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In-home occupational therapy for a patient with stage IV lung cancer: changes in quality of life and analysis of causes.

Imanishi M, Tomohisa H, Higaki K - Springerplus (2015)

Bottom Line: A histogram of QOL scores demonstrated a rapid increase followed by a mild decrease and then stable level.Interviews revealed the patient's response to knowing her life expectancy, meeting a qualified occupational therapist, increasing her leisure activity, changing her family relationships and facing the prospect of death.Further, an active lifestyle played an important role in helping the patient accept death and lead a peaceful and stable life.

View Article: PubMed Central - PubMed

Affiliation: Research Institute of Rehabilitation Sciences, Osaka Prefectural University, Habikino 3-7-30, Habikino-shi, Osaka Japan.

ABSTRACT

Introduction: We tracked and analyzed the changes in the quality of life (QOL) of a stage 4 lung cancer patient receiving occupational therapy at home.

Case description: In a longitudinal study consisting of 4 evaluations over 9 months, a 66-year-old female with lung cancer was assessed using the Philadelphia Geriatric Center (PGC) Morale Scale and the 100-Point Satisfaction Scale. The QOL scores over time and factors influencing changes in these scores were analyzed.

Discussion and evaluation: A histogram of QOL scores demonstrated a rapid increase followed by a mild decrease and then stable level. Interviews revealed the patient's response to knowing her life expectancy, meeting a qualified occupational therapist, increasing her leisure activity, changing her family relationships and facing the prospect of death. We also confirmed that occupational therapy, such as writing letters or keeping a diary, reminded her of her late parents, hometown and childhood and helped her accept death.

Conclusions: For a terminal lung cancer patient, meeting an occupational therapist to discuss fear or self-loathing improved QOL. Further, an active lifestyle played an important role in helping the patient accept death and lead a peaceful and stable life.

No MeSH data available.


Related in: MedlinePlus

The path of client A’s QOL scores.
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Fig1: The path of client A’s QOL scores.

Mentions: In response to religious discussions, the therapist listened closely in silence and nodded in agreement. For simple everyday conversation, the therapist assumed the role of a socially inexperienced person asking to be taught. However, this did not mean that the patient felt no pain and loneliness. The therapist sent a clear message to the patient that she should feel comfortable sharing her feelings (Figure 1).Figure 1


In-home occupational therapy for a patient with stage IV lung cancer: changes in quality of life and analysis of causes.

Imanishi M, Tomohisa H, Higaki K - Springerplus (2015)

The path of client A’s QOL scores.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4382498&req=5

Fig1: The path of client A’s QOL scores.
Mentions: In response to religious discussions, the therapist listened closely in silence and nodded in agreement. For simple everyday conversation, the therapist assumed the role of a socially inexperienced person asking to be taught. However, this did not mean that the patient felt no pain and loneliness. The therapist sent a clear message to the patient that she should feel comfortable sharing her feelings (Figure 1).Figure 1

Bottom Line: A histogram of QOL scores demonstrated a rapid increase followed by a mild decrease and then stable level.Interviews revealed the patient's response to knowing her life expectancy, meeting a qualified occupational therapist, increasing her leisure activity, changing her family relationships and facing the prospect of death.Further, an active lifestyle played an important role in helping the patient accept death and lead a peaceful and stable life.

View Article: PubMed Central - PubMed

Affiliation: Research Institute of Rehabilitation Sciences, Osaka Prefectural University, Habikino 3-7-30, Habikino-shi, Osaka Japan.

ABSTRACT

Introduction: We tracked and analyzed the changes in the quality of life (QOL) of a stage 4 lung cancer patient receiving occupational therapy at home.

Case description: In a longitudinal study consisting of 4 evaluations over 9 months, a 66-year-old female with lung cancer was assessed using the Philadelphia Geriatric Center (PGC) Morale Scale and the 100-Point Satisfaction Scale. The QOL scores over time and factors influencing changes in these scores were analyzed.

Discussion and evaluation: A histogram of QOL scores demonstrated a rapid increase followed by a mild decrease and then stable level. Interviews revealed the patient's response to knowing her life expectancy, meeting a qualified occupational therapist, increasing her leisure activity, changing her family relationships and facing the prospect of death. We also confirmed that occupational therapy, such as writing letters or keeping a diary, reminded her of her late parents, hometown and childhood and helped her accept death.

Conclusions: For a terminal lung cancer patient, meeting an occupational therapist to discuss fear or self-loathing improved QOL. Further, an active lifestyle played an important role in helping the patient accept death and lead a peaceful and stable life.

No MeSH data available.


Related in: MedlinePlus