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Physical therapists in integrated palliative care: a qualitative study.
Christopher M Wilson1,2, Christine H Stiller3, Deborah J Doherty3
1Human Movement Science department - Physical Therapy Program, Oakland University, Rochester, Michigan, USA wilson23@oakland.edu.
BMJ Supportive & Palliative Care
|February 22, 2020
Summary
Physical therapists (PTs) play a vital role in palliative care (PC), enhancing quality of life. However, barriers exist, necessitating increased advocacy for PT integration into PC services.
Area of Science:
- Healthcare Professions
- Palliative Care
- Rehabilitation Medicine
Background:
- Palliative care (PC) integration varies globally.
- Physical therapists (PTs) are increasingly involved in PC.
- Understanding PTs' experiences in advanced PC settings is crucial.
Purpose of the Study:
- To explore perceptions and experiences of PTs in palliative care.
- To identify the roles and responsibilities of PTs in PC.
- To understand factors influencing PT practice in PC.
Main Methods:
- Qualitative study design.
- Electronic demographic survey and semistructured interviews.
- Constant comparative method for data analysis.
Main Results:
- Identified four role categories for PTs in PC: patient/family interaction, interdisciplinary team (IDT) membership, professional responsibilities, and influencing factors.
- Key concepts included shifting priorities, care across the continuum, and changing perceptions of PTs' role in PC.
- PTs emphasized family involvement, psychosocial aspects, and adapting to patient needs.
Conclusions:
- An updated conceptual framework highlights PTs' role in patient dignity, breathlessness management, advocacy, and technology use.
- PTs are integral to the IDT in PC, improving quality of life.
- Barriers to PT service delivery in PC persist, requiring advocacy from PTs and organizations.
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