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

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.

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A Scale for Activities of Daily Living in Iranian Children (ADLIC): Development and Validation

Basic and Clinical Neuroscience Journal ◽

10.32598/bcn.2021.2732.1 ◽

2021 ◽

Author(s):

Hossein Solltaninejad ◽

◽

Mehdi Alizadeh Zaree ◽

Malahat Akbarfahimi ◽

Akram Azad ◽

...

Keyword(s):

Occupational Therapy ◽

Activities Of Daily Living ◽

Daily Living ◽

Population Based ◽

Functional Mobility ◽

Personal Hygiene ◽

Occupational Performance ◽

Item Questionnaire ◽

Occupational Therapy Practice Framework ◽

Iranian Children

Background: Activities of daily living as an ultimate goal of rehabilitation relies on cultural and environmental factor. The purpose of this study was to develop a questionnaire based on Occupational therapy practice frame to accurately evaluate the occupational performance of Iranian children. Methods: This scale was developed in two phases of planning and constructing. The planning phase involved a literature review and a collection of the available evaluation tools in the area. The advice of two expert panels was used to develop a preliminary 87-item questionnaire. In the construction phase, 40 parents were surveyed to assess the popularity of the activities in Iran. After a face to content validation, the final version of the questionnaire was prepared with 93 items. Results: The final 93-item questionnaire was used to assess the daily activities of 3-6 year old children. The 93 items, selected according to criteria found in the literature and the panel of experts, were categorized in 6 areas of occupational therapy practice framework (bathing/washing/personal hygiene, toileting, dressing, eating/feeding, functional mobility and others). Conclusion: The activities of daily living in Iranian children is a useful and culturally relevant tool for measuring the occupational performance of Iranian children. It can be utilized in clinical and population-based researches.

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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

Scandinavian Journal of Occupational Therapy ◽

10.3109/11038129509106673 ◽

1995 ◽

Vol 2 (2) ◽

pp. 85-85

Author(s):

Kristina Türnquist

Keyword(s):

Occupational Therapy ◽

Activities Of Daily Living ◽

Daily Living ◽

Critical Examination

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Compliance with Prescribed Adaptive Equipment: A Literature Review

British Journal of Occupational Therapy ◽

10.1177/030802260006300204 ◽

2000 ◽

Vol 63 (2) ◽

pp. 65-75 ◽

Cited By ~ 43

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.

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

American Journal of Occupational Therapy ◽

10.5014/ajot.121.049060 ◽

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.

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

British Journal of Occupational Therapy ◽

10.1177/030802260506800704 ◽

2005 ◽

Vol 68 (7) ◽

pp. 307-314 ◽

Cited By ~ 12

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.

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