scholarly journals Occupational therapy interventions in pulmonary rehabilitation – an update in the COVID-19 ERA

2021 ◽  
pp. 439-444
Author(s):  
Alina Deniza CIUBEAN ◽  
Viorela Mihaela CIORTEA ◽  
Rodica Ana UNGUR ◽  
Ileana Monica BORDA ◽  
Bombonica Gabriela DOGARU ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Pulmonary Rehabilitation ◽  
Daily Living ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Background. As symptoms of COVID-19 infection are varying in severity and type, the long-term disability is yet to be established due to a short time-window since the pandemic started. Most survivors will have persistent pulmonary symptoms even after the infection, which raises the awareness of the importance of pulmonary rehabilitation in these patients, as they are mostly young, with severely diminished quality of life as they are unable to perform their basic activities of daily living as before. Occupational therapy is a form of rehabilitation treatment aimed at maximizing functionality and independence in performing activities of daily living, improvement of the patient’s autonomy and prevention of further functional decline. Objective. The purpose of the current work is to review the most important occupational therapy interventions applicable during a pulmonary rehabilitation program for chronic pulmonary pathologies, that can also be applied in COVID-19 survivors with persistent respiratory symptoms. Discussion. The main objectives of occupational therapy in pulmonary rehabilitation are training using breathing techniques at rest and during task performance, upper limbs training to increase exercise tolerance, programming and simplifying daily activities, informing patients of the importance of asking for help, planning the day/week, organizing the environment, educating the patient. All these objectives can be achieved in a simple way and at low-cost. Conclusions. Occupational therapy intervention during comprehensive pulmonary rehabilitation must be promoted to specifically evaluate and solve problems related to respiratory disability. Occupational tasks should be related to symptoms occurring during specific activities. Standardized protocols and definition of outcomes during occupational therapy intervention are lacking. Keywords: occupational therapy, pulmonary rehabilitation, COVID-19, activities of daily living, quality of life,

Limitations in Activities of Daily Living Among Spanish Women Diagnosed With Endometriosis

2021 ◽  
Vol 75 (6) ◽  
Author(s):  
Mario Lozano-Lozano ◽  
Antonio Mundo-López ◽  
Ainhoa P. San-Sebastian ◽  
Noelia Galiano-Castillo ◽  
Carolina Fernandez-Lao ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Pain Catastrophizing ◽  
Chronic Fatigue ◽  
Mediating Effect ◽  
Occupational Performance ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions ◽  
The Impact

Importance: Understanding the impact of endometriosis symptoms on patients’ activities of daily living (ADLs) is a priority to establish effective and personalized intervention programs. Objective: To explore limitations in ADLs and instrumental ADLs (IADLs) and their association with pelvic pain (PP), chronic fatigue, and pain-catastrophizing thoughts among women with endometriosis. Design: Cross-sectional study. Setting: Spain. Participants: Two hundred thirty women with endometriosis. Outcomes and Measures: Information regarding performance of ADLs (Barthel Index) and IADLs (Lawton–Brody questionnaire), PP intensity (Numeric Rating Scale), chronic fatigue (Piper Fatigue Scale), and pain-catastrophizing thoughts (Pain Catastrophizing Scale) was gathered. Multivariate regression analyses were created, and mediating effects of fatigue and pain-catastrophizing thoughts on the association between PP and ADL and IADL limitations were assessed. Results: The prevalence of limitations in at least one ADL and one IADL was 22.6% (95% confidence interval [CI] [17.2, 28.1]) and 39.1% (95% CI [32.8, 45.5]), respectively. Limitations in bowel continence, housework, shopping, and meal preparation were reported most frequently. Women reporting severe PP showed higher risk for ADL (odds ratio [OR] = 3.33, 95% CI [1.10, 10.10]) and IADL (OR = 7.99, 95% CI [2.86, 22.34]) limitations. Chronic fatigue and pain-catastrophizing thoughts were also positively related to ADL–IADL limitations, showing a mediating effect on the association between PP and ADL–IADL limitations. Conclusions and Relevance: This study reveals the widespread presence of difficulties in ADL–IADL performance among women with endometriosis, with some symptoms underlying these difficulties in occupational performance. This study points to the need for cost-effective occupational therapy interventions for affected women. What This Article Adds: This research shows that the occupational performance of women with endometriosis is frequently impaired; therefore, the effectiveness of occupational therapy interventions should be addressed in the near future.

Successful occupational therapy at end of life for a patient with prostate sarcoma

2021 ◽  
Vol 14 (6) ◽  
pp. e242056
Author(s):  
Takayoshi Yamaga ◽  
Katsutoshi Asano ◽  
Masanao Ikeya ◽  
Kosuke Nakanishi
Keyword(s):  
Quality Of Life ◽  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Poor Prognosis ◽  
Clinical Report ◽  
Limited Time ◽  
High Quality ◽  
Time Period

Most previous studies on palliative rehabilitation highlight medical care, with occupational therapy (OT) primarily focused on normal and instrumental activities of daily living. This clinical report describes the case of a 35-year-old patient with prostate sarcoma with a poor prognosis who received OT to help him focus on participating in a meaningful occupation. Initially, the patient was depressed and withdrawn, but with OT, he was able to participate in an occupation, and his life became more active. Although the patient was at the end of his life, he was able to maintain a high quality of life during the limited time period.

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