Occupational Therapy and Arts Therapies

Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/25

Browse

Now showing 1 - 20 of 537

An inter-rater reliability study of the revised elderly person's disability scale.
(1994-11) Drever, F.; Nicol, Maggie
Physiotherapy and occupational therapy for juvenile chronic arthritis: custom and practice in five centres in the UK, USA and Canada
(Oxford University Press, 1996-07-01) Hackett, Janine; Johnson, B,; Parkin, A.; Southwood, T.
Physiotherapy and occupational therapy are widely accepted as being of central importance for the treatment of juvenile chronic arthritis (JCA). However, these approaches have rarely been subject to critical scrutiny. The aims of this report are to highlight some of the inter-centre similarities and differences observed in the implementation of physical and occupational therapy for JCA, and to emphasize the need for scientifically controlled research in this area. During a series of visits to several paediatric rheumatology units in the UK, USA and Canada, three aspects of the service were noted: treatment philosophy, physical interventions used for the treatment of JCA and quality-of-life and independence training activities. There was general consensus with the philosophy that early physical intervention was a vital part of the treatment plan for JCA, although all therapists were concerned that compliance with treatment modalities was poor. Differences between units in the approach to acute arthritis, the use of foot orthoses and wrist splints, the treatment of joint contractures and the use of general quality-of-life training activities were noted. Although it was widely recognized that controlled research into the efficacy of physical intervention was needed, no centre had a co-ordinated plan for such investigations.
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.
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.
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.
Work and the Role of the Occupational Therapist
(Churchill Livingstone, 1998-09) Yuill, C.; McMillan, Ian R.; Blair, Sheena; Hartery, Terry; Jones, Derek; Jones, R. Kenneth
Introducing a textbook focusing on the areas of sociology of direct relevance to the theory and practice of Occupational Therapy. Authored by a team of experienced lecturers in sociology and OT lecturers with a background in social science, this pragmatic text demonstrates how sociological theory impacts the practice of OT's. Features activities in each chapter that encourage the reader to make their own links between the text and their own experience in OT practice and everyday life.
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.
An Educational Model for Music Therapy: the Case for a Continuum
(British Society for Music Therapy, 2000) Robertson, James
This paper proposes that an educational dimension to music therapy in both training and practice should be considered. The rationale of recent and forthcoming curricular developments in music teaching would seem to imply that the perceived boundaries between music education and music therapy are becoming less distinct. It is thus likely that the two professions begin to be curious, at least, about such close proximity. Yet the therapeutic potential of music is not exclusive to the profession after which it is named. Furthermore, it would appear that the responsibilities of the music teacher in the present educational climate require a more inclusive (and therapeutic) approach as pupils with special needs, increasingly, are integrated into the mainstream sector. It is probable, therefore, that the teacher, rather than the therapists, will be inclined to meet these needs. While the boundaries between the professions necessarily prevail, a re-alignment (by means of a continuum) might be appropriate. This paper represents the personal views of the author as to how such an adjustment could be made and certain parallels are drawn with the profession of art therapy. The outline of a case is then presented for the consideration of educational music therapy. This would enable teachers of music to follow a modular programme of study which, while confined to the special education needs sector, could provide an alternative route to a music therapy qualification.
Occupational Therapy Education in Europe an Exploration
(Hogeschool van Amsterdam, 2000) Fereira, Manuela; Le Granse, Mieke; Morel, Marie Chantal; Renton, Linda; van Bruggen, H.
The report took three years to complete and it was started:1997 at the ENOTHE Annual Conference. There was a feeling amongst European OTs that it was essential to collect and analyse data on OT education. The report aimed to offer: state of the art comment on OT education and the future direction of OT education in Europe.
Primary care
(2000) Nicol, M.; McMillan, Ian R.
Phantom pain: Are professionals providing patients with adequate information?
(2000) Mortimer, C. M.; Steedman, W. M.; McMillan, Ian R.
Report on the provision of art therapy in a GP practice in Edinburgh
(Queen Margaret University, 2000) Turnbull, Jane; O'May, Fiona
The Centrality of Occupation during Life Transitions
(College of Occupational Therapists, 2000-05) Blair, S. E. E.
This article seeks to examine the nature and experience of transitions in life. It explores pertinent theoretical underpinning and considers the ways in which people manage and adapt to change. In particular, it attempts to synthesise the ideas from the psychology of transition with those from occupational science. Throughout, the article is informed by the contributions both from experiential workshops over the last 5 years (including one held at the Inaugural United Kingdom Occupational Science Symposium in York in 1999) and from students who have chosen an elective level 3 module entitled 'Adult Development – Life Transitions and Crisis' in a BSc/BSc(Hons) Occupational Therapy programme. Among the conclusions from those experiences is the acknowledgement of the centrality and personal meaning of occupation at the point of transition
Euro or not Euro? Occupational Therapy Education in Europe.
(College of Occupational Therapists, 2001-12) Renton, Linda
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.
Juvenile Idiopathic Arthritis
(John Wiley and Sons Ltd, 2002) Hackett, Janine; Swee Hong, C; Howard, L
Waiting lists in Occupational Therapy
(National Association of Paediatric Occupational Therapists, 2002) Hackett, Janine
Psychology and the Rehabilitation of Older People.
(Nelson Thornes, 2002) Donaghy, Marie; Baikie, L.; Hastings, M.; Squires, A.
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.