Discharge decision-making, enabling occupations, and client-centred practice.

Background: Occupational therapists working in hospitals are confronted with increasingly complex discharge decisions. However, the relationship of discharge-planning strategies to the professional concepts of client-centred practice and enabling occupations has been unclear.

Purpose: This study explored the relationship between the models of decision-making used by occupational therapists, and the professional issues of enabling occupation and client-centred practice.

Discharge planning with older adults: toward a negotiated model of decision making.

Background: Occupational therapists are frequently involved in discharge accommodation decision making with older adults.

Purpose: The literature regarding this process is reviewed. The ways in which risk avoidance and autonomy promotion philosophies influence decisions are examined and a new approach is proposed.