Physical therapists in integrated palliative care: a qualitative study.

OBJECTIVES

The purpose of this study was to explore the perceptions and experiences of physical therapists (PTs) regarding their role in palliative care (PC) when practising in nations with advanced integration of PC into mainstream healthcare.

METHODS

This qualitative study included an electronic demographic survey and semistructured interview. Data analysis included descriptive statistics for demographics and the constant comparative method for interview results.

RESULTS

Thirteen PTs from eight nations identified four categories of roles and responsibilities: (1) working with patients and families, (2) being an interdisciplinary team (IDT) member, (3) professional responsibilities beyond direct patient care and (4) factors influencing the role of PTs in PC. Concepts identified were (increased family involvement, emphasis on psychosocial aspects and differences in care philosophy), (accommodating changes in patient status, increasing awareness of PTs' role in varying disease states and working with the IDT) and (perceptions of PTs/others regarding PTs' role in PC and professional responsibilities of the PT in PC).

CONCLUSIONS

Based on participant responses, a previously published conceptual framework by Wilson in 2017 was updated and included an increased emphasis on patient wishes and dignity, treating breathlessness, patient advocacy within their family and use of technology and networking. Within PC, PTs play a key role on the IDT and can improve quality of life; however, multiple barriers exist to providing PT care within PC. Further advocacy is needed from PTs and professional organisations to integrate these services.