Occupation

Abstracts Thursday 30th June 2016
Following review at local NHS research and audit committee, this
study was defined as ‘service evaluation’. Using a qualitative,
phenomenological approach with a non-experimental design 10
patients through convenience sampling who have completed the
programme were asked to take part in focus groups to ascertain
the patient experience. Feedback will be used to inform future
groups. This comes as at a time when such informative research
is at the very heart of Government agenda (Scottish Government
2010)
In addition a quantitative methodology will be utlised, analysing
the pre and post scores from the ESI assessments, using a
statistical package to demonstrate if there is a statistically
significant difference in patient scores on completion of the
Participate Programme.
This paper will present the results of the study with
recommedations for future practice.
References
SCOTTISH GOVERNMENT., 2010. Realising potential: an action
plan for allied health professionals in mental health. Edinburgh:
The Scottish Government.
PENN, D.L., ROBERTS, D.L., COMBS, D. and STERNE, A. 2007.
The development of the social cognition and interaction training
program for schizophrenia spectrum disorders. Psychiatric
Services. April, vol. 58, no.4. pp. 449–451.
WOODS, P., REED, V. and COLLINS, M. 2004. Relationships
among risk and communication and social skills in a high security
forensic setting. Issues in Mental Health Nursing. vol. 25, pp.
769–782.
COULDRICK, L. and ALRED, D. 2003., eds. Forensic Occupational
Therapy. London: Whurr Publishers.
Keywords
Mental health, Service improvement or transformation,
Innovative practice, NHS
Contact E-mail Addresses
hannah.connor@ggc.scot.nhs.uk
Author Biographies
Hannah graduated from Queen Margaret University College in
2005 with a BSc in Occupational Therapy. Her first position was
within the Learning Disability Service at The State Hospital for
Scotland. Hannah then went on to work within NHS Borders
Learning Disability and South Mental Health teams before
moving back into forensic practice. Since 2009 Hannah has
worked within the National Medium Secure Learning Disability
service at The Rowanbank Clinic, NHS Greater Glasgow &
Clyde and in 2014 she graduated with an MSc in Occupational
Therapy (post registration) from Queen Margaret University.
Catherine graduated from Glasgow Caledonian University in
1995 with a BSc in Occupational Therapy. She has worked in
homeless services, addictions services, general adult mental
health service, and for the last 11 years in forensic mental health
services. Catherine spent 5 years working at the State Hospital
for Scotland in discharge liaison and currently works in the
forensic community mental health team in NHS Greater Glasgow
& Clyde.
Session 56a.1
The patient experience of an OT intervention for
fatigue in advanced cancer
Hibbert H 2 , Cooper J 1 ,Wiseman T 1 , The Royal Marsden
Hospital Foundation Trust 1 , The Royal Marsden School 2
People with cancer and other advanced diseases often develop
fatigue, which has a significant impact on their quality of life and
those around them (Purcell et al 2009, Cramp and Daniel (2009).
It is disruptive, impacts social roles, causes distress to patients
for the burden of care it imposes and to carers for the meaning
of difficult symptoms (Lindqvist et al 2004, Givens et al 2005). It
may have no identifiable cause, making management a primarily
supportive approach, yet evidence for available interventions,
often provided by a variety of HCPs, is limited for this multifactorial
symptom (Yennurajaligam and Bruera 2010).
Relaxation techniques have been used to support symptoms like
anxiety and pain, often provided by OTs. This has been offered
at RMH for some time, but the current ‘Tool Kit’ approach, with
additional fatigue management advice, had not been evaluated.
The impact on carer’s lives and their relationships is vast, but little
evidence is available about intervention impacts, considering
psycho-social perspectives from patient and carers (NCCN 2007,
Barsevick et al 2008).
A ‘grounded theory’ approach study was undertaken to ask:
What is the experience of a fatigue management programme
at the end of life for patients and carers? Additional objectives
were identified to explore the experience of fatigue. Ethical
approval was granted (13/LO/0810).
By the end of the study 9 patients (from a possible 13) and
2 carers were recruited to the study and interviewed after
completion of the intervention, reflecting challenges researching
palliative populations. Analysis has highlighted the programme
value held by participants, particularly the therapeutic
relationships developed with the OT’s and relaxation. Other
aspects were less valued by participants, suggesting adjustments
to the programme.
This process and developments will be discussed in detail, adding
to the evidence base for complex OT interventions.
References
Barsevick, A. Newhall, T. Brown, S. (2006) Management of
cancer related fatigue. Clinical Journal of Oncology Nursing. 12
(5 suppl) 21–25
Cramp, F. Byron-Daniel, J. (2009) Exercise for the managment of
cancer related fatigue in adults (review). Cochrane Database of
Systematic Reviews, Available at http://onlinelibrary.wiley.com/
doi/10.1002/14651858.CD006145.pub3/pdf
Given, B. Wyatt, G. Gift, A. Sherwood, P. DeVoss, D. Rahbar,
M (2005) Burden and depression among caregivers of patinets
with cancer at the end of life. Oncology Nursing Forum 31(6)
1105–1117
Lindqcist, O. Widmark, A. Rasmussen, B. (2004) Meanings of the
phenomenon of fatigue as narrated by 4 patients with cancer in
palliative care. Cancer Nursing 27(3) 237–243
National Comprehensive Cancer Network (2012) Cancer Related
Fatigue. http://www.nccn.org/professionals/physician.gls/pdf/
fatigue.pdf
Purcell, F. Fleming, J. Haines, J. Bennett, S. (2009) Cancer
related fatigue: a review and a conceptual framework to guide
therapists’ understanding. British Journal of Occupational
Therapy 72(2)79–86
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