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allisonlarison

Long-Term Care of the Aged: Ethical Dilemmas and Solutions - 0 views

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    This article examines ethical issues in long-term care. One key component of solving ethical issues in long-term care settings is continually reexamining the beliefs and assumptions of the elderly in this setting and how occupational therapy services will affect them. One area that we must consider to make ethical decisions is the changes in medical technology and the demographics of the residents in these long-term care settings. The next point the article discusses is the concept of autonomy and how the current autonomy paradigm is poorly suited to guide occupational therapy's decisions regarding older adults in long-term care. The concepts of autonomy inadequately describe the realities of aging populations according to this article. The third concept is to create a new approach of autonomy by consulting the individual and taking into account the elderly's freedoms while they are residing in long-term care facilities. Another model that must be incorporated into developing ethical guidelines for long-term care settings is the partnership model, which states that family and important resources should be included in the daily living activities and critical health care decisions of the residents. Approaching occupational therapy with these concepts in mind will allow for better quality of care and increased ethical guidance.
harrisn2

End-of-Life Care - 1 views

I chose to look at the differences between hospice and palliative care along with the role of OT in the end-of-life setting. Hospice care is for individuals of all ages with life-limiting illnesses...

started by harrisn2 on 19 Nov 15 no follow-up yet
anthonyroscoe

Managed Mental Health Care: Reflections in a Time of Turmoil - 1 views

The consumer's growing acceptance of treatment for those with mental health issues and substance abuse problems have increased the demand for services in these areas. However, even though there is ...

http:__ajot.aota.org_article.aspx?articleid=1865039&resultClick=3 Ethics

started by anthonyroscoe on 29 Nov 16 no follow-up yet
hconn440

Psychosocial needs - 0 views

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    This article from AOTA discusses the role of OT in palliative care and relates to the psychosocial needs of clients in this area. It examines the occupational therapy approach in meaningful occupations as holistic and client-centered which "fosters a sense of independence and self-efficacy amidst the challenges of living with debilitating symptoms. The ability to carry out activities of daily living (ADL) is an important goal for patients with life threatening illness, and also has implications for work, social life, relationships, and family and home structure." The article provides examples of intervention for clients in palliative care including, ADLs, IADLs, rest and sleep, play, leisure, social participation, and interpersonal. I think the interpersonal, leisure, and social participation aspects of OT in palliative care going along with clients psychosocial needs. Engaging clients in discussion, coping strategies, and encouraging communication among family members are essential roles of an OT in palliative care.
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    This article was located on AOTA's website. It is about the role of occupational therapy in palliative care. The article defines palliative care, occupational therapy, and how the two are connective. The areas of occupation are outlined, and the role of OT in these occupations. The author discusses the importance in not only providing physical comfort to clients in delivering palliative care, but providing psychosocial comfort as well. The article highlights meeting psychosocial and emotional needs of clients as well as families of clients and their caregivers.
cwaits23

Five Top Ethical Issues in Healthcare - 0 views

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    This link summarizes the concerns of various health care professionals regarding ethical issues facing the health care field in this time of change. Quality and safety versus efficiency of care is an ongoing debate which spurs the question, what values do we want driving our health care system. Other identified ethical issues include access to care, future of the health care workforce, end-of-life issues, and limited medication and donor organs. This link brings these issues to light for further research and debate.
legark

Medical professionalism in a commercialized health care market - 0 views

shared by legark on 06 Aug 14 - No Cached
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    Medical professionalism requires having a thorough understanding of one's profession and striving to provide the highest quality of care. The ethical foundation that health care is based on is now at extreme risk in the United States. Health care professionals are often overworked and must meet unrealistic productivity standards. These changing conditions are making it difficult for workers to provide client's with the best care possible and we must find an appropriate mix of cost efficiency and quality of care.
lasurea

Psychosocial Needs: Psychosocial Needs of the Elderly - 2 views

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    As individuals age, communication often times becomes more difficult due to loss of hearing and eye sight. This PDF document provides information in a classroom format, with learning objectives and simple follow-up questions, to help students and clinicians alike to better understand the psychosocial needs of older adults. The document discusses how our views on aging also impact the patient that we are encountering on a daily basis. It is our task to provide the resources needed to these individuals to gain satisfaction and a sense of wellbeing. Lastly, the document provides ideas and information of alternate ways of thinking, communicating, as well as myths both positive and negative to better assist us in our learning process.
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    This PDF document was part of a training course provided by Kansas Association of Homes and Services for the Aging. This particular document outlines various psychosocial needs of the elderly, and various strategies health care professionals can utilize to help provide more person-centered care. Psychosocial needs/issues can arise as a result of the many changes that can occur during older adulthood. This article outlines seven changes that frequently occur in older adulthood that can present potential issues when individuals do not adjust to the changes. For instance, family changes occur as parents who used to care for their children are now being cared for by their children. Individuals may face retirement, and no longer have a sense of who they are without a job title. Older adults may experience an awareness of their mortality as loved ones die and their health declines. Individuals may lose their spouse and companion. Fear of loss of independence may set in as persons experience a decline in health and their physical abilities. Poor adjustment to changes in income after retirement can trigger psychosocial issues. Finally, loneliness may occur as children become busy, older adults do not drive, and spouses and friends die. All of these various factors can create psychosocial needs within a person's life. This article does a great job at not only defining why psychosocial issues may be present within this population, but also provides strategies to help older adults find joy in their lives again and help address their psychosocial needs. For instance, the article focuses on building on lifelong interests and offering new activities that an individual can engage in for pleasure.
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    This article can help those who work with elderly individuals to identify common psychosocial needs among this population, in hopes of providing better care.
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    This article can help those who work with elderly individuals to identify common psychosocial needs among this population, in hopes of providing better care.
asteele2

Therapists' Perceptions of Pediatric Occupational Therapy Interventions in Self-Care. - 0 views

Stacy Koser Swart, Elizabeth M. Kanny, Teresa L. Massagli, Joyce M. Engel; Therapists' Perceptions of Pediatric Occupational Therapy Interventions in Self-Care. Am J Occup Ther 1997;51(4):289-296. ...

started by asteele2 on 23 Oct 17 no follow-up yet
legark

Top 10 Qualities of a Great Health Care Professional - 0 views

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    This article explains the top 10 most important qualities for a health care professional to possess. It emphasizes the importance of good communication skills and the ability to work together as an interdisciplinary team to provide the best possible care. In addition, good health care workers are highly adaptable and quick on their feet, as new situations can arise at any given time.
saracrall

10 anticipated psychosocial needs of baby boomers - 3 views

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    With the increasing age of the baby boomer generation, it is expected that the number of individuals in long-term care facilities will increase. This article was written to help healthcare professionals anticipate the psychosocial needs that the baby boomer generation will have when residing in a long-term care facility. The author defines ten potential factors to look for when working within long-term care settings. For instance, the first psychosocial need the author anticipates the baby boomer generation will have is a desire for social connectedness with others. By anticipating these needs, occupational therapists will be better prepared to help the baby boomers smoothly transition into long-term care facilities.
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    Information on Medicare and Medicaid Services.
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    This article is great for people to read who are going to be working in nursing homes. It focuses on the psychosocial needs of the baby boomers as they move into nursing home care.
kelseyanne44

Professionalism in acute care hospital settings - 2 views

http://www.aota.org/-/media/Corporate/Files/AboutOT/Professionals/WhatIsOT/RDP/Facts/Acute-Care.pdf This fact sheet by AOTA describes occupational therapists role in acute care settings. As implie...

started by kelseyanne44 on 25 Oct 15 no follow-up yet
jordanabowling

Clinical Reasoning - Simulation to Improve Knowledge and Comfort in Acute Care - 5 views

Gibbs, D. M., & Dietrich, M. (2017). Using high fidelity simulation to impact occupational therapy student knowledge, comfort, and confidence in acute care. Open Journal Of Occupational Therapy...

started by jordanabowling on 16 Jul 17 no follow-up yet
kelseygallimore

Benefits of EBP - 0 views

This article dicusses the improvement of health care delivery from incorporating EBP into the care of patients. Evidence Based practice takes the most recent research and allows health care profess...

occupational therapy EBP

started by kelseygallimore on 11 Aug 17 no follow-up yet
anthonyroscoe

Understanding the Transition to Community Living After Discharge From an Acute Care Hos... - 2 views

This study offers a glimpse into the concerns and frustration therapy has during the discharge phase of acute care and what therapy can do to help aid patients with post acute management of their o...

Acute Care Hospital Patient Needs Transition Discharge

started by anthonyroscoe on 10 Aug 16 no follow-up yet
bshover

Occupational Therapy in Acute Care - 0 views

https://www.aota.org/About-Occupational-Therapy/Professionals/RDP/AcuteCare.aspx This is the AOTA fact sheet for OT in an acute care setting. The sheet includes information on the multiple populat...

started by bshover on 10 Nov 17 no follow-up yet
bshover

Development of a unique triage system for acute care physical therapy and occupational ... - 0 views

Hobbs, J., Boysen, J., McGarry, K., Thompson, J., & Nordrum, J. (2010). Development of a unique triage system for acute care physical therapy and occupational therapy services: an administrative ca...

started by bshover on 10 Nov 17 no follow-up yet
bshover

Risks with older adults in acute care settings: UK occupational therapists' and physiot... - 2 views

Atwal, A., McIntyre, A., & Wiggett, C. (2012). Risks with older adults in acute care settings: UK occupational therapists' and physiotherapists' perceptions of risks associated with discharge and p...

started by bshover on 15 Oct 17 no follow-up yet
dhinebaugh12

A Qualitative Study of Clinical Decision Making in Recommending Discharge Placement Fro... - 0 views

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    Ethics: A big ethical issue I am running across in my setting is the pressure to recommend a particular discharge placement when I do not feel the person is appropriate or does not wish to go to. This study looks at OT/PT decision making process when making a recommendation. This study identified 4 constructs that drive discharge recommendations: patients' functioning/disability, patients' wants and needs, patients' ability to participate in care, and patients' life context. These recommendations however are influenced by a number of external factors, such as health care regulations and opinions of other health care professionals as well as the patients.
scamarata1

Descrpition of Dementia Caregiver Uplifts and Implications for Occupational Therapy - 1 views

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    This study examined the role of OT and how they can assist caregivers who care for those with dementia. Most OT interventions for caregivers are designed to reduce negative consequences of caregiving by building skills to manage those problems. Caregivers often face depression, stress, work overload, and caregiver burden when they can no longer care for their loves ones anymore. This study examined 15 caregivers who were caring for their spouses and their caregiver duties were analyzed and observed. Ways OT can educate those caregivers are by training them to engage in positive behaviors and making adjustments in their attitudes. Taking this approach as a caregiver will promote positive thinking and acts as they care for their loved ones.
alyssaab

Therapeutic strategies used by occupational therapists in self-care training: a qualita... - 0 views

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    The aim of this qualitative study was to describe what characterizes the therapeutic strategies used by occupational therapists during self-care training.Twelve occupational therapists working with clients who had had a stroke (n=6) or spinal cord injury (n=6) were interviewed and asked to tell a therapeutic story focusing on the self-care training process of one client. Data were transcribed and analyzed using the Empirical, Phenomenological, Psychological (EPP) method, a qualitative method. Findings showed that the occupational therapists' strategies focused primarily on how to create a relationship built on trust with their clients, how to find the right way to motivate clients, how to support the setting of goals, and how to provide enabling occupational experience and adjust training to the needs of the client, rather than focusing on teaching clients how to use technical and compensatory strategies.One conclusion from this study is that occupational therapists could, through understanding the individual's unique situation, vary their strategies and adapt themselves to meeting clients' experiences and needs during self-care training.
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