Produkt

KlappentextWhile diagnosis with a neurological condition may not be life-threatening, it can have significant impact on everyday life and on participation in activities. Occupational therapists must be able to fully consider the physical, cognitive, emotional, psychological and behavioural problems which may occur as a consequence of a neurological disorder, and understand the impact of diagnosis from a person-centred perspective. Occupational Therapy and Neurological Conditions incorporates theoretical, clinical and research evidence to support occupational therapists in the management of people with neurological conditions.
Covers the key symptoms of neurological conditions and the biological basis of these within the ICF framework
Provides an overview of therapy and management for all neurological conditions
Includes key occupational therapy theory
Case studies root concepts in real-life practice
End-of-chapter self-evaluation questions help test understanding

Occupational Therapy and Neurological Conditions is the ideal resource to support students, newly-qualified practitioners, and occupational therapists looking for an overview or introduction to this key area of practice.

Jenny Preston, PhD, BSc (Hons), DipCOT is a Consultant Occupational Therapist within NHS Ayrshire & Arran, and Glasgow Caledonian University. She has over 30 years clinical experience working with people with a range of neurological conditions, and is currently Chair of the College of Occupational Therapists Specialist Section Neurological Practice.
Judi Edmans, PhD, MPhil, DipCOT, FCOT is a Senior Research Fellow in the Division of Rehabilitation and Ageing at the University of Nottingham. She has been qualified for over 35 years, has worked mainly in stroke both in clinical practice and research and is the editor of the book Occupational Therapy and Stroke.

Details

Weitere ISBN/GTIN9781118936122

ProduktartE-Book

EinbandartE-Book

FormatPDF

Format HinweisKopierschutz: DRM, Lesegeräte: PC/MAC/eReader/Tablet

Verlag

Wiley-Blackwell

Erscheinungsjahr2016

Erscheinungsdatum01.07.2016

Seiten240 Seiten

SpracheEnglisch

Dateigrösse3704

Artikel-Nr.3249604

Rubriken

Genre9201

Inhalt/Kritik

Inhaltsverzeichnis

1;Title Page;5
2;Copyright Page;6
3;Contents;7
4;List of figures and tables;10
5;List of contributors;12
6;Academic foreword;13
7;Service user foreword;14
8;Preface;15
9;Acknowledgements;16
10;CHAPTER 1 Introduction;17
10.1;1.1 Economic impact of long-term neurological conditions;17
10.2;1.2 Definition of long-term neurological conditions;18
10.3;1.3 International Classification of Functioning, Disability and Health;18
10.4;1.4 Huntington s disease;20
10.4.1;1.4.1 Body functions;20
10.4.2;1.4.2 Body structures;20
10.4.3;1.4.3 Stages of HD;20
10.4.4;1.4.4 Impairments;21
10.4.5;1.4.5 Diagnosing HD;23
10.5;1.5 Motor neurone disease;25
10.5.1;1.5.1 Body functions;26
10.5.2;1.5.2 Body structures;26
10.5.3;1.5.3 Genetic Risk;27
10.5.4;1.5.4 Impairments;27
10.5.5;1.5.5 Diagnosing MND;28
10.6;1.6 Multiple sclerosis;29
10.6.1;1.6.1 Body functions;30
10.6.2;1.6.2 Body structures;30
10.6.3;1.6.3 Impairments;31
10.6.4;1.6.4 Diagnosing MS;33
10.7;1.7 Parkinson s;34
10.7.1;1.7.1 Body functions;34
10.7.2;1.7.2 Body structures;34
10.7.3;1.7.3 Impairments;35
10.7.4;1.7.4 Diagnosing parkinson s;37
10.8;1.8 Self-evaluation questions;38
10.9;References;38
11;CHAPTER 2 Delivering good quality, safe and effective care;40
11.1;2.1 Introduction;40
11.2;2.2 The strategic context;40
11.2.1;2.2.1 National Service Framework for long-term conditions;41
11.2.2;2.2.2 Clinical standards: Neurological Health Standards;42
11.3;2.3 Evidence-based practice;43
11.3.1;2.3.1 Why do we need evidence-based practice?;43
11.3.2;2.3.2 Finding the best evidence;43
11.3.3;2.3.3 Using electronic databases to find evidence;44
11.3.4;2.3.4 Appraising the evidence;45
11.3.5;2.3.5 Implementing findings into clinical practice;45
11.3.6;2.3.6 Using evidence to inform clinical decisions in occupational therapy;46
11.3.7;2.3.7 Asking clinical questions;47
11.4;2.4 Clinical guidelines;49
11.5;2.5 Practice guidance;49
11.5.1;2.5.1 Occupational therapy in the prevention and management of falls in adults;50
11.5.2;2.5.2 Splinting for the prevention and correction of contractures in adults with neurological dysfunction;50
11.5.3;2.5.3 Occupational therapy for people with Parkinson s;50
11.5.4;2.5.4 Management of the Ataxias: Towards best clinical practice;50
11.5.5;2.5.5 Fatigue management for people with multiple sclerosis;50
11.5.6;2.5.6 Translating the NICE and NSF guidance into practice: A guide for occupational therapists;51
11.5.7;2.5.7 Occupational therapy for people with Huntington s disease: Best practice guidelines;51
11.6;2.6 Client expertise in evidence-based practice;51
11.6.1;2.6.1 Shared decision-making;51
11.7;2.7 Quality improvement;52
11.8;2.8 Health economic evaluation;55
11.8.1;2.8.1 Key steps of an economic evaluation;55
11.9;2.9 Professional standards of practice;56
11.10;2.10 CPD and lifelong learning;56
11.10.1;2.10.1 CPD resources;57
11.11;2.11 Self-evaluation questions;58
11.12;References;59
12;CHAPTER 3 Person-centredness and long-term neurological conditions;62
12.1;3.1 Introduction;62
12.2;3.2 Person-centredness;62
12.2.1;3.2.1 What is person-centred care?;62
12.2.2;3.2.2 Medical model of care;63
12.2.3;3.2.3 Social model of disability;64
12.3;3.3 Client-centred practice;64
12.3.1;3.3.1 Exploring both the disease and the illness experience;65
12.3.2;3.3.2 Understanding the whole person;67
12.3.3;3.3.3 Finding common ground regarding management;68
12.3.4;3.3.4 Incorporating illness prevention and health promotion;69
12.3.5;3.3.5 Enhancing the therapist-client relationship;69
12.3.6;3.3.6 Being realistic about personal limitations and issues such as the availability of time and resources;70
12.4;3.4 Self-management;71
12.5;3.5 Co-production;73
12.6;3.6 Evaluating your practice;74
12.6.1;3.6.1 Measures of client experience;75
12.7;3.7 Self-evaluation questions;75
12.8;References;76
13;CHAPTER 4 Theoretical basis;79
13.1;4.1 Introduction;79
13.2;4.2 Definitions of occupational therapy;79
13.3;4.3 Central philosophy of occupational therapy;81
13.4;4.4 Core professional reasoning skills;81
13.4.1;4.4.1 Clinical reasoning;82
13.5;4.5 Conceptual models of occupational therapy practice;85
13.5.1;4.5.1 Model of Human Occupation;85
13.5.2;4.5.2 Canadian Model of Occupational Performance and Enablement;86
13.5.3;4.5.3 The Person-Environment-Occupational Performance (PEOP) model;89
13.5.4;4.5.4 The Kawa (River) model;92
13.5.5;4.5.5 The Occupational Performance Model (Australia) OPM-A;94
13.6;4.6 Frames of reference;94
13.6.1;4.6.1 Cognitive Behavioural Frame of Reference;94
13.6.2;4.6.2 Biomechanical Frame of Reference;95
13.6.3;4.6.3 Neurodevelopmental Frame of Reference;96
13.7;4.7 Context-dependent practice skills;97
13.7.1;4.7.1 Occupational therapy core skills;97
13.7.2;4.7.2 Core values for neurological practice;97
13.7.3;4.7.3 Context-dependent practice skills for neurological practice;97
13.8;4.8 Self-evaluation questions;99
13.9;References;99
14;CHAPTER 5 Occupation and long-term neurological conditions;102
14.1;5.1 Introduction;102
14.2;5.2 Defining occupation;102
14.3;5.3 Occupational patterns;103
14.4;5.4 Doing, being, becoming and belonging;104
14.4.1;5.4.1 Occupations for doing;105
14.4.2;5.4.2 Occupations for being;106
14.4.3;5.4.3 Occupations for becoming;107
14.4.4;5.4.4 Occupations for belonging;108
14.5;5.5 Occupational dysfunction;109
14.6;5.6 Occupational adaptation;112
14.7;5.7 Defining occupational goals;114
14.8;5.8 Self-evaluation questions;115
14.9;References;115
15;CHAPTER 6 Identifying occupational performance enablers and deficits;117
15.1;6.1 Introduction;117
15.2;6.2 What is measurement?;117
15.3;6.3 What are occupational therapy outcomes?;118
15.3.1;6.3.1 Why measure?;118
15.3.2;6.3.2 How to measure;118
15.3.3;6.3.3 What to measure;119
15.4;6.4 Selecting the right measure;119
15.5;6.5 Commonly used measures in neurological rehabilitation;122
15.5.1;6.5.1 Activities of daily living indices;122
15.5.2;6.5.2 Commonly used impairment-level measures;127
15.5.3;6.5.3 Perceived health and QOL measure;127
15.6;6.6 Disease-specific measures;127
15.7;6.7 Self-evaluation questions;134
15.8;References;134
16;CHAPTER 7 Occupational therapy intervention;138
16.1;7.1 Introduction;138
16.1.1;7.1.1 Rehabilitation interventions;138
16.2;7.2 Activities of daily living;139
16.2.1;7.2.1 Dressing;139
16.2.2;7.2.2 Eating and drinking;139
16.2.3;7.2.3 Toileting;139
16.2.4;7.2.4 Bed mobility;140
16.2.5;7.2.5 Grooming;140
16.3;7.3 Fatigue management;140
16.3.1;7.3.1 Practical strategies for energy conservation;141
16.4;7.4 Cognitive rehabilitation;142
16.4.1;7.4.1 General principles of cognitive rehabilitation;143
16.4.2;7.4.2 General principles in the management of memory disorders;143
16.4.3;7.4.3 Commonly used intervention strategies;144
16.4.4;7.4.4 Generalisation;144
16.5;7.5 Anxiety management;145
16.5.1;7.5.1 Symptoms of anxiety;145
16.5.2;7.5.2 Strategies for managing anxiety;146
16.6;7.6 Falls management;151
16.6.1;7.6.1 Identification of people at risk;152
16.6.2;7.6.2 Assessment of occupational performance;152
16.6.3;7.6.3 Interventions;152
16.7;7.7 Pain management;153
16.7.1;7.7.1 Practical strategies for pain management;154
16.8;7.8 Managing tremor;156
16.9;7.9 Sleep;159
16.10;7.10 Sexual relationships and intimacy;160
16.10.1;7.10.1 General tips for improving relationships;160
16.11;7.11 Self evaluation questions;163
16.12;References;163
17;CHAPTER 8 Using technology to support participation;166
17.1;8.1 Introduction;166
17.2;8.2 Environmental characteristics and occupational performance;166
17.3;8.3 Environmental adaptations;167
17.4;8.4 Assistive technology;168
17.5;8.5 Assistive devices;168
17.5.1;8.5.1 Provision following assessment;169
17.5.2;8.5.2 VAT exemption;169
17.6;8.6 Housing adaptations;170
17.6.1;8.6.1 Minor adaptations;170
17.6.2;8.6.2 Major adaptations;171
17.7;8.7 Seating and postural management;172
17.7.1;8.7.1 The role of normal posture as a foundation for occupational performance;172
17.8;8.8 Management of posture and positioning in sitting;174
17.8.1;8.8.1 Posture and head control in sitting;174
17.8.2;8.8.2 Wheelchairs;175
17.8.3;8.8.3 Powered wheelchairs;176
17.9;8.9 Management of posture and positioning in lying;176
17.9.1;8.9.1 Sleep systems;176
17.9.2;8.9.2 Bed mobility;177
17.9.3;8.9.3 Respiration;177
17.10;8.10 Splinting;178
17.10.1;8.10.1 Types of splints;178
17.10.2;8.10.2 Assessing for a splint;178
17.10.3;8.10.3 Education and monitoring;179
17.11;8.11 Electronic assistive technology;179
17.11.1;8.11.1 Telehealth;180
17.11.2;8.11.2 Telecare;180
17.11.3;8.11.3 Environmental control systems;181
17.11.4;8.11.4 Smart housing;182
17.11.5;8.11.5 Computer access;182
17.11.6;8.11.6 Switches and input devices;182
17.11.7;8.11.7 Augmentative and alternative communication;182
17.12;8.12 Self-evaluation questions;184
17.13;References;184
18;CHAPTER 9 Living with a long-term neurological condition;187
18.1;9.1 Introduction;187
18.2;9.2 Transitions theory;187
18.3;9.3 Illness experiences;188
18.3.1;9.3.1 Diagnosis with a long-term neurological condition;188
18.4;9.4 Rehabilitation and recovery;189
18.5;9.5 Lifespan transitions;190
18.5.1;9.5.1 Parenthood;190
18.6;9.6 Social and cultural transitions;191
18.6.1;9.6.1 Work;191
18.6.2;9.6.2 Driving;196
18.7;9.7 Caregiving;199
18.7.1;9.7.1 Impact on family and carers;199
18.7.2;9.7.2 Burden of care;200
18.7.3;9.7.3 Supporting carers;200
18.7.4;9.7.4 Supporting the needs of young carers;201
18.8;9.8 Psychosocial adjustment;201
18.9;9.9 Self-evaluation questions;205
18.10;References;205
19;CHAPTER 10 Planning for the future;210
19.1;10.1 Introduction;210
19.2;10.2 Disease progression;210
19.3;10.3 The nature of occupation in death and dying;213
19.4;10.4 Facilitation of meaning, quality of life and well?being;214
19.5;10.5 Spirituality;214
19.6;10.6 Therapeutic use of self;215
19.6.1;10.6.1 Therapist self-care;216
19.7;10.7 Advance care planning;216
19.7.1;10.7.1 Lasting power of attorney;217
19.7.2;10.7.2 Capacity;219
19.7.3;10.7.3 Safeguards;219
19.7.4;10.7.4 Advance statement;220
19.7.5;10.7.5 Advance decision;220
19.7.6;10.7.6 Assisted dying and implications for occupational therapy;221
19.8;10.8 Conclusion;225
19.9;10.9 Self-evaluation questions;225
19.10;References;226
20;Index;228
21;EULA;233mehr

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