Meanings and challenges of Occupational Therapy in Palliative Care: a perspective from the student fieldwork experience

Authors

DOI:

https://doi.org/10.25214/25907816.1102

Keywords:

Occupational Therapy, palliative care, education, professional

Abstract

Palliative care seeks to impact the well-being of people with a chronic-degenerative health condition or others that shorten life expectancy. Considering the shortage of occupational therapists trained in this specialty in Colombia and other countries, this paper presents the reflections of two undergraduate students of Occupational Therapy and their teachers on the meanings and challenges of their experiences in a palliative care training practice with hospitalized adults and older adults. By linking the students’ subjectivity with this formative context, five axes emerged: the therapeutic relationship, meaningful occupation and spirituality, compassion fatigue, ethical reflections and professional training. The conclusion is that it is necessary to establish pedagogical strategies that enrich humanized, ethical, critical, and person-centered practice in occupational therapists’ training.

Downloads

Download data is not yet available.

References

American Occupational Therapy Association [AOTA] (2016). The role of occupational therapy in end-of-life care. American Journal of Occupational Therapy, 70(2), 1-16. https://doi.org/10.5014/ajot.2016.706S17

Bermúdez, P., González, D. y Ortiz, R. (2016). El rol de la terapia ocupacional en cuidados paliativos en niños, niñas y adolescentes. Revista de Estudiantes de Terapia Ocupacional, 3(1), 12-25. http://www.reto.ubo.cl/index.php/reto/article/view/48/41

Billock, C. (2011). Espiritualidad, ocupación y terapia ocupacional. En E. Crepeau, E. Cohn y B. Schell (Eds.), Willard y Spackman Terapia Ocupacional (11ª ed.) (90-104). Editorial Médica Panamericana.

Briceño, C. (2011). Reflexiones en torno al razonamiento bioético en cuidados paliativos. Revista Chilena de Terapia Ocupacional, 11(2), 34-46. https://doi.org/10.5354/0719-5346.2011.17777

Brockett M. (2002). Attitudes that breed the vicious circle of fear and violence. Canadian Journal of Occupational Therapy, 69(2), 65-70. https://doi.org/10.1177/000841740206900201

Canadian Association of Occupational Therapists [CAOT]. (1997, 2002) Enabling occupation: an occupational therapy perspective. CAOT Publications ACE.

Castillo, C., Díaz., G., Jelvez, E. y López, A. (2019). Estrategias de afrontamiento del terapeuta ocupacional en cuidados paliativos infanto-juveniles. Revista de Estudiantes de Terapia Ocupacional, 6(1), 13-21. http://www.reto.ubo.cl/index.php/reto/article/view/79/76

Congreso de la República de Colombia. (2014, 8 de septiembre). Ley 1733 de 2014. Ley Consuelo Devis Saavedra, mediante la cual se regulan los servicios de cuidados paliativos para el manejo integral de pacientes con enfermedades terminales, crónicas, degenerativas e irreversibles en cualquier fase de la enfermedad de alto impacto en la calidad de vida. Diario oficial n.º 49.268. http://www.secretariasenado.gov.co/senado/basedoc/ley_1733_2014.html

Crepeau, E. y Schell, B. (2011). Análisis de las ocupaciones y la actividad. En E. Crepeau, E. Cohn y B. Schell (Eds.), Willard y Spackman Terapia Ocupacional (11ª Ed) (359-374). Editorial Médica Panamericana

Del Rio, I. y Palma, A. (2007). Cuidados paliativos: historia y desarrollo. Boletín Escuela de Medicina U.C., Pontificia Universidad Católica de Chile, 32(1), 16-22. https://cuidadospaliativos.org/uploads/2013/10/historia%20de%20CP.pdf

Díaz, M., Pachón, S., Sanabria, L. y Trujillo, A. (2002). Terapia ocupacional para personas con enfermedad crónica en fase avanzada: una visión desde la logoterapia. Revista Ocupación Humana, 9(4), 13–22. https://doi.org/10.25214/25907816.648

Essential, H y McColl, M (2019) A model for occupation-based palliative care. Occupational Therapy in Health Care, 33(1), 108-123. https://doi.org/10.1080/07380577.2018.1544428

Farah, J. y McColl, M. (2008). Exploring prayer as a spiritual modality. Canadian Journal of Occupational Therapy, 75(1), 5-13. https://doi.org/10.1177/000841740807500103

Gonçalo, T., Santos Nascimento, J., Barbieri Bombarda, T., Vieria Espalenza, G., Almeida Rodrigues, E. A., Ferreira, A. P. y Rodrigues dos Santos, Z. (2020). Terapia Ocupacional em cuidados paliativos na COVID-19. Comitê de Terapia Ocupacional da Academia Nacional de Cuidados Paliativos, ANCP. https://crefito12.org.br/wp-content/uploads/2020/06/TO-CP-COVID19-1.pdf

Hammill, K., Bye, R. y Cook, C. (2014). Occupational therapy for people living with a life-limiting illness: A thematic review. British Journal of Occupational Therapy, 77(11), 582–589. https://doi.org/10.4276/030802214X14151078348594

Hasselkus, B. (Ed.). (2011). The meaning of everyday occupation (2nd ed.). Slack

Keesing, S. y Rosenwax, L. (2011). Is occupation missing from occupational therapy in palliative care? Australian Occupational Therapy Journal, 58, 329-336. https://doi.org/10.1111/j.1440-1630.2011.00958.x

Keesing, S. y Rosenwax, L. (2013). Establishing a role for occupational therapists in end‐of‐life care in Western Australia. Australian Occupational Therapy Journal, 60, 370-373. https://doi.org/10.1111/1440-1630.12058

Kinsella, E., Park, AJ-S., Appiagyei, J., Chang, E. y Chow, D. (2008). Through the eyes of students: Ethical tensions in occupational therapy practice. Canadian Journal of Occupational Therapy, 75(3), 176–83. https://doi.org/10.1177/000841740807500309

Meredith, P. J. (2010). Has undergraduate education prepared occupational therapy students for possible practice in palliative care? Australian Occupational Therapy Journal, 57, 224-232. https://doi.org/10.1111/j.1440-1630.2009.00836.x

Mills, K. y Payne, A. (2015). Enabling occupation at the end of life: A literature review. Palliative and Supportive Care, 13(6), 1755-1769. https://doi.org/10.1017/S1478951515000772

Milliken, B. E. (2020). Clients’ perspectives of spirituality in occupational therapy: A retrospective study. The Open Journal of Occupational Therapy, 8(4), 1-19. https://doi.org/10.15453/2168-6408.1666

Ministerio de Salud y Protección Social e Instituto de Evaluación Tecnológica en Salud [IETS] (2016). Guía de práctica clínica para la atención de pacientes en cuidado paliativo (adopción). Minsalud e IETS. http://clinicadelapresentacion.com.co/wp-content/uploads/2017/08/Version_cortapaliativo2016_04_20.pdf

Mthembu, T. G., Wegner, L. y Roman, N. (2017). Exploring occupational therapy students’ perceptions of spirituality in occupational therapy groups: A qualitative study. Occupational Therapy in Mental Health, 33(2), 141-167. https://doi.org/10.1080/0164212X.2016.1245595

Mthembu, T. G., Wegner, L. y Roman, N. (2018). Guidelines to integrate spirituality and spiritual care in occupational therapy Education: A modified Delphi study. Occupational Therapy in Mental Health, 34(2), 181-201. https://doi.org/10.1080/0164212X.2017.1362367

Nascimento, W. M. S. D. (2019). Produção científica em cuidados paliativos e terapia ocupacional: revisão de escopo [Tesis de Especialización, Universidade Federal da Paraíba]. Repositorio UFPB https://repositorio.ufpb.br/jspui/handle/123456789/17460

Nascimento, N. y Delboni, M. (2021). Peleé la buena batalla, terminé la carrera y mantuve la fe. Revista bioética, 29(2), 279-286. https://revistabioetica.cfm.org.br/index.php/revista_bioetica/article/download/2443/2641

Navas, A. y Tenorio, L. (Coords.). (2016). Perfil profesional y competencias del terapeuta ocupacional. Colegio Colombiano de Terapia Ocupacional y Ministerio de Salud y Protección Social. https://doi.org/10.25214/ccto.1

Nissmark, S. y Malmgren, A. (2018). Occupational balance among family members of people in palliative care. Scandinavian Journal of Occupational Therapy, 27(7), 1-7. https://doi.org/10.1080/11038128.2018.1483421

Observatorio Colombiano de Cuidados Paliativos (2019). 2018 Anuario (3ª Ed.). Editorial Universidad El Bosque. https://occp.com.co/wp-content/uploads/2021/01/2018Anuario-14nov2019.pdf

Organización Mundial de la Salud [OMS] (2020). Cuidados paliativos. Centro de Prensa OMS. https://www.who.int/es/news-room/fact-sheets/detail/palliative-care

Park Lala, A. y Kinsella, E. A. (2011). A phenomenological inquiry into the embodied nature of occupation at end of life. Canadian Journal of Occupational Therapy, 78, 246-254. https://doi.org/10.2182/cjot.2011.78.4.6

Pearson, E. J., Todd, J. G. y Futcher, J. M. (2007). How can occupational therapists measure outcomes in palliative care? Palliative Medicine, 21(6), 477–485. https://doi.org/10.1177/0269216307081941

Perilla, V. M. L. y Joaquim, R. H. V. T. (2020). Equipo multiprofesional y trabajo interdisciplinario en cuidados paliativos: reflexiones sobre factores contextuales y profesionales que afectan la práctica de Terapia Ocupacional. Revista Ocupación Humana, 20(1), 64-81. https://doi.org/10.25214/25907816.949

Pickens, N. D., O’Reilly, K. R. y Sharp, K. C. (2010). Holding on to normalcy and overshadowed needs: Family caregiving at end of life. Canadian Journal of Occupational Therapy, 77(4), 234-240. https://doi.org/10.2182/cjot.2010.77.4.5

Price, P. (2011). Relación terapéutica. En E. Crepeau, E. Cohn, y B. Schell (Eds.), Willard y Spackman Terapia Ocupacional (11ª Ed.) (328–341). Editorial Médica Panamericana.

Pyle, E. (2018) Analyzing the benefits of occupational therapy within palliative care for patients with cancer: A systematic review [Tesis de grado, Eastern Kentucky University]. Honors Theses. 538. https://encompass.eku.edu/honors_theses/538

Rose, A. (1999). Spirituality and palliative care: The attitudes of occupational therapists. British Journal of Occupational Therapy, 62(7), 307-312. https://doi.org/10.1177/030802269906200707

Schmidt-RioValle, J., Montoya-Juarez, R., Campos-Calderón, C. P., Garcia-Caro, M. P., Prados-Peña, D. y Cruz-Quintana, F. (2012). Efectos de un programa de formación en cuidados paliativos sobre el afrontamiento de la muerte. Medicina paliativa, 19(3), 113-120. https://doi.org/10.1016/j.medipa.2010.11.001

Von Post, H. y Wagman, P. (2017). What is important to patients in palliative care? A scoping review of the patient’s perspective, Scandinavian Journal of Occupational Therapy, 26(1), 1-8, https://doi.org/10.1080/11038128.2017.1378715

Warne, K. E. y Hoppes, S. (2009). Lessons in living and dying from my first patient: An autoethnography. Canadian Journal of Occupational Therapy, 76(4), 309-316. https://doi.org/10.1177/000841740907600410

Published

2021-09-29

How to Cite

Baena Leal, D. A., Rojas Pulido, P. A., Díaz Cubillos, N. S. ., León Perilla, V. M. ., & Duarte Torres , S. C. . (2021). Meanings and challenges of Occupational Therapy in Palliative Care: a perspective from the student fieldwork experience. Human Occupation Journal, 21(2), 72–87. https://doi.org/10.25214/25907816.1102

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
Crossref Cited-by logo
QR Code

Most read articles by the same author(s)

1 2 > >>