New Scandinavian Doctorate:Verifying and Measuring the Ability to Perform Activities of Daily Living (ADL). A Critical Examination of ADL Instruments and the Practice of Occupational Therapy

1995 ◽  
Vol 2 (2) ◽  
pp. 85-85
Author(s):  
Kristina Türnquist
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Critical Examination

Compliance with Prescribed Adaptive Equipment: A Literature Review

2000 ◽  
Vol 63 (2) ◽  
pp. 65-75 ◽  
Author(s):  
Trish Wielandt ◽  
Jenny Strong
Keyword(s):  
Occupational Therapy ◽  
Literature Review ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Current Practice ◽  
Functional Independence ◽  
Under Five ◽  
Functional Potential ◽  
And Training

This article describes a literature review that examined the topic of the postdischarge compliance of individuals with prescribed adaptive equipment. Assisting individuals to accomplish tasks relevant to their activities of daily living and thereby achieve functional independence is central to the role of occupational therapy. The prescription of adaptive equipment is a frequently used intervention. The rationale for prescribing adaptive equipment is that it maximises a client's functional potential, allows for independence in activities of daily living and fosters confidence as a result of being able to accomplish such tasks. All studies that surveyed compliance with prescribed adaptive equipment between 1963 and 1996 were reviewed. The factors that reportedly affect compliance by individuals can be considered under five discrete categories: medical-related, client-related, equipment-related, assessment-related and training-related. On the basis of the findings of this literature review, recommendations are made for further research, specifically investigating methods that therapists could incorporate into current practice to address the problem of non-compliance with prescribed adaptive equipment.

Activities of Daily Living Performance and Acute Care Occupational Therapy Utilization: Moderating Factors

2022 ◽  
Vol 76 (1) ◽  
Author(s):  
Adam R. Kinney ◽  
James E. Graham ◽  
Rayyan Bukhari ◽  
Amanda Hoffman ◽  
Matt P. Malcolm
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Acute Care ◽  
Daily Living ◽  
Sociodemographic Factors ◽  
Insurance Type ◽  
Therapy Services ◽  
To Receive ◽  
Adl Performance ◽  
Therapy Treatment

Importance: Hospitalized patients who have difficulty performing activities of daily living (ADLs) benefit from occupational therapy services; however, disparities in access to such services are understudied. Objective: To investigate whether need (i.e., limited ADL performance) predicts acute care occupational therapy utilization and whether this relationship differs across sociodemographic factors and insurance type. Design: A secondary analysis of electronic health records data. Logistic regression models were specified to determine whether ADL performance predicted use of occupational therapy treatment. Interactions were included to investigate whether the relationship between ADL performance and occupational therapy utilization varied across sociodemographic factors (e.g., age) and insurance type. Participants: A total of 56,022 adults admitted to five regional hospitals between 2014 and 2018 who received an occupational therapy evaluation. Intervention: None. Outcomes and Measures: Occupational therapy service utilization, Activity Measure for Post-Acute Care “6-Clicks” measure of daily activity. Results: Forty-four percent of the patients evaluated for occupational therapy received treatment. Patients with lower ADL performance were more likely to receive occupational therapy treatment; however, interaction terms indicated that, among patients with low ADL performance, those who were younger, were White and non-Hispanic, had significant others, and had private insurance (vs. public) were more likely to receive treatment. These differences were smaller among patients with greater ADL performance. Conclusions and Relevance: Greater need was positively associated with receiving occupational therapy services, but this relationship was moderated by age, minoritized status, significant other status, and insurance type. The findings provide direction for exploring determinants of disparities in occupational therapy utilization. What This Article Adds: Acute care occupational therapy utilization is driven partly by patient need, but potential disparities in access to beneficial services may exist across sociodemographic characteristics and insurance type. Identifying potential determinants of disparities in acute care occupational therapy utilization is the first step in developing strategies to reduce barriers for those in need.

The Relationship between Engagement in Occupations and Pressure Sore Development in Saudi Men with Paraplegia

2005 ◽  
Vol 68 (7) ◽  
pp. 307-314 ◽  
Author(s):  
Ruth Cutajar ◽  
Anne Roberts
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Spinal Cord Injuries ◽  
Occupational Therapists ◽  
Pressure Sore ◽  
Pressure Sores ◽  
Level Of Activity ◽  
Occupational Activities ◽  
The Individual

Various research studies have explored the factors that predispose people with spinal cord injuries to pressure sore development. Two hundred risk factors have been associated with pressure sore occurrence. One of the variables commonly reported to affect pressure sore occurrence is a decreased level of activity (Vidal and Sarrias 1991, Fuhrer et al 1993). This concurs with the philosophy of occupational therapy that a reduction in activity can generate pathology (Miller et al 1988). This research study investigated whether decreased participation in occupational activities (work, leisure and activities of daily living) was related to pressure sore occurrence in paraplegic men. The sample was selected randomly from the occupational therapy discharge files of a rehabilitation facility in Saudi Arabia. The data were collected by means of a telephone questionnaire from a total of 58 men, over a 3-month period. The study showed that there was a large increase in unemployment in paraplegic men following injury (from 10% to 59%) and, as might be expected, manual workers were more vulnerable than office workers. The study found no significant association between pressure sore occurrence and whether or not the individual was employed. However, it showed a statistically significant association between unemployment and pressure sores severe enough to lead to hospitalisation. The study also found a statistically significant association between individuals' independence in activities of daily living and the number of pressure sores that they had reported in the last 2 years. These findings indicate the potential importance of clients remaining occupationally active for their wellbeing and the significant contribution that occupational therapists can make by enabling rehabilitation of occupational activities.

scholarly journals Perfil ocupacional de pacientes traumato-ortopédicos atendidos pela Terapia Ocupacional em um Hospital no Oeste do Pará/Brasil/Occupational profile of traumato-orthopedic patients served by occupational therapy in a hospital in the west of Pará/Brazil

2018 ◽  
Vol 2 (3) ◽  
pp. 621-638
Author(s):  
Rayssa Barbosa Nunes ◽  
Tereza Feijão Tavares
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Mobility ◽  
The West ◽  
Traumatic Injuries ◽  
Occupational Profile ◽  
Car Accidents ◽  
Tibia Fractures ◽  
Orthopedic Patients

O trauma é um importante problema médico e social, atualmente ocupa um lugar de destaque no campo da saúde tanto pelas mortes que causa, quanto por suas sequelas. As lesões traumáticas determinam perdas funcionais importantes e limitações nas atividades da vida diária. O objetivo do estudo visa indicar o perfil ocupacional de pacientes traumato-ortopédicos atendidos pela Terapia ocupacional em um hospital no Oeste do Pará. Trata-se de estudo quantitativo do tipo transversal, composto por 50 participantes. O perfil ocupacional encontrado teve predomínio de homens 70%, com idade média de 33 anos, do município de Santarém 44%, com traumas por acidentes automobilísticos representando 58% e com fraturas de tíbia 36%, acometendo principalmente as atividades da vida diária de mobilidade funcional 82%, tomar banho no chuveiro 58% usar o vaso sanitário 52%. Os dados demonstram que o trauma ortopédico implica em limitações na realização das atividades da vida diária.AbstractThe trauma is an important medical and social problem, currently occupies a prominent place in the field of health both for the deaths it causes, as for their sequels. The traumatic injuries determine important functional losses and limitations in activities of daily living. The objective of the study aims to indicate the occupational profile of traumato-orthopedic patients served by occupational therapy in a hospital in the West of Pará. This is a quantitative study of transverse type, composed of 50 participants. The occupational profile found had a predominance of men 70%, with an average age of 33 years, of the municipality of Santarém 44%, with traumas by car accidents representing 58% and with tibia fractures with 36%, affecting primarily the activities of daily living of functional mobility 82%, bathe in shower 58% and use the toilet 52%. The data shows that the orthopedic trauma implies limitations in carrying out the activities of daily living.Keywords: Occupational Therapy, Traumatology, Orthopedics.

scholarly journals Terapia Ocupacional na clínica médica: experiências práticas em estágio supervisionado/ Occupational therapy in the medical clinic: practical experiences in supervised internship

2020 ◽  
Vol 4 (1) ◽  
pp. 123-129
Author(s):  
Mariana De Pontes Santiago ◽  
Janaína Marcelino Rocha de Abreu ◽  
Raquel Costa Albuquerque
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Elderly People ◽  
Daily Living ◽  
Functional Independence ◽  
Occupational Therapist ◽  
Medical Clinic ◽  
Practical Experiences ◽  
De Medicina

O objetivo deste artigo é apresentar as vivências da Terapia Ocupacional na enfermaria de clínica médica do Instituto de Medicina Integral Professor Fernando Figueira, como práticas de estágio supervisionado, no ano de 2019. A experiência evidencia um perfil de adultos e idosos acometidos por múltiplas patologias, com perdas em seu nível de independência funcional e comprometimento das Atividades Básicas de Vida Diária após a hospitalização. As intervenções foram voltadas principalmente para o resgate da funcionalidade e demonstraram efetividade ao longo dos atendimentos. Portanto, reforça-se a importância do terapeuta ocupacional no hospital, para a recuperação da saúde e autonomia dos indivíduos. Abstract: The objective of this article is to present the Occupational Therapy experiences in the medical clinic ward of the Instituto de Medicina Integral Professor Fernando Figueira, as supervised internship practices, in 2019. The experience shows a profile of adults and elderly people with multiple pathologies, with losses in their level of functional independence and impairment of the Basic Activities of Daily Living after hospitalization. The interventions were mainly aimed at the rescue of functionality and demonstrated effectiveness throughout the care. Therefore, the importance of the occupational therapist in the hospital is reinforced for the recovery of health and autonomy of individuals.Key words: Internship; Functionality; Hospital; Occupational therapy. Resumen: El objetivo de este trabajo es presentar las experiencias de terapia ocupacional en el pabellón de la clínica médica del Instituto de Medicina Integral Professor Fernando Figueira, como prácticas supervisadas, en 2019. La experiencia muestra un perfil de adultos y ancianos con patologías múltiples, con pérdidas en su nivel de independencia funcional y deterioro de las Actividades Básicas de la Vida Diaria después de la hospitalización. Las intervenciones se dirigieron principalmente al rescate de la funcionalidad y la efectividad demostrada en toda la atención. Por lo tanto, la importancia del terapeuta ocupacional en el hospital se refuerza para la recuperación de la salud y la autonomía de las personas.Palabras clave: Funcionalidad; Hospital; Prácticas; Terapia ocupacional.

scholarly journals Desempenho ocupacional de mulheres em situação de rua / Occupacional performance of homeless women

2018 ◽  
Vol 2 (1) ◽  
pp. 85-108
Author(s):  
Thayane de Cácia Brito Prudente ◽  
Rayssa Béder César Paiva ◽  
Daniela Tavares Gontijo
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Social Assistance ◽  
Occupational Therapists ◽  
Homeless Persons ◽  
Homeless Women ◽  
Occupational Performance ◽  
Structured Interviews

Introdução: A população em situação de rua caracteriza-se predominantemente pela falta de moradia regular, condição de pobreza extrema e vínculos rompidos ou fragilizados. No entanto, a vida na rua e o acesso aos serviços socioassistenciais tendem a não se configurar da mesma forma para homens e mulheres. Considerando a perspectiva do desempenho ocupacional, os terapeutas ocupacionais se preocupam com os fatores que influenciam o envolvimento dos sujeitos em ocupações. Objetivo: compreender o desempenho ocupacional de mulheres em situação de rua. Métodos: Estudo de abordagem qualitativa, com base na História Oral de Vida. A coleta de dados foi realizada em dois serviços socioassistenciais do Recife que atendem pessoas em situação de rua.  Os dados foram coletados através de entrevistas semiestruturadas e submetidos à Análise de Conteúdo Temática. Resultados/discussão: Foram entrevistadas 8 mulheres com idades entre 20 a 39 anos. A análise resultou em três categorias temáticas: Desempenho Ocupacional na infância, Ida para rua e Desempenho Ocupacional na rua. As categorias forma dividias em: Atividades de Vida Diária (AVDs), Atividades Instrumentais de Vida Diária (AIVDs), Trabalho, Lazer e Participação Social. Observou-se que as mulheres em situação de rua vivenciam um processo de privação ocupacional pela situação de desfiliação em que vivem, com repercussão negativa na qualidade de vida. Conclusão: Neste estudo pode-se observar a dificuldade das mulheres em realizar todas as ocupações, justificando a intervenção da Terapia Ocupacional para favorecer o empoderamento pessoal, a ressignificação do cotidiano e exercício da cidadania.  AbstractIntroduction: The population in street situation is predominantly characterized by a lack of regular housing, an extreme poverty and  weakened or broken bonds. However, street living and access to social assistance services tend not to be configured in the same way for men and women. Considering the perspective of occupational performance, occupational therapists are concerned with factors that influence the subjects' engagement in occupations. Objective: To understand the occupational performance of women who are homeless. Method: A qualitative study based on the Oral Story of Life. The data collection was performed in two social assistance services in the city of Recife that receive people who live on streets. Data were collected through semi-structured interviews and submitted to the Thematic Content Analysis. Results/Discussion: Eight women aged 20 to 39 years were interviewed. The analysis resulted in three thematic categories: Occupational Performance in childhood, Going to the streets and Occupational Performance in the streets. The categories were divided into Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), Work, Leisure and Social Participation. It was observed that homeless women experience a process of occupational deprivation with negative repercussions on the quality of life due to the situation of disaffiliation in which they live. Conclusion: In this study it is possible to observe the women's difficulty to perform all the occupations, justifying the intervention of the Occupational Therapy to favor the personal empowerment, the resignification of the daily life and the exercise of the citizenship.Keywords: Homeless persons, Autobiography, Gender identity, Women, social Vulnerability, Occupational therapy.

Sign in / Sign up

Export Citation Format

Share Document