The Essential Role of Occupational Therapy to Address Functional Needs of Individuals Living with Advanced Chronic Cancers |
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| Institution: | 1. University of Alberta and Canadian Lymphedema Framework, Edmonton, Alb, Canada;2. Alberta Health Services, Edmonton, Alb, Canada;3. Research Centre for Palliative Care, Death & Dying, Flinders University, Adelaide, SA, Australia;1. Adjunct Professor, Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ont, Canada;2. Associate Professor, Health Policy and Management, DeGroote School of Business, McMaster University, Hamilton, Ont, Canada;1. Alberta Blood and Marrow Transplant Clinic, Tom Baker Cancer Center, Alberta Health Services, Calgary, Alb, Canada;2. Associate Professor, Division of Hematology & Hematological Malignancies, University of Calgary, Calgary, Alb, Canada;1. Cancer Care Quality Training Program, Department of Health Policy and Management, 1102G McGavran-Greenberg Hall, CB# 7411, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA;2. Biostatistics and Clinical Data Management Core, University of North Carolina at Chapel Hill, Lineberger Comprehensive Cancer Center, 450 West Drive, CB#7295, Chapel Hill, NC 27599, USA;3. Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY 10032, USA;4. Department of Health Policy and Management, 1101D McGavran-Greenberg Hall, Campus Box 7411, UNC Gillings School of Global Public Health, 135 Dauer Drive, Chapel Hill, NC 27599, USA;5. Department of Geriatric Oncology, University of North Carolina at Chapel Hill, Lineberger Comprehensive Cancer Center, 170 Manning Drive, Chapel Hill, NC 27599, USA |
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| Abstract: | ObjectiveMedical progress in cancer care has led to increased life expectancy outcomes across all stages of cancer, including in advanced cancers. People now living with advanced chronic cancers have unique, ongoing functional and quality-of-life needs. This article explores the functional considerations of individuals living with advanced chronic cancers in terms of managing chronic palliative care needs, assessing and intervening for functional issues, and consistently using occupational therapy in shared service provision together with medical and nursing teams. The unique and changing functional needs of these individuals may be effectively addressed through consideration of chronic palliative approaches to care; earlier access to occupational therapy services to facilitate continued engagement in everyday activities; and shared service provision with nursing to address both medical wellness and functional status.Data SourcesThese include key databases (Pubmed, CINAHL), international guidelines, and professional guidance documents.ConclusionIndividuals living with advanced chronic cancer have ongoing and fluctuating functional needs that should be addressed in palliative care service provision. The inclusion of occupational therapy as part of inter- and multidisciplinary teams can facilitate maximization of function for individuals living with advanced chronic cancer.Implications for Nursing PracticeTimely early referrals to occupational therapy can address functional issues as they arise, and can prepare individuals for future functional considerations. |
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