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Primary care occupational therapy: An occupation-based approach for veterans with chronic conditions.

机译：初级保健职业疗法：针对慢性病退伍军人的基于职业的方法。

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摘要

When people are healthy, they are able to accomplish with relative ease what they set out to do, such as going to work, traveling, meeting with friends, and taking care of their personal necessities. However, once chronic illness becomes a factor in a person's life, he or she is faced with limitations in the ability to perform daily activities, take care of health needs and participate in life activities. More effort is required for everyday activities, leading to abandonment of previously enjoyed routines and further declines in health and quality of life (Erlandsson, 2013a). In response to the complex, dynamic, and often unpredictable care requirements of individuals with one or more chronic conditions, newer primary care delivery models were developed to improve health management and reduce costs (Sevick et al., 2007). The expectation is that these interprofessional team-- based models are the best way to address the needs of persons with multiple chronic conditions (Piette et al., 2011). However those charged with providing primary care based on these models have been unable to expand beyond disease-based episodic approaches and healthcare delivery is thus perceived as inadequate in fully serving this growing population (Fortin et al., 2013).;The author developed and implemented occupation-based occupational therapy (OT) services and the VA Everyday Matters workshop to demonstrate that OT should be included as a vital component of a primary care effort aimed at meeting the complex needs of Veterans with chronic conditions. Health behavior theory and occupational therapy models informed the role of OT in primary care and the development of the workshop. The use of an occupation-based approach represents an innovative change in how health promotion is conceptualized and delivered in the traditional primary care setting. The immediate and long-term outcomes of this project will have important implications for occupational therapy practice and will contribute to a growing body of knowledge about the health promoting effects of occupation. Findings from the program evaluation will be disseminated throughout the VA and will inform the continued development of innovative ways occupational therapy and primary care can partner to optimize function and quality of life for at-risk Veteran populations.
机译：当人们身体健康时，他们能够相对轻松地完成他们打算要做的事情，例如上班，旅行，与朋友见面以及照顾他们的个人必需品。但是，一旦慢性疾病成为一个人的生活中的一个因素，他或她在进行日常活动，照顾健康需要和参加生活活动的能力上就会受到限制。日常活动需要付出更多的努力，从而导致放弃了以前享有的惯例，并进一步降低了健康和生活质量（Erlandsson，2013a）。为了应对患有一种或多种慢性病的个体的复杂，动态且常常无法预测的护理需求，开发了新型的初级护理提供模型以改善健康管理并降低成本（Sevick等，2007）。期望这些基于跨专业团队的模型是解决多种慢性病患者需求的最佳方法（Piette等，2011）。然而，基于这些模型负责提供初级保健的人们无法扩展到基于疾病的发作方法，因此，医疗保健被认为不足以完全为这个不断增长的人口提供服务（Fortin等，2013）。实施基于职业的职业治疗（OT）服务和VA日常事务讲习班，以表明OT应该作为初级护理工作的重要组成部分，旨在满足患有慢性病的退伍军人的复杂需求。健康行为理论和职业治疗模型告知了OT在初级保健中的作用以及研讨会的发展。基于职业的方法的使用代表了在传统的初级保健环境中如何概念化和实施健康促进的创新性变化。该项目的近期和长期成果将对职业治疗实践产生重要影响，并将有助于人们对职业对健康的促进作用的认识不断增长。计划评估的结果将在整个弗吉尼亚州进行传播，并将为职业治疗和初级保健可以合作以创新的方式不断发展提供帮助，以优化处于风险中的退伍军人群体的功能和生活质量。

著录项

  • 作者

    Duddy, Karen Janine.;

  • 作者单位

    Boston University.;

  • 授予单位 Boston University.;
  • 学科 Occupational therapy.;Alternative medicine.;Public health.
  • 学位 O.T.D.
  • 年度 2016
  • 页码 174 p.
  • 总页数 174
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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