Tuesday 7 July 2015

Maintaining independence

Kaye (2006) reports, “Loss of independence and role can result in social death prior to biological death. Occupational therapy can help a person to adopt new and appropriate functions and roles and to maintain self-esteem” (p.214).
I was able to witness this as the occupational therapist from John Taylor Hospice assisted Paul.

21 August 2014
“Beth the OT will be here. You can be here too...part of your training!”

Beth was able to supply equipment to Paul and also educate him regarding shortness of breath and fatigue management. Due to this intervention Paul was able to maintain independence with self cares until a few days before he died.
This is an area which is commonly very important for end of life individuals:

“Facilitating patients to have control is critical” (T. Naismith, LOROS Hospice, personal communication, 17 June 2015).

“For some patients maintaining a sense of ‘normality’ and trying to carry on with their usual routines is important, especially self care” (R. Harrison, LOROS Hospice, personal communication, 17 June 2015).

These points are addressed in the NZAOT palliative care position statement 


The following presentation gives an overview of the benefits of occupational therapy to individuals in palliative care.

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