Author/Editor		Pihlar, Zdenka
Title		Program delovne terapije za bolnike s kronično bolečino
Translated title		Occupational therapy program for patients with cronic pain
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 5, št. 1-2
Publication year		2006
Volume		str. 65-7
Language		slo
Abstract		Chronic pain influences a patient's emotional, mental and social activities. It causes limited abilities in the performance of activities of daily living in three basic areas - self-care, work and productivity and leisure. The occupational therapy program is based on a process model OPPM (Occupational Performance Process Model), which was created on the basis of CMOP (Canadian Model of Occupational Performance). Occupational Performance Process (OPP) is focused on an individual, a client. It takes into account the client's values in performing activities of daily living, self-evaluation of the quality and satisfaction with performing intentional activities and the client is included into the process as an equal partner (1). The process is conducted in seven phases: evaluation, selection of theoretical concepts, identification of problems in activities of daily living and environmental conditions, identification of positive points and environmental availability, making of a joint plan for the performance of activities, implementation of the program, outcome evaluation (2). The occupational therapy program is based on cognitive - behavioral approach, with a starting point that programs of occupational therapy do not eliminate chronic pain but teach an individual how to live with it (3,4). The activity analysis, the performance phases, the quality of performance enable us to identify together with the client the most efficient and the least painful manner of performing activities of daily living. The short-term aim of the occupational therapy program is to achieve the highest possible independence in the performance of the activities which the individual wishes to perform, more satisfaction and well-being in performing the activities and a higher quality of life (5,6). The long-term aim is to integrate the individual into an active performance of life roles and to decrease the negative effects of chronic pain.
Summary		Kronična bolečina vpliva na bolnikovo čustveno, psihično in socialno delovanje. Je vzrok za omejene sposobnosti v posameznikovem izvajanju vsakodnevnih življenjskih aktivnosti na treh temeljnih področjih - skrbi za sebe, dela in produktivnosti ter prostega časa. Program delovne terapije za bolnike s kronično bolečino je zasnovan po procesnem modelu OPPM (Occupational Performance Process Model), ki je bil razvit na osnovi CMOP (Canadian Model of Occupational Performance). Proces obravnave (OPP - Occupational Performance Process), je usmerjen na posameznika oziroma klienta. Upošteva njegove vrednote v izvajanju življenjskih aktivnosti, samooceno kvalitete in zadovoljstva ob izvajanju namenskih aktivnosti, ter ga kot enakovrednega partnerja vključuje v obravnavo (1). Poteka skozi sedem faz: ocenjevanje, izbira teoretičnih konceptov, prepoznava problemov v izvajanju življenjskih aktivnosti in pogojev okolja, prepoznava pozitivnih točk in razpoložljivosti okolja, izdelava skupnega načrta izvedbe aktivnosti, izvajanje programa, evalvacija končnega rezultata (2). Program delovne terapije je zasnovan na kognitivno - vedenjskem pristopu, katerega izhodišče je, da kronične bolečine s programi delovne terapije ne bomo odpravili, temveč naučili posameznika z njo živeti (3,4). Analiza aktivnosti, faz izvedbe in kvaliteta izvedbe nam omogoči, da skupaj s posameznikom določimo najučinkovitejši in čimmanj boleči način izvajanja aktivnosti v vsakodnevnem življenju. Kratkoročni cilj delovnoterapevtske obravnave je usmerjen v čim večjo samostojnost pri izvajanju aktivnosti, ki jih posameznik želi izvajati, več zadovoljstva in dobrega počutja ob izvajanju, ter bolj kvalitetno življenje (5,6). Dolgoročni cilj je usmerjen v vključevanje posameznika v aktivno izvajanje življenjskih vlog in zmanjševanje negativnih posledic kronične bolečine.
Descriptors		PAIN CHRONIC DISEASE OCCUPATIONAL THERAPY