The intervention of occupational therapy with cancer patients in palliative care: integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.27386

Keywords:

Occupational therapy; Palliative care; Hospice care; Neoplasms.

Abstract

Objective: This study aimed to identify the interventions used by occupational therapists in palliative care of cancer patients at the end of life. Method: This is an integrative literature review study conducted in May 2020 in the databases and digital library PubMed, SCOPUS, LILACS, APA PsycNet, BDENF, SciELO, CINAHL and Web of Science. We found 3405 articles, of which original studies were included and in the English, Spanish or Portuguese languages, totaling 20 studies, organized in the Atlas.ti program and analyzed based on content analysis. Results: results indicate that the interventions are focused on evaluations, adaptations, symptom management, occupational roles, social participation, activities of daily living, instrumental and leisure activities, as well as active listening. Conclusion: The review made it possible to identify the interventions addressed in the care of cancer patients in palliative care by occupational therapists, pointing out how end-of-life care practices are conducted.

References

Bardin, L. (2015). Análise de conteúdo. São Paulo: Edições 70.

Brasil, Ministério da Saúde. Comissão Intergestores Tripartite. Resolução nº 41, de 31 de outubro de 2018. Dispõe sobre as diretrizes para a organização dos cuidados paliativos, à luz dos cuidados continuados integrados, no âmbito Sistema Único de Saúde (SUS). [Internet]. (2018). Recuperado de: http://www.in.gov.br/web/dou/-/resolucao-n-41-de-31-de-outubro-de-2018-51520710.

Chagas, A. C. N., Oliveira, L. S. M., Silva, V. S. M. & Corrêa, V. A. C. (2021). Sobre os propósitos das ocupações de pessoas em cuidados paliativos oncológicos em um contexto hospitalar. REFACS. 9(Supl. 1):190-201. DOI: https://doi.org/10.18554/refacs.v9i0.4300.

Cooper, J. (2014). What is the cancer patient’s own experience of participating in an occupational therapy-led relaxation programme? Prog Palliat Care. 22(4):206-211. DOI: https://doi.org/10.1179/1743291X13Y.0000000081.

Cooper, J. & Littlechild, B. (2004). A study of occupational therapy interventions in oncology and palliative care. Int J Ther Rehabil. 11(7):329-333. DOI: https://doi.org/10.12968/ijtr.2004.11.7.13362.

Costa, E. F., Oliveira, L. S. M., Corrêa, V. A. C. & Folha, O. A. A. C. (2017). Ciência ocupacional e terapia ocupacional: algumas reflexões. Rev. Interinst. Bras. Ter. Ocup. 1(5):650-663. DOI: https://doi.org/10.47222/2526-3544.rbto9687.

Cour, K. L., Josephsson, S., Tishelman, C. & Nygärd, L. (2007). Experiences of engagement in creative activity at a palliative care facility. Palliat Support Care. 5:241-250. DOI: https://doi.org/10.1017/s1478951507000405.

Davis, J., Asuncion, M., Rabello, J., Silangcruz, C. & Dyk, E. V. (2013). A qualitative review of occupational therapists’ listening behaviors and experiences when caring for patients in palliative or hospice care. OTJR (Thorofare NJ). 33(1):12-20. DOI: https://doi.org/10.3928/15394492-20121012-01.

Dawson, S, S. (1982). The role of occupational therapy in palliative care. Aust Occup Ther J. 29(3):119-124. DOI: https://doi.org/10.1111/j.1440-1630.1982.tb01387.x.

Eriksen, M. B. & Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. J Med Libr Assoc. 106(4):420-431. DOI: https://doi.org/10.5195/jmla.2018.345.

Eriksson, L., Öster, I. & Lindberg, M. (2016). The meaning of occupation for patients in palliative care when in hospital. Palliat Support Care. 14(5):541-52. DOI: https://doi.org/10.1017/S1478951515001352.

Figueiredo, M. O., Gomes, L. D., Silva, C. R. & Martinez, C. M. S. (2020). A ocupação e a atividade humana em terapia ocupacional: revisão de escopo na literatura nacional. Cad Bras Ter Ocup. 28(3):967-982. DOI: https://doi.org/10.4322/2526-8910.ctoAR1858.

Forte, E. C. N.; Pires, D. E.; Trigo, S. V. V. P. Martins, M. M. F. P. S. (2017). A hermenêutica e o software Atlas.ti: união promissora. Texto Contexto - Enferm. 26(4):01-08. DOI: https://doi.org/10.1590/0104-07072017000350017.

Garcia-Schinzari, N. R., Sposito, A. M. P. & Pfeifer, L. L. (2013) Cuidados paliativos junto a crianças e adolescentes hospitalizados com câncer: o papel da terapia ocupacional. Rev BrasCancerol. 59(2):239-247. DOI: https://doi.org/10.32635/2176-9745.RBC.2013v59n2.532.

Hammill, K., Bye, R. & Cook, C. (2019). Occupational engagement of people living with a life-limiting illness: Occupational therapists’ perceptions. Aust Occup Ther J. 66(2):145-153. DOI: https://doi.org/10.1111/1440-1630.12557.

Imanishi, M., Tomohisa, H. & Higaki, K. (2015). In-home occupational therapy for a patient with stage IV lung cancer: changes in quality of life and analysis of causes. SpringerPlus. 4(157):01-05. Doi: https://doi.org/10.1186/s40064-015-0931-9.

Leysen, B., Daele, A. V., Verrept, T. & Saeys, W. (2019). Applied physiotherapeutic and occupational therapeutic interventions within palliative care: an exploratory survey. Prog Palliat Care. 27(3):109-116. DOI: https://doi.org/10.1080/09699260.2019.1632509.

Lima, E. M. F. A. (2017). Vida ativa, mundo comum, políticas e resistências: pensar a terapia ocupacional com Hannah Arendt. 2017. [tese]. São Paulo, SP: Universidade de São Paulo/USP; 377f.

Lindahl-Jacobsen, L. E., Cour, L. K., Oestergaard, L. G., Pilegaard, M. S., Peoples, H. & Brandt Ä. (2020). The development of the ‘cancer Home-Life intervention’: An occupational therapy-based intervention programme for people with advanced cancer living at home. Scand J Occup Ther. 7:01-11. DOI: https://doi.org/10.1080/11038128.2020.1735514.

Lyon, M., Orozovic, N., Davis, J. & Newman, J. (2002). Doing-Being-Becoming: Occupational experiences of person with life-threatening illnesses. Am J Occup Ther. 56(3):285-295. DOI: https://doi.org/10.5014/ajot.56.3.285.

Melnyk, B. M. & Fineout-Overholt, E. (2005). Making the case for evidence based practice. In: Melnyk, B. M. & Fineout-Overholt, E. Evidence based practice in nursing & healthcare. A guide to best practice. Philadelphia: Lippincot Williams & Wilkins.

Mendes, K. D. S., Silveira, R. C. C. P. & Galvão, C. M. (2019). Uso de gerenciamento de referências bibliográficas na seleção dos estudos primários em revisão integrativa. Texto Contexto - Enferm. 28:01-13. DOI: http://dx.doi.org/10.1590/1980-265x-tce-2017-0204.

Mendes, K. D. S., Silveira, R. C. C. P & Galvão, C. M. (2008). Revisão integrative: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto – Enferm. 14(4):758-764. DOI: https://doi.org/10.1590/S0104-07072008000400018.

Moher, D., Liberati, A., Tetzlaff, J. & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 6(7):e1000097. DOI: https://doi.org/10.1371/journal.pmed.1000097.

Morgan, D. D., Currow, D. C., Denehy, L. & Aranda S. A. (2015). Living actively in the face of impending death: constantly adjusting to bodily decline at the end-of-life. BMJ Support Palliat Care. 27:01-10. DOI: https://doi.org/10.1136/bmjspcare-2014-000744.

Pizzi, M. (1984). Occupational therapy in hospice care. Am J Occup Ther. 38(4):252-257. DOI: https://doi.org/10.5014/ajot.38.4.252.

Pontes, T. B. & Polatajko, H. (2016). Habilitando ocupações: prática baseada na ocupação e centrada no cliente na terapia ocupacional. Cad Bras Ter Ocup. 24(2):403-412. DOI: http://dx.doi.org/10.4322/0104-4931.ctoARF0709.

Rugno, F. C., Bombarda, T. B. & Carlo, M. M. R. P. (2018). Terapia ocupacional e cuidados paliativos oncológicos. In: Carlo, M. M. R. P. & Kudo, A. M. Terapia ocupacional em contextos hospitalares e cuidados paliativos. São Paulo: Editora Payá

Sakaguchi, S. & Okamura, H. (2015). Effectiveness of collage activity based on a life review in elderly cancer patients: A preliminary study. Palliat Support Care. 13:285-293. DOI: https://doi.org/10.1017/S1478951514000194.

Schleinich, M. A., Warren, A., Nekolaichuk, C., Kaasa, T. & Watanabe, S. (2008). Palliative care rehabilitation survey: a pilot study of patients’ priorities for rehabilitation goals. Palliat Med. 22(7):822-830. DOI: https://doi.org/10.1177/0269216308096526.

Soratto, J., Pires, D. E. & Frise, S. (2020). Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health. Rev Bras Enferm. 73(3):e20190250. DOI: https://doi.org/10.1590/0034-7167-2019-0250.

Svidén, G. A., Tham, K. & Borell, L. (2010). Involvement in everyday life for people with a life threatening illness. Palliat Support Care. 8(3):345-352. DOI: https://doi.org/10.1017/S1478951510000143.

Taylor, K. & Currow, D. (2003). A prospective study of patient identified unmet activity of daily living needs among cancer patients at a comprehensive cancer care centre. Am J Occup Ther. 50(2):79-85. DOI: https://doi.org/10.1046/j.1440-1630.2003.00327.x.

Tigges, K. N., Sherman, L. M. & Sherwin, F. (1984). Perspectives on the pain of the hospice patient: The roles of the occupational therapist and physician. Occup Ther Health Care. 1(3):55-68. DOI: https://doi.org/10.1080/J003v01n03_06.

Tigges, K. N. & Sherman, L. M. (1983). The treatment of the hospice patient: From occupational history to occupational role. Am J Occup Ther. 37(4):235-238. DOI: https://doi.org/10.5014/ajot.37.4.235.

Victal, F. C. A. & Bigatão, M.R. (2018). A construção de espaços de atuação da terapia ocupacional em cuidados oncológicos. In: Carlo, M. M. R. P. & Kudo, A. M. Terapia ocupacional em contextos hospitalares e cuidados paliativos. São Paulo: Editora Payá.

WFOT, World Federation of Occupational Therapists. (2016). Terapia Ocupacional nos cuidados em fim de vida. WFOT. [Internet]. Recuperado de: https://www.wfot.org/news/2020/wfot-translations.

Zilli, F. (2018). Cuidado de si de pacientes com doença oncológica avançada mediado pelas atividades como recurso clínico. [dissertação]. Pelotas, RS: Universidade Federal de Pelotas/ UFPel. 245f.

Published

19/03/2022

How to Cite

ZILLI, F.; VARGAS , M. A. de O. . The intervention of occupational therapy with cancer patients in palliative care: integrative review. Research, Society and Development, [S. l.], v. 11, n. 4, p. e31611427386, 2022. DOI: 10.33448/rsd-v11i4.27386. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/27386. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences