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The role of occupational therapy in ...

Ivy, Mack.

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The role of occupational therapy in palliative care: Is it perceived to be beneficial by the patient and family?

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The role of occupational therapy in palliative care: Is it perceived to be beneficial by the patient and family?/
作者:	Ivy, Mack.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2016,
面頁冊數:	83 p.
附註:	Source: Dissertation Abstracts International, Volume: 78-06(E), Section: B.
Contained By:	Dissertation Abstracts International78-06B(E).
標題:	Occupational therapy. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10251261
ISBN:	9781369548587

The role of occupational therapy in palliative care: Is it perceived to be beneficial by the patient and family?
Ivy, Mack.

The role of occupational therapy in palliative care: Is it perceived to be beneficial by the patient and family? - Ann Arbor : ProQuest Dissertations & Theses, 2016 - 83 p.

Source: Dissertation Abstracts International, Volume: 78-06(E), Section: B.

Thesis (Ph.D.)--Texas Woman's University, 2016.

Physicians often order "comfort care" and discontinue therapies including occupational therapy when an oncology patient no longer benefits from curative treatments. The purpose of this study was to determine if occupational therapy was beneficial to palliative care patients. Many standardized quality of life instruments were considered that assessed levels of symptom burden including pain and fatigue. However the standardized instruments did not ask specifically if the occupational therapy session was beneficial and/or "worth it." A survey addressing these research questions was developed for the patients who met the inclusion criteria. It was determined that the best judges of whether an occupational therapy session was beneficial or not, were the palliative care patients and caregivers who just experienced an occupational therapy session.

ISBN: 9781369548587Subjects--Topical Terms:

617818
Occupational therapy.

The role of occupational therapy in palliative care: Is it perceived to be beneficial by the patient and family?
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245 1 4 $a The role of occupational therapy in palliative care: Is it perceived to be beneficial by the patient and family?
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500 $a Source: Dissertation Abstracts International, Volume: 78-06(E), Section: B.
500 $a Includes supplementary digital materials.
500 $a Advisers: Gayle Hersch; Paul Walker.
502 $a Thesis (Ph.D.)--Texas Woman's University, 2016.
520 $a Physicians often order "comfort care" and discontinue therapies including occupational therapy when an oncology patient no longer benefits from curative treatments. The purpose of this study was to determine if occupational therapy was beneficial to palliative care patients. Many standardized quality of life instruments were considered that assessed levels of symptom burden including pain and fatigue. However the standardized instruments did not ask specifically if the occupational therapy session was beneficial and/or "worth it." A survey addressing these research questions was developed for the patients who met the inclusion criteria. It was determined that the best judges of whether an occupational therapy session was beneficial or not, were the palliative care patients and caregivers who just experienced an occupational therapy session.
520 $a This study included 27 patient surveys and 21 caregiver surveys. All 48 surveys indicated that the occupational therapy session was perceived to be beneficial. A secondary objective or research question was to estimate the satisfaction rate, which is defined as the percentage of patient and caregivers that answered "agree strongly" or "agree" to the question, "Overall, participating in this activity today was worth it." Again, all of the 48 surveys indicated that the occupational therapy session was "worth it." This was despite almost 30% of the surveys indicating that the activity increased pain and/or fatigue.
520 $a This study provided the quantitative and qualitative data to indicate that patients and caregivers perceived participation with occupational therapy was beneficial and worth it. An important implication of this study is that physicians may now be more comfortable ordering occupational therapy for their patients facing the end of life if palliative patients themselves reported quantitatively and qualitatively that occupational therapy was beneficial. With this research supporting the inclusion of occupational therapy as a part of end of life care, it is hoped that each patient may at least be given the opportunity to decide for him- or herself if he or she wishes to participate with occupational therapy or not. Another practice implication would also support having an occupational therapist be a part of the palliative care team.
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