Occupational therapy in palliative care

Cooper, Jill F; Kite, Nina

doi:10.1093/med/9780199656097.003.0046

Cited by 19 publications

(28 citation statements)

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“…Based on the study findings, it may be relevant for clinicians to suggest occupation-focused or occupation-based interventions as part of the palliative rehabilitation services, when working with people with severe diseases, like advanced cancer [5]. A relevant OT intervention could be an adaptive occupation-based intervention, focusing on diminishing the physical effort and fatigue during ADL task performance (e.g., assistive technology, energy conservation, and alternative methods of doing) [5, 57–59]. Nevertheless, it is important to bear in mind that it is individually determined whether participation in the performance of ADL tasks is perceived as a meaningful and purposeful occupation.…”

Section: Discussionmentioning

confidence: 99%

The Association between ADL Ability and Quality of Life among People with Advanced Cancer

Brekke

Cour

Brandt

et al. 2019

Occupational Therapy International

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Background. Occupational therapy and occupational science are founded on the theoretical core assumption that occupation and quality of life (QoL) are closely related. However, such theoretical core assumptions must be supported through empirically based research. Objective. To investigate the association between QoL and occupation, here self-reported and observed ADL abilities as a part of occupation, among people with advanced cancer, including determining whether self-reported or observed ADL ability had the stronger association with QoL. Methods. The study was nested in a cross-sectional study. The association between ADL ability and QoL among 108 people with advanced cancer was investigated using the ADL Interview (ADL-I), the Assessment of Motor and Process Skills (AMPS), and the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC-QLQ-C30). Results and Conclusions. Results showed that high observed ADL motor ability was associated with high QoL. In contrast, observed ADL process ability and self-reported ADL ability were not significantly associated with QoL. Oppositely expected, observed ADL ability had a stronger association with QoL than self-reported ADL ability. Thereby, the study to some extent contributes knowledge confirming the theoretical core assumptions about the relation between occupation, here performance of ADL, and QoL.

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Section: Discussionmentioning

confidence: 99%

The Association between ADL Ability and Quality of Life among People with Advanced Cancer

Brekke

Cour

Brandt

et al. 2019

Occupational Therapy International

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“…A valorização da vida e da autonomia da pessoa com doença fora de possibilidade de cura é o foco principal do trabalho da Terapia Ocupacional em Cuidados Paliativos. Pacientes e terapeutas ocupacionais devem avaliar quais tarefas são necessárias, possíveis dentre de suas capacidades remanescentes e que dão sentido à vida e possibilitam o desempenho de seus papéis 13 .…”

Section: Cuidados Paliativos Oncológicos E Terapia Ocupacionalunclassified

A atuação da terapia ocupacional com mulheres com câncer de mama em cuidados paliativos.

Faria

Carlo

2015

Rev. Ter. Ocup. Univ. São Paulo (Online)

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Estudo retrospectivo, descritivo, com abordagem qualitativa, baseado em análise documental, para revisão dos dados sociodemográficos e clínicos e dados referentes aos atendimentos de Terapia Ocupacional. O objetivo é identificar e categorizar as intervenções do terapeuta ocupacional com mulheres com câncer de mama atendidas pelo serviço de Cuidados Paliativos de um hospital público, universitário, de alta complexidade, localizado no interior do Estado de São Paulo. O projeto foi aprovado pelo Comitê de Ética em Pesquisa (Processo nº 12559/2013). A casuística inicial foi composta por 49 mulheres com diagnóstico de câncer ginecológico, dentre as quais foram identificadas 27 com câncer de mama; 23 delas haviam sido atendidas pela terapeuta ocupacional e compuseram a amostra final deste estudo. Os dados e os procedimentos realizados foram analisados por estatística descritiva. intervenções abrangeram tanto o paciente como sua família; envolveram diferentes procedimentos, como acolhimento e suporte familiar, orientações sobre estratégias de enfrentamento, conservação de energia, estímulo à independência e autonomia para as AVDs e AIVDs e atividades significativas. A Terapia Ocupacional possibilita a construção de espaços saudáveis de vida e de potência, criação e singularidade nos Cuidados Paliativos.

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“…While the role of occupational therapy with people experiencing LLCs is less well defined that other patient populations, it broadly encompasses efforts to enable these patients to maintain the best possible functional performance, and to enable symptomatic relief and quality of life (7,8). Despite these important tasks, the majority of occupational therapists in a recent European study felt the profession was not being used to its full potential with people with LLCs (9).…”

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confidence: 99%

Evaluating a multidimensional strategy to improve the professional self-care of occupational therapists working with people with life limiting illness.

Apostol

Cranwell

Hitch

2020

Preprint

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Background: The term ‘’life limiting conditions’ refers to premature death following decline from chronic conditions, which is a common circumstance in which occupational therapists work with people at the end of life. The challenges for clinicians of working with these patients have long been recognised, and may have a significant impact on their professional self-care. This study aimed to evaluate a multidimensional workplace strategy to improve the professional self-care of occupational therapists working with people living with a life limiting condition. Methods: A pre and post mixed methods survey approach were utilised, with baseline data collection prior to the implementation of a multidimensional workplace strategy. The strategy included professional resilience education, targeted supervision prompts, changes to departmental culture and the promotion of self-care services across multiple organisational levels. Follow up data collection was undertaken after the strategy had been in place for two years. Quantitative data were analysed descriptively, while qualitative data were subjected to thematic analysis. Results: 103 occupational therapists responded (n=55 pre, n=48 post) across multiple service settings. Complex emotional responses and lived experiences were identified by participants working with patients with life limiting conditions, which were not influenced by the workplace strategy. Working with these patients was acknowledged to challenge the traditional focus of occupational therapy on rehabilitation and recovery. Participants were confident about their ability to access self-care support, and supervision emerged as a key medium. While the strategy increased the proportion of occupational therapists undertaking targeted training, around half identified ongoing unmet need around professional self-care with this patient group. Demographic factors (e.g. practice setting, years of experience) also had a significant impact on the experience and needs of participants. Conclusions: The multidimensional workplace strategy resulted in some improvements in professional self-care for occupational therapists, particularly around their use of supervision and awareness of available support resources. However, it did not impact upon their lived experience of working with people with life limiting conditions, and there remain significant gaps in our knowledge of support strategies for self-care of occupational therapist working with this patient group.

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Occupational therapy in palliative care

Cited by 19 publications

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The Association between ADL Ability and Quality of Life among People with Advanced Cancer

The Association between ADL Ability and Quality of Life among People with Advanced Cancer

A atuação da terapia ocupacional com mulheres com câncer de mama em cuidados paliativos.

Evaluating a multidimensional strategy to improve the professional self-care of occupational therapists working with people with life limiting illness.

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