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. Author manuscript; available in PMC: 2020 Apr 29.
Published in final edited form as: OBM Geriat. 2019 Oct 10;3(4):20. doi: 10.21926/obm.geriatr.1904078

Table 1.

Overview of themes and subthemes.

Theme Subtheme
Experience and Receptivity to the Pharmacy and PT Professionals in the ED Several participants reported they felt the pharmacist developed rapport with them.
Patients and caregivers were also receptive to the PT consultations, stating they welcomed the feedback on their current mobility and advice on how to improve safety.
Barriers to Uptake of Pharmacy/PT Consultation and Recommendations Barriers of the GAPcare PT consultation included the fear of mobilization and increasing pain, and prior negative experiences with PT.
Content of the Pharmacy/PT Consultation Several caregivers and patients reported the pharmacist explored reasons for medication nonadherence and encouraged that these issues be addressed by the PCP.
Several caregivers, particularly those caring for individuals with dementia, and patients, reported that the pharmacist simplified, improved, and clarified the medication regimen.
Perceived Impact of the Consultation on the Individual Three caregivers thought the in-ED PT intervention helped their family member maintain and improve mobility.
There was a lack of consensus by caregivers on whether an in-ED PT consult was necessary to ensure the uptake of outpatient PT.
Both patients and caregivers reported that the early recognition of functional limitations led to engagement with care and better ED disposition plans (e.g., hospital admission, ED discharge, SNF placement).
Participants Made Various Suggestions for Improvement of the Gapcare Intervention Several caregivers felt the length of time of the entire in-ED GAPcare intervention could be shorter and it was easy to get overwhelmed by the many actions and personnel.
Almost one third of patients and caregivers reported problems with distinguishing the GAPcare pharmacist and PT from other ED and outpatient personnel and stated they could not recall which personnel assisted with what change.
Two patients without dementia and a daughter of a patient with dementia reported they did not need pharmacy assistance for themselves or their mother.
Two patients with chronic progressive mobility impairments reported they did not think PT was beneficial, but they continued it anyway.
One caregiver of an African American GAPcare patient made several suggestions to improve the intervention for people of color.
A caregiver and patient reported that they had difficulty completing the GAPcare outpatient care plan because they were already receiving PT for an unrelated problem and another patient stated they were “fired” by their PCP after the ED visit.