Occupational Therapy and Arts Therapies
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/25
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Item How do occupational therapists understand and respond to delirium in acute stroke? A grounded theory exploration(SAGE, 2018-08-01) Carin-Levy, Gail; Nicol, Kath; McVittie, Chris; Van Wijck, F.; Mead, G.Purpose and aims: Delirium is a serious complication following a stroke, often leading to severe adverse effects (Carin-Levy et al. 2012). Identifying delirium following a stroke can be challenging due to the complexity of cognitive screening in this population (Lees et al. 2013). This study explored how occupational therapists (OTs) understand delirium and what actions are taken when working with a patient exhibiting delirium symptoms. Design: Abbreviated grounded theory. Methods: Two online focus groups utilising case vignettes conducted with occupational therapists working in acute stroke units across Scotland. Analytical steps consistent with grounded theory methodology led to the emergence of themes. Results: Five participants were recruited. None of the participants received delirium training, and none confidently discussed delirium symptoms, frequently referring to the term ‘confusion’. Participants suggested using generic cognitive assessments rather than delirium-specific tools. Despite this, the key principles of the initial management of delirium were discussed confidently and participants demonstrated the values of person centredness, effective team work and a real care for the welfare of the persons with whom they are working. Conclusion: Occupational therapists can struggle to identify delirium in acute stroke; however, the key principles of delirium management were confidently discussed and an ethos of person centredness was demonstrated. Occupational therapists are experts in cognitive assessment of stroke patients (Scottish Intercollegiate Guidelines Network 2010), therefore, training in delirium identification should be targeted at this professional group in order to be able to comply with best practice guidelines on delirium management (Healthcare Improvement Scotland 2014).Item Tyldesley and Grieve's Muscle, Nerves and Movement in Human Occupation 4th ed.(Wiley Blackwell, 2011-12) McMillan, Ian R.; Carin-Levy, GailNow 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