Ashworth Erin
Austin Health,Occupational Therapy Department,Heidelberg,Victoria,Australia.
Palliat Support Care. 2014 Oct;12(5):409-12. doi: 10.1017/S1478951513000734. Epub 2013 Oct 21.
Palliative care is a model of care that aims to improve quality of life (QOL) for patients and their families/carers who are facing the challenges associated with a life limiting illness (WHO, 2012). Until recently, palliative care has been seen to be largely focused on the medical management of specific symptoms, with little or no consideration given to the patient's occupational identity and goals. Occupational therapy is a profession whose core philosophy is grounded in occupational participation. Occupational therapists have the skills and expertise to incorporate an individual's occupational performance goals into their treatment plan, thereby helping people to participate in personally meaningful occupations, within the limitations of their illness and physical capacity. The present article aims to illustrate (using case-study examples) how personally meaningful occupational participation can better support an acute model of palliative care practice, resulting in better patient outcomes and improved quality of life for both patients and their carers.
姑息治疗是一种护理模式,旨在提高面临与生命有限疾病相关挑战的患者及其家属/照料者的生活质量(世界卫生组织,2012年)。直到最近,姑息治疗在很大程度上仍被视为主要侧重于特定症状的医疗管理,很少或根本没有考虑患者的职业身份和目标。职业治疗是一门其核心理念基于职业参与的专业。职业治疗师具备将个人的职业表现目标纳入其治疗计划的技能和专业知识,从而帮助人们在疾病和身体能力的限制范围内参与个人有意义的职业活动。本文旨在(通过案例研究示例)说明个人有意义的职业参与如何能更好地支持姑息治疗实践的急性模式,从而为患者及其照料者带来更好的患者结局和更高的生活质量。