Essential Yeh Hsin-Hsiu, McColl Mary Ann
a Faculty of Rehabilitation Medicine , University of Alberta , Edmonton , Alberta , Canada.
b School of Rehabilitation Therapy , Queen's University , Kingston , Ontario , Canada.
Occup Ther Health Care. 2019 Jan;33(1):108-123. doi: 10.1080/07380577.2018.1544428. Epub 2019 Jan 7.
This article presents a scoping review of 74 papers from the peer reviewed literature dealing with occupational therapy in palliative care. Five themes emerged regarding the parameters of occupational therapy in palliative care. The themes include: the importance of valued occupations even at the end of life, an exploration of how occupations change over the trajectory of a terminal illness, the balance between affirming life and preparing for death, valued occupations might be doing, being, becoming, or belonging occupations and the emphasis of a safe and supportive environment as an essential dimension for effective palliative care. These five themes are combined to form a model to guide occupational therapy in palliative care. The model offers structure and direction for occupational therapists in order to offer an opportunity for clients in palliative care to flourish toward the end of their lives.
本文对74篇来自同行评审文献中关于姑息治疗中职业疗法的论文进行了范围综述。关于姑息治疗中职业疗法的参数出现了五个主题。这些主题包括：即使在生命末期，有价值的活动的重要性；对末期疾病病程中活动如何变化的探索；肯定生命与为死亡做准备之间的平衡；有价值的活动可能是做、存在、成为或归属类活动；强调安全和支持性环境是有效姑息治疗的一个基本维度。这五个主题相结合形成了一个模型，以指导姑息治疗中的职业疗法。该模型为职业治疗师提供了结构和方向，以便为姑息治疗中的患者提供机会，使其在生命末期蓬勃发展。
