Trigger points for a GP referral to an occupational therapist

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

Trigger points for an occupational therapist referral to a GP

• Comorbidity (depression, 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)