Physical therapists in integrated palliative care: a qualitative study.
BMJ Supportive & Palliative Care
OBJECTIVES: The purpose of this study was to explore the perceptions and experiences of physical therapists (PTs) regarding their role in palliative care (PC) when practising in nations with advanced integration of PC into mainstream healthcare.
METHODS: This qualitative study included an electronic demographic survey and semistructured interview. Data analysis included descriptive statistics for demographics and the constant comparative method for interview results.
RESULTS: Thirteen PTs from eight nations identified four categories of roles and responsibilities: (1) working with patients and families, (2) being an interdisciplinary team (IDT) member, (3) professional responsibilities beyond direct patient care and (4) factors influencing the role of PTs in PC. Concepts identified were
CONCLUSIONS: Based on participant responses, a previously published conceptual framework by Wilson et al in 2017 was updated and included an increased emphasis on patient wishes and dignity, treating breathlessness, patient advocacy within their family and use of technology and networking. Within PC, PTs play a key role on the IDT and can improve quality of life; however, multiple barriers exist to providing PT care within PC. Further advocacy is needed from PTs and professional organisations to integrate these services.
Wilson CM, Stiller CH, Doherty DJ, Thompson KA, Smith AB, Turczynski KL. Physical therapists in integrated palliative care: a qualitative study. BMJ Support Palliat Care. 2020 Feb 20:bmjspcare-2019-002161. doi: 10.1136/bmjspcare-2019-002161. Epub ahead of print. PMID: 32079576.