A service evaluation of a specialist community palliative care occupational therapy service

Phipps, Kerrie; Cooper, Jan

doi:10.1179/1743291x14y.0000000104

Cited by 3 publications

(2 citation statements)

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“…Existe evidencia de que las y los profesionales de la salud tienen aún una comprensión limitada sobre la función y el propósito de la Terapia Ocupacional en los cuidados paliativos; esto afecta el número de remisiones oportunas (Hammill et al, 2014;Phipps y Cooper, 2014;Knecht-Sabres et al, 2019;Chow y Pickens, 2020) y las posibilidades de antici-par e identificar barreras y limitaciones funcionales, así como sus implicaciones a nivel ocupacional, por lo cual estas raramente se documentan y se registran (Cheville et al, 2008). En consecuencia, las discusiones del equipo giran alrededor de información meramente física para actualizar el cuadro clínico; en este punto, las contribuciones desde otras perspectivas se tornan extrañas y no se incluyen entre los objetivos del trabajo mancomunado.…”

Section: Factores Profesionales: Habilidades Y Capacidades Para El Trabajo En Equipo De Cuidados Paliativosunclassified

“…A pesar de la percepción sobre el bajo número de remisiones (menos del 40% de integrantes de los equipos remite a Terapia Ocupacional), es alentador ver que entre los principales motivos para hacerlo estén el rescate de la participación ocupacional en el ambiente hospitalario, así como el apoyo en las actividades productivas y de tiempo libre, lo que se encuadra dentro del uso terapéutico de ocupaciones y actividades (tabla 1). También es interesante, porque esto contradice los resultados de algunas investigaciones internacionales que señalan la dificultad de las y los profesionales en cuidados paliativos para centrarse en la participación en ocupaciones significativas (Keesing y Rosenwax, 2011;Knecht-Sabres et al, 2019), siendo más frecuentes las remisiones para prescripción de tecnología de asistencia, realización de adaptaciones en el ambiente físico, terapia de mano, ejercicio físico y prueba muscular/articular de mano, confección y prescripción de férulas (Phipps y Cooper, 2014;Knecht-Sabres et al, 2019).…”

Section: Factores Profesionales: Habilidades Y Capacidades Para El Trabajo En Equipo De Cuidados Paliativosunclassified

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Equipo multiprofesional y trabajo interdisciplinario en cuidados paliativos: reflexiones sobre factores contextuales y profesionales que afectan la práctica de Terapia Ocupacional

Perilla

Joaquim²

2020

Rev. Ocup. hum.

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Aunque la atención interdisciplinaria ha sido el modelo filosófico y teórico de trabajo del equipo multiprofesional en los cuidados paliativos, en la práctica, este modelo no asegura una atención conjunta. Este artículo de reflexión presenta diferentes cuestionamientos en torno a la visibilidad y el quehacer de Terapia Ocupacional dentro del equipo de cuidados paliativos. Se rescatan las dinámicas de trabajo de terapeutas ocupacionales brasileñas que han actuado en este campo junto con profesionales de otras áreas, analizando las características del entorno laboral y los factores profesionales que pueden estar influenciando la prestación de una atención profesional conjunta durante el proceso de acompañamiento paliativo. Se espera que este diálogo genere incomodidad y que despierte la motivación de las y los lectores para proyectar y concretar oportunidades que aborden e incorporen la dimensión ocupacional en este tipo de cuidado, cuyo enfoque sea la conservación de la identidad profesional, su visibilidad epistémica y la flexibilización de las competencias intraprofesionales, para una genuina práctica interdisciplinaria.

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Section: Factores Profesionales: Habilidades Y Capacidades Para El Trabajo En Equipo De Cuidados Paliativosunclassified

Equipo multiprofesional y trabajo interdisciplinario en cuidados paliativos: reflexiones sobre factores contextuales y profesionales que afectan la práctica de Terapia Ocupacional

Perilla

Joaquim²

2020

Rev. Ocup. hum.

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The experiences of rural generalist occupational therapists in provision of palliative care in rural, regional, and remote Australia: A phenomenological inquiry

Oxley,

Lowrie

2024

Aus Occup Therapy J

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IntroductionAccess to specialist palliative care in rural and remote Australia is limited, resulting in a reliance on generalist health professionals to provide these services. Although literature exists concerning the experiences of some health professions in providing rural generalist palliative care, little is known about the experiences of occupational therapists who fill these roles. This paper aims to address this gap in knowledge by exploring the experiences of rural generalist occupational therapists in the provision of palliative care in rural, regional, and remote Australia.MethodsAn interpretive phenomenological approach guided this research. Data were collected from eight rural generalist occupational therapists across Australia, using semi‐structured, in‐depth interviews. Data were thematically analysed to develop a nuanced understanding of lived experience in provision of palliative care.Consumer and Community InvolvementDue to the focus of this research on the practice experiences of occupational therapists, consumer and/or community involvement was not undertaken in its design or implementation.FindingsThree key themes were identified: ‘community connections – a double‐edged sword’; ‘frustrations with structural and contextual factors limiting quality palliative care service provision’; and ‘education and support as enablers of professional preparedness for palliative care service provision.’ Taken collectively, these findings shed light on a variety of challenges and opportunities associated with rural generalist palliative care occupational therapy practice, as well as clues to their effective management.ConclusionKnowledge of rural generalist occupational therapists' experiences can inform workforce development, promote retention of rural occupational therapists, and improve outcomes for dying persons, their families and caregivers. This study offers new insights into challenges and opportunities for rural generalist occupational therapy practice in palliative care and highlights the way in which both, new and existing support structures may be of value in promoting practice capacity and therapist wellbeing.PLAIN LANGUAGE SUMMARYIt can be hard to get expert support for dying people in areas outside of cities in Australia. Health workers in these areas should be helped to provide good care. In this study, we spoke with some health workers in rural and remote areas who occasionally work with people who are dying. They told us that people in these areas were often helpful in supporting people who are dying because they felt close to them. But they also said that this made caring sadder for health workers because, sometimes, they were close to the people who were dying too. Having too much work, not enough experience and long distances made providing good care extra difficult. The health workers said that getting expert advice or using online teaching could help them improve their practice, but finding the time to do this is hard.

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Assistive technology in palliative medicine: equipment needs

Kelly

Manning

Broome

2023

BMJ Support Palliat Care

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ObjectivesMost people prefer to die at home. Timely and appropriate provision of assistive technology can support people to remain at home in the palliative phase. A state-wide palliative care equipment programme (PCEP) was established in Queensland, Australia, to support coordinated assistive technology provision. The objective of this study was to identify population-wide palliative care equipment needs and their relationship to primary diagnostic categories.MethodA retrospective, cross-sectional analysis of equipment provided over a 19-month period was conducted. This included types of equipment provided and characteristics of the participants such as rurality, age and diagnostic category.ResultsThere were 13 764 approved equipment requests, with a median time between equipment application and death being around 35 days. There were significant differences in the types of equipment typically required across diagnostic categories.ConclusionThe findings from the study can provide a benchmark for the development of population-wide PCEPs. For practitioners who are new to palliative care, typical trajectories of equipment needs by diagnostic group can help guide equipment planning.

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A service evaluation of a specialist community palliative care occupational therapy service

Cited by 3 publications

References 4 publications

Equipo multiprofesional y trabajo interdisciplinario en cuidados paliativos: reflexiones sobre factores contextuales y profesionales que afectan la práctica de Terapia Ocupacional

Equipo multiprofesional y trabajo interdisciplinario en cuidados paliativos: reflexiones sobre factores contextuales y profesionales que afectan la práctica de Terapia Ocupacional

The experiences of rural generalist occupational therapists in provision of palliative care in rural, regional, and remote Australia: A phenomenological inquiry

Assistive technology in palliative medicine: equipment needs

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