Enhancing the rates of advance directive documentation to improve the quality of patient care

Introduction Advance Directives (AD) allow patients to maintain autonomy during incapacitation. Patients and their caregivers benefit from these documents in times of crisis. Overcoming barriers to AD completion and documentation can improve patient care quality. Methods A retrospective chart review was performed initially, after consolidation of the electronic health record (EHR) and after alteration of the EHR, to evaluate the availability of a patient’s medical power of attorney (MPOA), living will (LW), and code status. Results Baseline documentation of MPOA (7.33%), LW (6.00%), and code status (5.33%) within the outpatient EHR was low. After 2 cycles, this improved to 13.10%, 13.10%, and 36.55%, respectively. Improvement in code status documentation was statistically significant (p=\u3c0.00001). Conclusion Altering the EHR can improve the rates of AD documentation. Further interventions in the EHR should include easily accessible documents and address other barriers, including educating both patients and providers

Occupational therapy’s role in reading and literacy: A descriptive study

Literacy is fundamental in becoming a successful member of society and is essential in everyday life. The occupational therapy perspective is not just teaching the skill of reading, but understanding how individuals engage in reading in their daily lives. The purpose of this quantitative descriptive research study is to compare reading scores with reading perception students. Researchers will obtain scores from The Inventory of Reading Occupations Pediatric Version, IRO-Pedi, and reading scores from the Renaissance Star Reading Assessment. Participants will include second grade students from a Southern Ohio elementary school whose guardian has completed a consent form to participate. Researchers will administer the IRO-Pedi via virtual communication to get a baseline score of reading perception. Scores from both assessments will be used to determine if there is a correlation between reading perspectives and actual reading scores to better understand how occupational therapy can help improve literacy in elementary aged children