Client-centred care (or patient-centred care or patient preference) is one of the core philosophies underpinning Occupational Therapy. In any modern healthcare practice, it also forms part of the Evidence Based Practice (EBP) equation:
Research + Clinician Expertise + Patient Preference = EBP
How much weight each part of the formula should contribute to the overall treatment ‘answer’ is not clear cut, and when an extreme weighting from one or another element is proposed, it causes ethical dilemmas. Ethical dilemmas cannot be solved alone, but through collaboration with colleagues and professional body standards (such as the RCOT).
I find myself almost never listening to Radio 1 anymore instead tuning in to BBC 6, BBC 2 and even 4… is this a reflection of becoming more interesting or more boring? Or that I need talk radio to keep me awake on the more frequent long car journeys I seem to do now? Either way, in the BBC 4 programme ‘Inside the Ethics Committee’ one episode discusses a woman who wants her leg amputated in order to forego any further knee surgeries. Read more
Money from us (from our taxes) is passed to the government, which is passed down to the NHS to fund it. But how does the NHS department should get which money? And which departments should exist and get funded by the NHS at all? How are private companies involved if the NHS is a public organisation? The system set up to decide how the NHS’ money is spent is complicated, and it’s easiest if you just watch this video to understand:
This qualitative study used a phenomenological approach, where they examined the experiences of five OTs from a variety of settings and personal attributes (age etc). These were randomly selected from a pool of eleven. The subjects were interviewed, and then the transcripts were analysed and coded whereby ‘meaning units’ attributed to each shift to topic. These units were grouped into themes.
They identified 16 themes of ways in which the OTs used humour in their work.
This study showed that OTs use humour therapeutically in a number of different ways. Further investigation could be exploring how humour changes over time with OTs- eg does it increase as a result of confidence and self-learning about how to use? Or is there a difference in the use of spontaneous vs planned humour.
In this study Morrison & Smith wanted to investigate the experiences of OTs and the therapeutic relationship with clients.