Gammage S L, McMahon P S
Am J Occup Ther. 1976 May-Jun;30(5):294-9.
Working with terminally ill clients is legtimately within the scope of occupational therapy. Yet two students attempting to define and learn a role in this area discovered that few therapists reported they were treating dying people. Findings from a review of the literature and in talking with therapists and dying people suggested that an occupational therapy role in this area was not clearly nor attractively defined. In addition, no suggestions were found to show how one learns such a role. This paper reports the conclusions arrived at by these students and their instructor. Using the occupational performance frame of reference, they propose a unique occupational therapy role for assisting a dying client to relinquish his occupational roles. In addition, functions of listening to, accepting, and understanding the feelings of the dying person, his family, and the staff caring for him are described. The paper concludes with examples of specific experiences for learning this role and functions based upon the premise that people must come to terms with their own feelings about death and dying before they can work effectively with a terminally ill client.
与绝症患者合作确实属于职业治疗的范畴。然而，两名试图在这一领域界定并学习相关角色的学生发现，很少有治疗师表示他们在治疗临终患者。对文献的回顾以及与治疗师和临终患者交谈的结果表明，职业治疗在这一领域的角色界定并不清晰，也缺乏吸引力。此外，没有找到关于如何学习这一角色的建议。本文报告了这些学生及其导师得出的结论。他们运用职业表现参考框架，提出了一个独特的职业治疗角色，即协助临终患者放弃其职业角色。此外，还描述了倾听、接纳和理解临终患者、其家人以及照顾他的工作人员感受的功能。本文最后列举了学习这一角色和功能的具体经历示例，其前提是人们必须先正视自己对死亡和临终的感受，才能有效地与绝症患者合作。
