Jansa Jelka, Aragon Ana
Neurologic Hospital, University Medical Centre Ljubljana, Zaloska 2, 1000 Ljubljana, Slovenia.
Phoenix Cottage, New Buildings, Carlingcott, Bath, UK.
Parkinsons Dis. 2015;2015:196303. doi: 10.1155/2015/196303. Epub 2015 Oct 1.
Parkinson's disease is a chronic and increasingly complex condition, demanding multidisciplinary management. Over the last twenty years or so, alongside the growth of specialist services and healthcare teams specifically developed for people with Parkinson's, occupational therapy has grown in recognition as a treatment option, especially since evidence of its efficacy is now slowly emerging. The purpose of this work is to outline the role of occupational therapy clinical practice in the management of people living with Parkinson's disease and its emergent evidence base, combined with details of current occupational therapy philosophy and process, as applicable to occupational therapy practice for people with Parkinson's. The Canadian Practice Process Framework is used to structure this overview and was selected because it is a well-recognized, evidence-based tool used by occupational therapists and encompasses the core concepts of human occupation and person-centred practice. The framework employed allows the flexibility to reflect the pragmatic occupational therapy intervention process and so enables the illustration of the individually tailored approach required to accommodate to the complex pathology and personal, domestic, and social impacts, affecting the functioning of Parkinson's disease patients on a daily basis.
帕金森病是一种慢性且日益复杂的病症,需要多学科管理。在过去二十多年里,随着专门为帕金森病患者设立的专科服务和医疗团队的发展,职业治疗作为一种治疗选择越来越受到认可,尤其是因为其疗效证据如今正逐渐显现。这项工作的目的是概述职业治疗临床实践在帕金森病患者管理中的作用及其新出现的证据基础,并结合当前职业治疗理念和流程的细节,这些适用于帕金森病患者的职业治疗实践。加拿大实践过程框架被用于构建此概述,之所以选择它,是因为它是职业治疗师广泛认可的基于证据的工具,涵盖了人类职业和以患者为中心实践的核心概念。所采用的框架具有灵活性,能够反映务实的职业治疗干预过程,从而可以说明为适应复杂病理以及影响帕金森病患者日常功能的个人、家庭和社会影响而需要采取的个性化方法。