
ACFI Chronic pain management interventions (4.9% missing data) | |
Massage for complex healthcare procedure 4a | 107 (55.4) |
Massage for complex healthcare procedure 4b | 180 (93.3) |
Electrotherapy or other technical equipment for complex healthcare procedure 4b | 69 (35.8) |
Non-ACFI Chronic pain management | 69 (34.0) |
Falls prevention and treatment | 156 (76.8) |
Falls prevention and treatment interventions (13.5% missing data) | |
Exercise | 125 (92.6) |
Education/advice | 53 (39.3) |
Harm and risk minimization | 65 (48.1) |
Equipment and apparel | 51 (37.8) |
Personal processes | 11 (8.1) |
Referral to and collaboration with other health care professionals | 11 (8.1) |
Reviews/audits | 27 (20.0) |
Environmental modifications | 22 (16.3) |
Other medical and pain management | 7 (5.2) |
Mobility and functional maintenance | 153 (75.4) |
Rehabilitation/short-term restorative care | 85 (41.9) |
Staff training and consultation | 123 (60.6) |
Equipment recommendations and provision | 5 (2.3) |
Otherc | 21 (10.3) |
Validated outcome measures utilized (n = 30) (21.2% missing data) | |
Pain (n = 5) | 162 (92.6) |
Balance and falls risk (n = 6) | 121 (69.1) |
Functional (n = 3) | 104 (59.4) |
Mobility (n = 6) | 62 (35.4) |
Multi-faceted: mobility and balance or function (n = 3) | 21 (12.0) |
Functional lower limb strength (n = 2) | 74 (42.3) |
Overall health (n = 3) | 9 (5.1) |
Otherd (n = 2) | < 5 |
Reason older adult excluded from physiotherapy (22.5% missing data) | |
None excluded | 53 (30.8) |
Maximum ACFI claim reached | 71 (41.3) |
Lack of funding | 69 (40.1) |
Respite status | 62 (36.0) |
Non-compliance of older adult and/or family with physiotherapy | 22 (12.8) |
Cognitive impairment | 19 (11.0) |
Othere | 10 (5.8) |
Duration (minutes) of physiotherapy sessions, mean (SD) (19.8% missing data) | |
New admission assessment | 35.3 (29.8) |
Discharge session | 3.9 (9.8) |
Regular scheduled review | 18.5 (15.2) |
Unscheduled review | 16.7 (15.9) |
Falls review | 18.9 (13.5) |
Resident and family liaising | 11.4 (10.9) |