A Review of Occupational Therapy in Orthopaedics

Junghun Kim; Jung Min-Ye

Korean Journal of Occupational Therapy

Abbr : Korean J of Occup Ther
2020, 28(2), pp.27-39
Publisher : Korean Society Of Occupational Therapy
Research Area : Working Therapeutics

Junghun Kim ¹, Jung Min-Ye ²

¹극동대학교 작업치료학과
²연세대학교

ABSTRACT

Objective: The review aims to investigate the role of occupational therapy in orthopaedics focusing on theorthogeriatric model of care. Methods: Researched related literature through search engine Google and web database; Cinahl, Cochrane, Embase,and Web of Science from September to November in 2018. The search keywords are ‘Orthogeriatric model ofcare’, ‘guideline’, ‘hip fracture’, ‘replacement’, ‘knee arthrop+I4lasty’ ‘Orthopedic’, ‘Orthogeriatric’, ‘Occupationaltherapy’, ‘Elderly’ and ‘Discharge planning’. This review constructs the role of occupational therapy based on theorthogeriatric model of care. Results: It is found that the Orthogeriatric Model of Care (OMC) facilitates recovery and returning to the communityfor the elderly who undertaken orthopedic surgery. OMC consist of a multidisciplinary team including physician,nurse, physiotherapist, occupational therapist, social worker, dietician and speech pathologist. Implementing OMCreduced mortality, complication, delirium, admission of intensive care unit and nursing home, and increaserecovery, functional outcome and cost-effectiveness. Occupational therapy plays important role in OMC such aspre-operation assessment and education, delirium management. early mobilization, joint education, fall prevention,rehabilitation, discharge planning and management after discharge. Conclusion: In Korea, the orthopedic care system is placed way behind compare to developed countries. there isstill a limited OT role in the orthopedic area. This may be the reason that Korean orthopedic patient stays longerat the hospital and higher readmission rates after orthopedic surgery. The Korean medical insurance system isrequired to develop to support OT to work in the orthopedic area. This will help to support ‘community care’which government louched in 2018.
KEYWORDS

Occupational therapy, Geriatric model of care, Hip fracture, Arthroplasty
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