The Role of Physical Therapists Within Hospice and Palliative Care in the United States and Canada

Wilson, Christopher M.; Stiller, Christine; Doherty, Deborah; Thompson, Kristine A.

doi:10.1177/1049909115604668

Cited by 26 publications

(20 citation statements)

References 5 publications

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“…Adapted with permission 8IDT, interdisciplinary team; PC, palliative care; PTs, physical therapists.…”

Section: Resultsmentioning

confidence: 99%

“…This qualitative study followed the methods used and validated by Wilson et al 8 with PTs from the USA and Canada 8. This included a demographic questionnaire and interview guide based on a literature review, experiences of the investigators in caring for individuals with life-threatening illnesses, discussion with PTs that work in PC and experiences of the investigators in using qualitative research methods.…”

Section: Methodsmentioning

confidence: 99%

“…Lynch et al 6 described 4b as the highest category where nations have demonstrated extensive national PC provision and activism, broad awareness by the public, unrestricted morphine access, support by universities and education centres and a national PC professional association. In order to begin to describe the role of PTs within PC in highly integrated nations, Wilson et al 8 interviewed PTs practising in the USA and Canada (both categorised as 4b). The authors identified the roles of the PT within PC as: providing patient/family care, serving as an interdisciplinary team (IDT) member and fulfilling professional responsibilities outside of direct patient care 8.…”

Section: Background and Purposementioning

confidence: 99%

“…In order to begin to describe the role of PTs within PC in highly integrated nations, Wilson et al 8 interviewed PTs practising in the USA and Canada (both categorised as 4b). The authors identified the roles of the PT within PC as: providing patient/family care, serving as an interdisciplinary team (IDT) member and fulfilling professional responsibilities outside of direct patient care 8. Participants emphasised that these roles are necessary in order to promote effective PC treatment and avoid potential financial burdens in the form of preventable or unnecessary hospital admissions 9.…”

Section: Background and Purposementioning

confidence: 99%

See 3 more Smart Citations

Physical therapists in integrated palliative care: a qualitative study

Wilson

Stiller

Doherty

et al. 2020

BMJ Support Palliat Care

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ObjectivesThe purpose of this study was to explore the perceptions and experiences of physical therapists (PTs) regarding their role in palliative care (PC) when practising in nations with advanced integration of PC into mainstream healthcare.MethodsThis qualitative study included an electronic demographic survey and semistructured interview. Data analysis included descriptive statistics for demographics and the constant comparative method for interview results.ResultsThirteen PTs from eight nations identified four categories of roles and responsibilities: (1) working with patients and families, (2) being an interdisciplinary team (IDT) member, (3) professional responsibilities beyond direct patient care and (4) factors influencing the role of PTs in PC. Concepts identified were shifting priorities (increased family involvement, emphasis on psychosocial aspects and differences in care philosophy), care across the continuum (accommodating changes in patient status, increasing awareness of PTs’ role in varying disease states and working with the IDT) and changing perceptions about PT in PC (perceptions of PTs/others regarding PTs’ role in PC and professional responsibilities of the PT in PC).ConclusionsBased on participant responses, a previously published conceptual framework by Wilson et al in 2017 was updated and included an increased emphasis on patient wishes and dignity, treating breathlessness, patient advocacy within their family and use of technology and networking. Within PC, PTs play a key role on the IDT and can improve quality of life; however, multiple barriers exist to providing PT care within PC. Further advocacy is needed from PTs and professional organisations to integrate these services.

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“…Adapted with permission 8IDT, interdisciplinary team; PC, palliative care; PTs, physical therapists.…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Background and Purposementioning

confidence: 99%

Section: Background and Purposementioning

confidence: 99%

See 2 more Smart Citations

Physical therapists in integrated palliative care: a qualitative study

Wilson

Stiller

Doherty

et al. 2020

BMJ Support Palliat Care

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show abstract

“…Physical therapists serving as interdisciplinary team members in palliative care settings, provide patient care beyond physical and bodily treatment aims. This concept includes shifting priorities across a continuum and the changing perception of physical therapist as well as other allied health specialists [21]. These palliative and multidisciplinary approaches should be encouraged during education and further training to implement the changing perceptions of PT into the qualification of physical therapists.…”

Section: Resultsmentioning

confidence: 99%

Patient-Reported Outcome of Physical Therapy in Amyotrophic Lateral Sclerosis: Observational Online Study (Preprint)

Meyer¹,

Spittel²,

Steinfurth³

et al. 2018

Preprint

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“I've found it's very meaningful work”: Perspectives of physiotherapists providing palliative care in Ontario

McLeod

Norman

2019

Physiotherapy Res Intl

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ObjectivesThis study aimed to describe insights from interviews about the experience of physiotherapists providing palliative care in Ontario and their perceptions of the role and value of physiotherapists' involvement in palliative care.MethodsWe conducted interviews with physiotherapists in Ontario, Canada (n = 14), and received emailed submissions from two others (one physiotherapist and one physiotherapy student) with current or recent practice experience in palliative care. We conducted inductive thematic analysis of the interview data and emailed submissions.ResultsParticipants' reflections were categorized into three major themes: perceived value of the contribution of physiotherapists in palliative care; the experience of providing physiotherapy in palliative care; and reflections on the palliative care system. Participants described their role in palliative care as diverse, driven by patient goals and focused on the experience of patients and families. Participants perceived a high value in collaborative networks for supporting them to fulfill their role in palliative care settings. Participants also recommended efforts to increase awareness of the potential for physiotherapists to contribute to palliative care.ConclusionsThe findings confirm those of research in other jurisdictions and extend our understanding of the value and meaningfulness of physiotherapy in palliative care, to patients, families, and physiotherapists themselves.

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The Role of Physical Therapists Within Hospice and Palliative Care in the United States and Canada

Abstract: This study described perceptions of the role of PTs within HPC that may be utilized when coordinating future strategies to appropriately promote and expand the role.

Cited by 26 publications

References 5 publications

Physical therapists in integrated palliative care: a qualitative study

Physical therapists in integrated palliative care: a qualitative study

Patient-Reported Outcome of Physical Therapy in Amyotrophic Lateral Sclerosis: Observational Online Study (Preprint)

“I've found it's very meaningful work”: Perspectives of physiotherapists providing palliative care in Ontario

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