Advocacy Presentation: OT in End of Life Care

RP
by Rachael Pasquarose7 views·Updated Dec 14, 2021
Create your own

Chapters

Audio TranscriptAuto-generated

  1. Today we will be talking about occupational therapy and end
  2. of life care.
  3. OT plays a huge role in end of life care.
  4. We focus on the client's quality of life and engage
  5. them in meaningful and special occupations.
  6. We focus on living and dying and collaborate with the
  7. family to develop goals, ot assesses and re evaluates the
  8. client throughout the end of their life to ensure their
  9. goals are attainable and achievable throughout their changing conditions.
  10. OT works with the family to educate and we advocate
  11. for the client.
  12. But he also works on legacy projects, such as leaving
  13. behind letters for loved ones.
  14. Booty prepares the client and their loved ones for death
  15. and facilitates a good death experience.
  16. O. T has a huge value and end of life
  17. care Research has found that clients and palliative care can
  18. benefit tremendously from OT hotels, work with clients and their
  19. loved ones to set realistic and meaningful goals.
  20. This study found that Otis were consistently advocating for clients
  21. to receive rehabilitation services in order to help improve mobility,
  22. independence and quality of life.
  23. The study also found that OT provides significant comfort and
  24. safety. Further research has found that occupational therapists enable activity
  25. and clients and palliative care while considering the client's individual
  26. preferences, OT was useful in improving the quality of life
  27. by increasing function, mobility, activities of daily living, pain relief,
  28. endurance in the well being of the client while helping
  29. to maintain as much independence as possible.
  30. But he can also help decrease burden on caregivers and
  31. family. Oh T is funded by Medicare.
  32. This means that clients do not have to pay for
  33. hospice under the Medicare hospice benefit.
  34. OT services are covered under hospice as long as it
  35. is approved by the hospice, medical team and provider the
  36. client has chosen.
  37. In order to receive these benefits, a doctor must certify
  38. that the client is terminally ill and has a life
  39. expectancy of six months or less.
  40. Treatment can still continue after the six months ot interventions
  41. focus on living and dying.
  42. Living interventions focus on things such as social participation in
  43. spending time with family and enjoying hobbies.
  44. Occupations will change over the course of an individual's illness.
  45. This means that we will change from living interventions to
  46. dying interventions or you can flip flop between depending on
  47. the course of the illness.
  48. Moti Interventions and Palliative care include prioritizing and planning activities
  49. according to the client's preferences and capacities.
  50. Bowties work to enable activities based on the client's wishes
  51. and circumstances.
  52. These activities include visiting places that are important to the
  53. client, spending time outdoors, participating in hobbies and spending time
  54. with family.
  55. On the other side, we have dying interventions.
  56. These interventions focused on preparing the client in their loved
  57. ones for death.
  58. These can include legacy projects such as writing letters to
  59. loved ones to open once the person has passed or
  60. a community project to leave behind.
  61. Giving away or selling valuable items is also considered a
  62. dying intervention because it's prepping for the person's passing.
  63. This is also a good time for clients to focus
  64. on legacy projects as well as resolving issues.
  65. Focus on comfort enclosure is important during this time.
  66. A study found that many Okies experience that clients wanted
  67. to reduce inconvenience for their families and be able to
  68. rest assured at the end of their life.
  69. This can include selling a car or house and making
  70. funeral plans.
  71. Now we will go over a case study to show
  72. O. T s effectiveness, Kim was diagnosed with a L.
  73. S when she was 53 years old.
  74. Kim is currently in an electric wheelchair and means assistance
  75. with all occupations.
  76. She recently got eye gaze technology to help her communicate.
  77. Her family is available to provide her with around the
  78. clock care.
  79. As her disease progresses, she is having difficulty with speaking,
  80. swallowing motor tests, increased anxiety and emotional regulation.
  81. Her priorities include communicating with her Children, spending time with
  82. family and friends, praying and spending time with her dogs.
  83. So what can ot do for Kim caregiver training for
  84. transfers in and out of her wheelchair?
  85. It will be helpful for Kim's family if they do
  86. not have prior treatment.
  87. A legacy project can be a great option for Kim,
  88. since she has four Children so she can write letters
  89. for their wedding day, their birthday, their first kid and
  90. other major life events.
  91. O. T can also focus on pain and anxiety management
  92. so ot can teach Kim relaxation techniques like deep breathing
  93. and upper body yoga.
  94. Okay can also work on social participation by planning dinner
  95. parties with her loved ones and family.
  96. Since praying is important to Kim ot can gather her
  97. church members and have them participate in these events.
  98. Oh, so you can also prepare Kim and her loved
  99. ones for her death and advocate for continued services and
  100. medical equipment where modifications needed.
  101. These are resources that you can look into for further
  102. information. I hope this presentation made it clear that the
  103. need for O.
  104. T and end of life care is essential.