An introductory, comprehensive textbook covering all aspects of the occupational needs of clients with neurological conditions.
Written from an occupational perspective and for the needs of occupational therapists and their clients
Ideal for students and newly qualified practitioners to provide them with an overview of this key area of practice
Includes case studies to place material within the context of practice
Officially endorsed by the College of Occupational Therapists
Table of Contents
List of figures and tables, viii
List of contributors, x
Academic foreword, xi
Service user foreword, xii
Preface, xiii
Acknowledgements, xiv
1 Introduction, 1
1.1 Economic impact of long term neurological conditions, 1
1.2 Definition of long term neurological conditions, 2
1.3 International Classification of Functioning, Disability and Health, 2
1.4 Huntington's disease, 4
1.5 Motor neurone disease, 9
1.6 Multiple sclerosis, 13
1.7 Parkinson's, 18
1.8 Self evaluation questions, 22
References, 22
2 Delivering good quality, safe and effective care, 24
2.1 Introduction, 24
2.2 The strategic context, 24
2.3 Evidence based practice, 27
2.4 Clinical guidelines, 33
2.5 Practice guidance, 33
2.6 Client expertise in evidence based practice, 35
2.7 Quality improvement, 36
2.8 Health economic evaluation, 39
2.9 Professional standards of practice, 40
2.10 CPD and lifelong learning, 40
2.11 Self evaluation questions, 42
References, 43
3 Person centredness and long term neurological conditions, 46
3.1 Introduction, 46
3.2 Person centredness, 46
3.3 Client centred practice, 48
3.4 Self management, 55
3.5 Co-production, 57
3.6 Evaluating your practice, 58
3.7 Self-evaluation questions, 59
References, 60
4 Theoretical basis, 63
4.1 Introduction, 63
4.2 Definitions of occupational therapy, 63
4.3 Central philosophy of occupational therapy, 65
4.4 Core professional reasoning skills, 65
4.5 Conceptual models of occupational therapy practice, 69
4.6 Frames of reference, 78
4.7 Context dependent practice skills, 81
4.8 Self evaluation questions, 83
References, 83
5 Occupation and long term neurological conditions, 86
5.1 Introduction, 86
5.2 Defining occupation, 86
5.3 Occupational patterns, 87
5.4 Doing, being, becoming and belonging, 88
5.5 Occupational dysfunction, 93
5.6 Occupational adaptation, 96
5.7 Defining occupational goals, 98
5.8 Self evaluation questions, 99
References, 99
6 Identifying occupational performance enablers and deficits, 101
6.1 Introduction, 101
6.2 What is measurement?, 101
6.3 What are occupational therapy outcomes?, 102
6.4 Selecting the right measure, 103
6.5 Commonly used measures in neurological rehabilitation, 106
6.6 Disease specific measures, 111
6.7 Self evaluation questions, 118
References, 118
7 Occupational therapy intervention, 122
7.1 Introduction, 122
7.2 Activities of daily living, 123
7.3 Fatigue management, 124
7.4 Cognitive rehabilitation, 126
7.5 Anxiety management, 129
7.6 Falls management, 135
7.7 Pain management, 137
7.8 Managing tremor, 140
7.9 Sleep, 143
7.10 Sexual relationships and intimacy, 144
7.11 Self evaluation questions, 147
References, 147
8 Using technology to support participation, 150
8.1 Introduction, 150
8.2 Environmental characteristics and occupational performance, 150
8.3 Environmental adaptations, 151
8.4 Assistive technology, 152
8.5 Assistive devices, 152
8.6 Housing adaptations, 154
8.7 Seating and postural management, 156
8.8 Management of posture and positioning in sitting, 158
8.9 Management of posture and positioning in lying, 160
8.10 Splinting, 162
8.11 Electronic assistive technology, 163
8.12 Self evaluation questions, 168
References, 168
9 Living with a long term neurological condition, 171
9.1 Introduction, 171
9.2 Transitions theory, 171
9.3 Illness experiences, 172
9.4 Rehabilitation and recovery, 173
9.5 Lifespan transitions, 174
9.6 Social and cultural transitions, 175
9.7 Caregiving, 183
9.8 Psychosocial adjustment, 185
9.9 Self evaluation questions, 189
References, 189
10 Planning for the future, 194
10.1 Introduction, 194
10.2 Disease progression, 194
10.3 The nature of occupation in death and dying, 197
10.4 Facilitation of meaning, quality of life and well being, 198
10.5 Spirituality, 198
10.6 Therapeutic use of self, 199
10.7 Advance care planning, 200
10.8 Conclusion, 209
10.9 Self evaluation questions, 209
References, 210
Index, 212