The Importance of Independence in Toileting: the Views of Stroke Survivors and their Occupational Therapists

2005 ◽  
Vol 68 (4) ◽  
pp. 165-171 ◽  
Author(s):  
Joanne Clark ◽  
Sue Rugg
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Occupational Therapy ◽  
Health Care Professionals ◽  
Daily Activity ◽  
Occupational Therapists ◽  
Self Esteem ◽  
Stroke Survivors ◽  
Perceived Importance

The profession of occupational therapy claims to be patient centred; however, research shows that the views of patients and health care professionals often differ. Toileting is a fundamental daily activity, yet to date there have been few studies investigating the perceived importance of independence in toileting. A qualitative study was conducted to determine the views of stroke survivors and their occupational therapists regarding the importance of independence in toileting. A symbolic interactionistic framework was used, allowing the views of these two disparate groups to be compared. Thirteen stroke survivors and seven occupational therapists were interviewed. Five categories were identified in the data collected: the occupational form normally used in toileting; incontinence and continence; independence and dependence in toileting; issues relating to toileting and hospital discharge; and the role of occupational therapy. Both participant groups agreed that independence in toileting was important in avoiding the need for assistance and in avoiding feelings of decreased self-esteem. However, the patient participants' views extended further in that they stated that the method of toileting was important, not merely that it was conducted independently. In conclusion, it is essential that occupational therapists consider how they can facilitate a return to the method usually undertaken for toileting by patients. If a return to the previous methodology for toileting will not be possible, then the occupational therapists must give consideration as to how to facilitate adjustment by the patients.

Considering Spirituality in Occupational Therapy Practice

1994 ◽  
Vol 61 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Mary Egan ◽  
M. Denise Delaat
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Occupational Performance ◽  
Exact Role ◽  
Therapy Guidelines

Despite its prominent place in the Occupational Therapy Guidelines for client-centred practice, the exact role of spirituality in clinical practice has been difficult to delineate. In this paper current concepts of spirituality are outlined and ways in which these concepts have been applied in health care are described. To illustrate these spiritual concepts, the experiences of individuals whom the authors have met in their clinical practice are outlined in a series of vignettes. Finally, a revision of the model of occupational performance which enhances consideration of spirituality in occupational therapy practice is proposed, and some guidelines for occupational therapists wishing to incorporate spiritual concerns in therapy are suggested.

Across the spectrum: Strategies to improve recognition and treatment of mental disorders in primary care

2017 ◽  
Author(s):  
Victoria J. Palmer ◽  
Rob Whitley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Social Workers ◽  
Health Care Professionals ◽  
Occupational Therapists ◽  
Whole Person ◽  
Seeking Help

There is an abundance of published literature documenting the important role of primary care in the recognition, treatment and management of mental disorders. Despite this, general practitioners, nurses, social workers, occupational therapists, physiotherapists, and other primary health care professionals remain under acknowledged, and the multidisciplinary team arrangements needed for effective management elusive. Individual and community stigma attached to seeking help has not been removed. This chapter provides an overview of these existing barriers and outlines strategies for implementation to improve recognition and treatment of mental disorders across the spectrum in primary care. These strategies are focused on the delivery of whole person, resulting in integrated and person-centred care.

Clinical Effectiveness: Systematic Reviews and Evidence-Based Practice in Occupational Therapy

1997 ◽  
Vol 60 (11) ◽  
pp. 479-483 ◽  
Author(s):  
Katrina Bannigan
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Systematic Reviews ◽  
Health Care Professionals ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Occupational Therapists ◽  
Evidence Based ◽  
Sources Of Information ◽  
High Quality

Evidence-based health care can be defined as an approach to health care that involves finding and using up-to-date research into the effectiveness of health care interventions to inform decision making (Entwistle et al, 1996). For many occupational therapists, the practicalities of keeping up to date with the best research evidence is difficult; however, through the National Health Service Centre for Reviews and Dissemination (NHS CRD), the NHS Research and Development (R&D) Programme is aiming to improve the availability of high quality research evidence to all health care professionals. The NHS CRD carries out and commissions systematic reviews. Systematic reviews are a means of pulling together large quantities of research information and are considered to be one of the most reliable sources of information about effectiveness (Chalmers and Altman, 1995). The NHS CRD also disseminates the findings of systematic reviews, one method of which is through the Database of Abstracts of Reviews of Effectiveness (DARE). The relevance of systematic reviews to the clinical practice of occupational therapists is explored in this paper using two examples: a poor quality and a high quality systematic review identified from the abstracting process for DARE. Both reviews are directly relevant to occupational therapy, being about sensory integration and falls in the elderly respectively. The implications of these reviews for evidence-based practice in occupational therapy are discussed.

scholarly journals Maximizing Telerehabilitation for Patients With Visual Loss After Stroke: Interview and Focus Group Study With Stroke Survivors, Carers, and Occupational Therapists (Preprint)

2020 ◽  
Author(s):  
Stephen Dunne ◽  
Helen Close ◽  
Nicola Richards ◽  
Amanda Ellison ◽  
Alison R Lane
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Good Practice ◽  
Occupational Therapists ◽  
Visual Exploration ◽  
Visual Field Defects ◽  
Stroke Survivors ◽  
Focus Group Study ◽  
Movement Strategies ◽  
The Impact

BACKGROUND Visual field defects are a common consequence of stroke, and compensatory eye movement strategies have been identified as the most promising rehabilitation option. There has been a move toward compensatory telerehabilitation options, such as the Durham Reading and Exploration (DREX) training app, which significantly improves visual exploration, reading, and self-reported quality of life. OBJECTIVE This study details an iterative process of liaising with stroke survivors, carers, and health care professionals to identify barriers and facilitators to using rehabilitation tools, as well as elements of good practice in telerehabilitation, with a focus on how the DREX package can be maximized. METHODS Survey data from 75 stroke survivors informed 12 semistructured engagement activities (7 focus groups and 5 interviews) with 32 stroke survivors, 10 carers, and 24 occupational therapists. RESULTS Thematic analysis identified key themes within the data. Themes identified problems associated with poststroke health care from both patients’ and occupational therapists’ perspectives that need to be addressed to improve uptake of this rehabilitation tool and telerehabilitation options generally. This included identifying additional materials or assistance that were required to boost the impact of training packages. The acute rehabilitation setting was an identified barrier, and perceptions of technology were considered a barrier by some but a facilitator by others. In addition, 4 key features of telerehabilitation were identified: additional materials, the importance of goal setting, repetition, and feedback. CONCLUSIONS The data were used to try to overcome some barriers to the DREX training and are further discussed as considerations for telerehabilitation in general moving forward.

Extending the Role of the Occupational Therapist in the Promotion of Collaborative Medication Management to Facilitate Occupation

2011 ◽  
Vol 74 (11) ◽  
pp. 540-542 ◽  
Author(s):  
Julie Cole
Keyword(s):  
Health Care ◽  
Medication Adherence ◽  
Occupational Therapy ◽  
Medication Management ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Health Care Environment ◽  
Care Environment ◽  
Professional Perspectives

Although falling outside its traditional domain of concern, medication management merits consideration by occupational therapists owing to both the beneficial and the detrimental effects of pharmacology on occupation. However, a lack of clarity about the profession's role in promoting this activity has important consequences from legal and professional perspectives. In a health care environment, where a client-centred approach to medication adherence is currently advocated, there is scope to use the profession's models to explore this topic from an occupational viewpoint. This could enhance effective collaboration between prescribers and patients and enable the use of occupational therapy to augment, support or replace pharmacological approaches.

Do Health-Care Professionals Really Understand the Role of Occupational Therapy in Hospice Care?

2018 ◽  
Vol 36 (5) ◽  
pp. 379-386 ◽  
Author(s):  
Lisa Jean Knecht-Sabres ◽  
Ashley Weppner ◽  
Cassandra Powers ◽  
Brooke Siesel
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
End Of Life ◽  
Health Care Professionals ◽  
End Of Life Care ◽  
Qualitative Data ◽  
Hospice Care ◽  
The United States

Background: The distinct value of occupational therapy (OT) in end-of-life care is to facilitate quality of life for clients and their caregivers through engagement in occupations during the clients’ remaining days. The purpose of this study was to explore health-care professionals’ perceptions and knowledge regarding the role of OT in hospice care and to better understand why OT may be underutilized in this setting. Participants: A total of 104 professionals working in hospice care from 31 different states participated in this study. Methods: Electronic surveys were distributed to hospice agencies throughout the United States. Data Analysis: Descriptive statistics was used to analyze quantitative data, and content analysis was used to identify patterns with qualitative data. Rigor was enhanced through peer-review, multiple coders, and triangulation. Results: The results of this study revealed that OT’s role in hospice care is misunderstood, and OT services are underutilized. Five themes were identified regarding the underutilization of OT services: (1) lack of reimbursement, (2) timing of referral, (3) knowledge of the role of OT, (4) refusal of services by family members, and (5) lack of OT presence in this setting. Conclusion: This study revealed that health-care professionals do believe that OTs are vital members of the hospice care team. However, many recipients of hospice care are not receiving OT. More consistent referrals to OT may better ensure that the terminally ill are able to attain end-of-life goals and live their lives to the fullest, regardless of life expectancy.

scholarly journals Maximizing Telerehabilitation for Patients With Visual Loss After Stroke: Interview and Focus Group Study With Stroke Survivors, Carers, and Occupational Therapists

10.2196/19604 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e19604
Author(s):  
Stephen Dunne ◽  
Helen Close ◽  
Nicola Richards ◽  
Amanda Ellison ◽  
Alison R Lane
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Good Practice ◽  
Occupational Therapists ◽  
Visual Exploration ◽  
Visual Field Defects ◽  
Stroke Survivors ◽  
Focus Group Study ◽  
Movement Strategies ◽  
The Impact

Background Visual field defects are a common consequence of stroke, and compensatory eye movement strategies have been identified as the most promising rehabilitation option. There has been a move toward compensatory telerehabilitation options, such as the Durham Reading and Exploration (DREX) training app, which significantly improves visual exploration, reading, and self-reported quality of life. Objective This study details an iterative process of liaising with stroke survivors, carers, and health care professionals to identify barriers and facilitators to using rehabilitation tools, as well as elements of good practice in telerehabilitation, with a focus on how the DREX package can be maximized. Methods Survey data from 75 stroke survivors informed 12 semistructured engagement activities (7 focus groups and 5 interviews) with 32 stroke survivors, 10 carers, and 24 occupational therapists. Results Thematic analysis identified key themes within the data. Themes identified problems associated with poststroke health care from both patients’ and occupational therapists’ perspectives that need to be addressed to improve uptake of this rehabilitation tool and telerehabilitation options generally. This included identifying additional materials or assistance that were required to boost the impact of training packages. The acute rehabilitation setting was an identified barrier, and perceptions of technology were considered a barrier by some but a facilitator by others. In addition, 4 key features of telerehabilitation were identified: additional materials, the importance of goal setting, repetition, and feedback. Conclusions The data were used to try to overcome some barriers to the DREX training and are further discussed as considerations for telerehabilitation in general moving forward.

Effect of an Educational Workshop on Health Care Professionals' Perceptions of the Role of Occupational Therapy

2016 ◽  
Vol 70 (4_Supplement_1) ◽  
pp. 7011510208p1
Author(s):  
Naser Alotaibi ◽  
Fahad Manee ◽  
Lisa Broom ◽  
Mehdi Rassafiani
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Health Care Professionals ◽  
Educational Workshop
Sign in / Sign up

Export Citation Format

Share Document