How to Enable Participation until the End of Life? A Survey of German Occupational Therapists Working in Palliative Care

Background: In palliative care, the needs of people with life-limiting illnesses must be addressed with the support of a multidisciplinary team. Occupational therapy is a profession that focuses on activity and participation. In Germany, there are no surveys to date that demonstrate the work of occu...

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Main Authors: Christian Volberg, Pauline Fleck, Paula Vradelis, Astrid Morin, Martin Gschnell, Anna Elisabeth Pape
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/16/5257
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author Christian Volberg
Pauline Fleck
Paula Vradelis
Astrid Morin
Martin Gschnell
Anna Elisabeth Pape
author_facet Christian Volberg
Pauline Fleck
Paula Vradelis
Astrid Morin
Martin Gschnell
Anna Elisabeth Pape
author_sort Christian Volberg
collection DOAJ
description Background: In palliative care, the needs of people with life-limiting illnesses must be addressed with the support of a multidisciplinary team. Occupational therapy is a profession that focuses on activity and participation. In Germany, there are no surveys to date that demonstrate the work of occupational therapists in palliative care and which problems can occur in this field. Aim: The aim of this study is to describe the work and problems of occupational therapists in German palliative care. Design: The survey consists of 17 questions and could be conducted anonymously. Descriptive statistics and a thematic analysis of the free text responses were used to analyze data. Setting/participants: Respondents were German occupational therapists who are members of the “German Association of Occupational Therapy”. Results: A total of 281 valid responses were evaluated, of which 120 respondents work in the context of palliative care. Most of them provide needs-based therapies (74%), train relatives (69%), or help patients with positioning (69%) or relaxation therapy (66%). Four themes were developed in the free text responses that describe problems in the utilization of occupational therapy in palliative care. Conclusions: The evaluation shows that occupational therapy in palliative care offers a variety of possible applications and approaches. The findings urgently need to be implemented in daily practice to improve the status of occupational therapists. This requires appropriate billing modalities and clear guidelines. There is still a significant need for research and training in this area.
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spelling doaj.art-9e0587d4a45d453aab5b3c0286b73e762023-11-19T01:40:25ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011216525710.3390/jcm12165257How to Enable Participation until the End of Life? A Survey of German Occupational Therapists Working in Palliative CareChristian Volberg0Pauline Fleck1Paula Vradelis2Astrid Morin3Martin Gschnell4Anna Elisabeth Pape5Department of Anesthesiology & Intensive Care Medicine, Faculty of Medicine, Philipps University of Marburg, 35032 Marburg, GermanyDepartment of Anesthesiology & Intensive Care Medicine, Faculty of Medicine, Philipps University of Marburg, 35032 Marburg, GermanyDepartment of Anesthesiology & Intensive Care Medicine, Faculty of Medicine, Philipps University of Marburg, 35032 Marburg, GermanyDepartment of Anesthesiology & Intensive Care Medicine, Faculty of Medicine, Philipps University of Marburg, 35032 Marburg, GermanyDepartment of Dermatology and Allergology, Faculty of Medicine, Philipps University of Marburg, 35032 Marburg, GermanyDepartment of Therapy Somatic, Klinikum Bremen-Ost, 28325 Bremen, GermanyBackground: In palliative care, the needs of people with life-limiting illnesses must be addressed with the support of a multidisciplinary team. Occupational therapy is a profession that focuses on activity and participation. In Germany, there are no surveys to date that demonstrate the work of occupational therapists in palliative care and which problems can occur in this field. Aim: The aim of this study is to describe the work and problems of occupational therapists in German palliative care. Design: The survey consists of 17 questions and could be conducted anonymously. Descriptive statistics and a thematic analysis of the free text responses were used to analyze data. Setting/participants: Respondents were German occupational therapists who are members of the “German Association of Occupational Therapy”. Results: A total of 281 valid responses were evaluated, of which 120 respondents work in the context of palliative care. Most of them provide needs-based therapies (74%), train relatives (69%), or help patients with positioning (69%) or relaxation therapy (66%). Four themes were developed in the free text responses that describe problems in the utilization of occupational therapy in palliative care. Conclusions: The evaluation shows that occupational therapy in palliative care offers a variety of possible applications and approaches. The findings urgently need to be implemented in daily practice to improve the status of occupational therapists. This requires appropriate billing modalities and clear guidelines. There is still a significant need for research and training in this area.https://www.mdpi.com/2077-0383/12/16/5257occupational therapypalliative careGerman palliative medicineend-of-life-careparticipationsurvey
spellingShingle Christian Volberg
Pauline Fleck
Paula Vradelis
Astrid Morin
Martin Gschnell
Anna Elisabeth Pape
How to Enable Participation until the End of Life? A Survey of German Occupational Therapists Working in Palliative Care
Journal of Clinical Medicine
occupational therapy
palliative care
German palliative medicine
end-of-life-care
participation
survey
title How to Enable Participation until the End of Life? A Survey of German Occupational Therapists Working in Palliative Care
title_full How to Enable Participation until the End of Life? A Survey of German Occupational Therapists Working in Palliative Care
title_fullStr How to Enable Participation until the End of Life? A Survey of German Occupational Therapists Working in Palliative Care
title_full_unstemmed How to Enable Participation until the End of Life? A Survey of German Occupational Therapists Working in Palliative Care
title_short How to Enable Participation until the End of Life? A Survey of German Occupational Therapists Working in Palliative Care
title_sort how to enable participation until the end of life a survey of german occupational therapists working in palliative care
topic occupational therapy
palliative care
German palliative medicine
end-of-life-care
participation
survey
url https://www.mdpi.com/2077-0383/12/16/5257
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