Therapy Needs of Children in Mainstream Education

1992 ◽  
Vol 55 (7) ◽  
pp. 271-274 ◽  
Author(s):  
J W Gregory ◽  
E M Fairgrieve ◽  
D M Anderson ◽  
H F Hammond
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Urban Population ◽  
Occupational Therapist ◽  
Handicapped Children ◽  
Functional Difficulties ◽  
Mainstream Education ◽  
Physically Handicapped

The physiotherapy and occupational therapy needs of physically handicapped children attending mainstream schools were evaluated by the use of a parent's and a teacher's questionnaire and associated with random assessment as a tool to identify and assess therapy needs. The questionnaire has been found useful in updating information about these pupils' functional difficulties and in identifying areas in which quality of life and education could be improved by the increased input from therapists to mainstream schools. The results suggest that one occupational therapist and one physiotherapist will be required to provide this service in an urban population of 180,000 people. This finding has major resource implications.

Occupational therapy in palliative care

2021 ◽  
pp. 206-212
Author(s):  
Maria Denise Pessoa Silva ◽  
Fiona Rolls ◽  
Lynne White ◽  
Tamsin Longley ◽  
Jane Murphy ◽  
...  
Keyword(s):  
Palliative Care ◽  
Occupational Therapy ◽  
Occupational Therapist ◽  
Evidence Based ◽  
Shortness Of Breath ◽  
Functional Impairments ◽  
Functional Difficulties ◽  
Wide Range ◽  
Care At Home

Occupational therapy in palliative care aims to help patients achieve their optimum independence for as long as possible in activities that are important to them. There is a wide range of difficulties and symptoms experienced by palliative patients with which occupational therapy can intervene, which may include physical disabilities and functional impairments, extreme fatigue, anxiety, shortness of breath, and cognitive deficits. This chapter describes the broad range of areas in which the occupational therapist works in palliative care together with the multidisciplinary team. They take a key role in assessing and treating functional difficulties, organizing and facilitating safe discharge and care at home, with the aim of achieving best quality of life and avoiding admission to hospital whenever possible. The occupational therapist analyses and assesses specific problems and provides a treatment programme or solution to help the patient remain as independent as possible, using clinical reasoning and evidence-based practice.

Occupational therapy in palliative care

2015 ◽  
Author(s):  
Jill Cooper ◽  
Nina Kite
Keyword(s):  
Palliative Care ◽  
Occupational Therapy ◽  
Advanced Disease ◽  
Physical Disabilities ◽  
Cord Compression ◽  
Occupational Therapist ◽  
Peripheral Neuropathies ◽  
Compression Fractures ◽  
Functional Difficulties

Occupational therapy in palliative care aims to help patients achieve their optimum independence in activities that are important to them. The specific functional difficulties may include extreme fatigue, anxiety and shortness of breath due to advanced disease including metastatic spinal cord compression, fractures, or peripheral neuropathies. Patients may have problems with cognition and perception, body image, life role, and spiritual issues as well as physical disabilities. This chapter describes the broad range of areas in which the occupational therapist works in palliative care together with the interprofessional team. They take a key role in organizing and facilitating safe discharge and care at home, with the aim of achieving best quality of life and avoiding re-admission to hospital wherever possible. The occupational therapist analyses and assesses specific problems and provides a treatment programme or solution to help the patient remain as independent as possible, using clinical reasoning and evidence-based practice.

scholarly journals A Secure Occupational Therapy Framework for Monitoring Cancer Patients’ Quality of Life

Sensors ◽  
2019 ◽  
Vol 19 (23) ◽  
pp. 5258 ◽  
Author(s):  
Md. Abdur Rahman ◽  
Md. Mamunur Rashid ◽  
Julien Le Kernec ◽  
Bruno Philippe ◽  
Stuart J. Barnes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Home Environment ◽  
Multimedia Big Data ◽  
Current Implementation ◽  
Ambient Intelligent ◽  
History Of ◽  
Secure Monitoring ◽  
After Cancer

Once diagnosed with cancer, a patient goes through a series of diagnosis and tests, which are referred to as “after cancer treatment”. Due to the nature of the treatment and side effects, maintaining quality of life (QoL) in the home environment is a challenging task. Sometimes, a cancer patient’s situation changes abruptly as the functionality of certain organs deteriorates, which affects their QoL. One way of knowing the physiological functional status of a cancer patient is to design an occupational therapy. In this paper, we propose a blockchain and off-chain-based framework, which will allow multiple medical and ambient intelligent Internet of Things sensors to capture the QoL information from one’s home environment and securely share it with their community of interest. Using our proposed framework, both transactional records and multimedia big data can be shared with an oncologist or palliative care unit for real-time decision support. We have also developed blockchain-based data analytics, which will allow a clinician to visualize the immutable history of the patient’s data available from an in-home secure monitoring system for a better understanding of a patient’s current or historical states. Finally, we will present our current implementation status, which provides significant encouragement for further development.

scholarly journals The effect on subjective quality of life of occupational therapy based on adjusting the challenge–skill balance: a randomized controlled trial

2019 ◽  
Vol 33 (11) ◽  
pp. 1732-1746
Author(s):  
Ippei Yoshida ◽  
Kazuki Hirao ◽  
Ryuji Kobayashi
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Controlled Trial ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Subjective Quality ◽  
Subjective Quality Of Life ◽  
Rehabilitation Process ◽  
And Control

Objective: To verify the effect of adjusting the challenge–skill balance with respect to rehabilitation process. Design: A single-blind, two-arm, parallel-group, randomized controlled trial. Setting: Recovery rehabilitation unit of Harue Hospital, Japan. Subjects: The trial included 72 clients (mean (SD): age, 74.64 (9.51) years; Functional Independence Measure score, 98.26 (15.27)) with cerebral or spinal disease or musculoskeletal disease. Interventions: Clients were randomly divided into two groups: the experimental group, who received occupational therapy with adjustment of the challenge–skill balance, and the control group who received conventional occupational therapy. Time from admission to discharge was considered the implementation period; the final evaluation was conducted at three months after discharge. Main measures: The primary outcome was subjective quality of life (Ikigai-9). Secondary outcomes were the health-related quality of life (EuroQol–5 Dimensions, Five Levels (EQ-5D-5L)), the Flow State Scale for Occupational Tasks, and the Functional Independence Measure. A cost-effectiveness analysis was conducted using total cost and quality-adjusted life-year based on the EQ-5D-5L. Results: Significant differences were observed between the experimental and control groups with respect to the Ikigai-9 score ( P = 0.008) and EQ-5D-5L ( P = 0.038), and the effect sizes were 0.76 (95% confidence interval [CI]: 0.27–1.24) and 0.62 (95% CI: 0.14–1.10), respectively. No significant between-group differences in other outcomes were observed, for example, the Functional Independence Measure score improved in both experimental and control groups (119.80 (5.50) and 118.84 (6.97), respectively. The incremental cost-effectiveness ratio was US$5518.38. Conclusions: Adjusting the challenge–skill balance may be a useful approach to improve the participant’s subjective quality of life in the rehabilitation process.

scholarly journals Quality of life of children with hearing loss in special and mainstream education: A longitudinal study

2020 ◽  
Vol 128 ◽  
pp. 109701
Author(s):  
Tirza F.K. van der Straaten ◽  
Carolien Rieffe ◽  
Wim Soede ◽  
Anouk P. Netten ◽  
Evelien Dirks ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Longitudinal Study ◽  
Mainstream Education ◽  
Children With Hearing Loss

Defining and Assessing Quality of Life

1995 ◽  
Vol 58 (4) ◽  
pp. 146-150 ◽  
Author(s):  
Christine A Mayers
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Individual Quality ◽  
Individual Quality Of Life ◽  
Satisfactory Quality

This article is a literature review, undertaken to have a fuller understanding of what is meant by the term ‘quality of life’ and how it is measured or assessed. The literature review shows that the term Is not clearly defined. It is suggested that occupational therapists each have their own definition and may use the term too narrowly: a satisfactory quality of life means something different to all of us, whether we be occupational therapist or client. This suggests that discussion with a client about his/her Individual quality of life and what this means to him/her is probably more realistic than trying to measure aspects of it.

scholarly journals Implementation of a Multidisciplinary Allied Health Optimisation Clinic for Cancer Patients with Complex Needs

2020 ◽  
Vol 9 (8) ◽  
pp. 2431
Author(s):  
Hannah Ray ◽  
Anna Beaumont ◽  
Jenelle Loeliger ◽  
Alicia Martin ◽  
Celia Marston ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Cancer Patients ◽  
Allied Health ◽  
Program Completion ◽  
Complex Needs ◽  
Patient Interviews ◽  
Health Model ◽  
Multidisciplinary Model

This study examined the feasibility of implementing a multidisciplinary allied health model of care (MOC) for cancer patients with complex needs. The MOC in this retrospective study provided up to eight weeks of nutritional counselling, exercise prescription, fatigue management and psychological support. Implementation outcomes (acceptability, adoption, fidelity and appropriateness) were evaluated using nine patient interviews, and operational data and medical records of 185 patients referred between August 2017 and December 2018. Adoption, including intention to try and uptake, were acceptable: 88% of referred patients agreed to screening and 71% of eligible patients agreed to clinic participation. Fidelity was mixed, secondary to inpatient admissions and disease progression interrupting patient participation. Clinician compliance with outcome assessment was variable at program commencement (dietetic, 95%; physiotherapy, 91%; occupational therapy, 33%; quality of life, 23%) and low at program completion (dietetic, 32%; physiotherapy, 13%; occupational therapy, 10%; quality of life, 11%) mainly due to non-attendance. Patient interviews revealed high satisfaction and perceived appropriateness. Adoption of the optimisation clinic was acceptable. Interview responses suggest patients feel the clinic is both acceptable and appropriate. This indicates a multidisciplinary model is an important aspect of comprehensive, timely and effective care. However, fidelity was low, secondary to the complexities of the patient cohort.

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