Trigger points for a GP referral to an occupational therapist

• Patient not coping with everyday activities of daily living such as self-care, toileting, bathing, feeding, shopping, socialising
• Difficulty in transfers (e.g. struggle to get out of chair)
• Difficulty in reaching perineum as demonstrated by frequent urinary tract infections
• Difficulty in reaching extremities such as tying up shoe laces
• Difficulty with mobility such as patient stands and walks very close to you

Trigger points for an occupational therapist referral to a GP

• Comorbidity (depression and other acute conditions)
• Failure to progress
• Wounds that do not heal
• Poor compliance to medication regime
• Life crises (sudden change in life circumstances, such as death of partner, family member or pet)