Browsing by Person "McMillan, Ian R."

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A focus group study of health professionals? views on phantom sensation, phantom pain and the need for patient information
(Elsevier, 2004-08) Mortimer, C. M.; MacDonald, R. J. M.; Martin, D. J.; McMillan, Ian R.; Ravey, J.; Steedman, W. M.
Focus groups with 32 health professionals from pre- and post-amputation care in central Scotland were used to explore perceptions of phantom sensation and pain, and current practice and potential improvements to patient information. Findings were compared to our parallel study of patients' experiences of phantom phenomena and information needs. Professionals' perceptions of phantom phenomena did not always match patient experiences: few professionals were fully aware of the nature, or the problems associated with phantom pain. There was uncertainty about who provided information and reported information was inconsistent and only weakly grounded in theory and mechanism-based management. Whilst there was awareness of the benefits of information, content, mode of delivery and co-ordination were all identified as areas for improvement. Our findings suggest that the information given to patients on phantom phenomena is inconsistent and insufficient. Possible solutions are the development of minimum standards of information and specifically targeted interprofessional education.
A Vision for Occupational Therapy in the 21st Century: Outcomes from a Scottish Think Tank
(2014) Renton, Linda; Kantartzis, Sarah; McMillan, Ian R.; Hunter, Heather; Ballantyne, Elaine
Designs on occupational therapy curricula - using problem based learning for life
(2003) McMillan, Ian R.
How necessary are hip restrictions for avoiding dislocation following partial or total hip arthroplasty in older patients with a hip fracture?
(College of Occupational Therapists, 2011-03) Stewart, L.; McMillan, Ian R.
Integrating theory into occupational therapy practice; a joint venture academics/occupational therapists
(The College of Occupational Therapists, 2012-08) Renton, Linda; Maclean, Fiona; McMillan, Ian R.
Internships: Connecting Occupational Therapy Education, Dementia Policy and Practice
(College of Occupational Therapists, 2014) McMillan, Ian R.; Maclean, Fiona; Hunter, E.; Renton, Linda
Just playing ... is it time wasted?
(College of Occupational Therapists, 1999-04) Reade, S.; Hunter, Heather; McMillan, Ian R.
Occupational therapists may embark on play therapy as part of an intervention package in child psychiatry. This article examines the effectiveness of play therapy with children who have experienced emotional deprivation. Even though emotional deprivation is seldom the primary reason for referral, it may underpin the behavioural difficulties with which the children present. One important aspect of emotional deprivation appears to be the disruption of early close relationships and, traditionally, the damage caused by this has been considered irreversible. Consequently, the possibility of children deriving benefit from play therapy and the lack of clarity about emotional deprivation are examined. Research that sheds light on this discussion is considered and, finally, the ways in which occupational therapists might contribute to this body of research are suggested.
Living life with chronic pain: designs for employment
(2003) Henderson, K.; McMillan, Ian R.; Jones, D.
Occupational Performance
(Blackwell, 2002) McMillan, Ian R.; Grieve, June I.; Tyldesley, Barbara
This book has established itself as the leading textbook for the study of movement by occupational therapists. Two senior tutors in occupational therapy act as consultants on this new third edition. The early chapters provide a foundation for the study of movement with the complexity of detail increasing as the book progresses. The functional anatomy is related to the movements of daily living and is supported by activities for experiencing and observing the way we perform everyday tasks. The later chapters consider the integration of sensory and motor processes in the nervous system for the planning and execution of movement. Clinical note-pads link the basic knowledge to the clinical features of common orthopaedic and neurological problems.
Pain and Function: Occupational Therapists' Use of Orthotics in Rheumatoid Arthritis
(College of Occupational Therapists, 2002-04) Henderson, S. E.; McMillan, Ian R.
The use of orthotics in the management of rheumatoid arthritis appears to be relatively commonplace within occupational therapy departments. The aim of this study was to identify the frequency of orthotic use by occupational therapists, their beliefs about the efficacy of orthotic use, what they aimed to achieve by orthotic provision and any outcome measures used. The total membership of the British Association of Hand Therapists who were both occupational therapists and self-identified as working and/or having an interest in rheumatology (n = 132) were surveyed through a postal questionnaire. Of the responses received (n = 89, 67%), all the respondents (100%) were regular users of orthotics in the management of rheumatoid arthritis. The results showed that the most highly rated reasons for orthotic provision were to decrease hand and wrist pain and to improve hand function. Subjective comments from the respondents provided evidence of positive beliefs about the efficacy of orthotic use, despite a lack of objective outcome measures to support such comment. Given the complexity of the intervening variables that occur with orthotic use, perhaps there is no easy answer; however, with the expectation of evidence-based practice and intervention, it is suggested that an increased use of standardised outcome measures may provide additional strength in presenting, often subjective, evidence.
Patient information on phantom limb pain: a focus group study of patient experiences, perceptions and opinions
(Oxford University Press, 2002-06) Mortimer, C. M.; Steedman, W. M.; McMillan, Ian R.; Martin, D. J.; Ravey, J.
Educating patients about their condition is regarded as a fundamental step in pain management. This study used focus groups with patients to explore their experiences and perceptions of the information on phantom pain that they received before and after amputation, and their views on improving this information. Thirty-one patients with a lower limb amputation attended one of seven focus groups. The majority reported phantom pain although there were individual variations in character, severity and persistence. There were wide variations in what people were told from occasional reports of good information to instances of people reporting little or no information from professionals. There were strong feelings that information should be given before or soon after amputation with a preference for verbal one-to-one explanations. Professionals, particularly nurses and surgeons, were regarded as the best source of information, although peer support was seen to be important. These findings indicate that people require timely up-to-date information on phantom pain which sensitively addresses the variability of the experience and provides the foundation for ongoing pain management. We propose that the information process could be improved by ensuring that professionals use standard information for patients derived from purposefully written sections in national guidelines.
Phantom Pain II: Patients' Experiences, Beliefs and Knowledge
(Mark Allen Publishing LTD, 1998-07-01) Mortimer, C. M.; Steedman, W. M.; McMillan, Ian R.; Ravey, J.
This paper reports a qualitative interview study conducted with patients attending a central limb fitting service, which aimed to examine patients' experiences of phantom sensation and phantom pain, and their perceptions of the relevant support and information received during rehabilitation. The results suggest that the level of information is inconsistent and may be insufficient. Further studies need to be conducted with both patients and professionals to establish how rehabilitation services can address this unmet patient need.
Phantom pain: Are professionals providing patients with adequate information?
(2000) Mortimer, C. M.; Steedman, W. M.; McMillan, Ian R.
Phantom Sensation and Phantom Pain I: An Overview of the Literature
(Mark Allen Publishing LTD, 1998-06-01) Mortimer, C. M.; Steedman, W. M.; McMillan, Ian R.; Ravey, J.
This article, the first of two, reviews the literature relating to patients' experiences of phantom sensation and phantom pain and looks at recommendations for education and support during rehabilitation. In the past the lack of a firm physiological explanation led health-care professionals to assume a psychological origin. Recent research has established that phantom phenomena have a neurophysiological basis involving a complex interaction of peripheral and central mechanisms. The literature now supports preoperative or early postoperative education about the likely occurrence and basis of phantom phenomena as an effective step in the management of this complex problem. However, there is a lack of published guidelines which are readily available to professionals working in the rehabilitation of amputees.
Pre Registration Education Standards.
(College of Occupational Therapists, 2008) McMillan, Ian R.
Primary care
(2000) Nicol, M.; McMillan, Ian R.
Rehabilitation Schemes for Elderly Patients with a Hip Fracture
(College of Occupational Therapists, 1998-08) Stewart, L.; McMillan, Ian R.
This article focuses on the rehabilitation services that have developed as a result of the rising incidence of hip fracture and the clinical challenge that it presents. The background to rehabilitation developments for elderly orthopaedic patients and the way in which different schemes have been initiated in accordance with local needs and resources are described.
Sharing an innovative approach to curriculum development: constructing vocational rehabilitation modules
(The College of Occupational Therapists, 2012) Breckenridge, Jenna; McMillan, Ian R.
The Biomechanical Frame of Reference in Occupational Therapy
(Elsevier Health Sciences, 2012) McMillan, Ian R.; Duncan, E. A. S.
Tyldesley and Grieve's Muscle, Nerves and Movement in Human Occupation 4th ed.
(Wiley Blackwell, 2011-12) McMillan, Ian R.; Carin-Levy, Gail
Now in its fourth edition 'Tyldesley and Grieve's Muscles, Nerves and Movement' has established itself as the leading textbook for the study of movement by occupational therapists. The book provides students with a sound understanding of the way in which bones, joints, muscles and nerves allow the body to perform movement during daily activities. Early chapters provide a foundation for the study of movement, with the complexity of detail increasing as the book progresses. Functional anatomy is related to the movements of daily living and is supported by activities for experiencing and observing the way we perform everyday tasks. Later chapters consider the integration of sensory and motor processes for the planning and execution of movement. This fourth edition has been extensively updated and revised. Highly illustrated and now in full colour throughout the book also includes: - Case histories with self assessment exercises - Summary boxes - Key terms - Practice notepads