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What Is The Occupational Therapy Role In End Of Life Care?

Heather Javaherian, OTD, OTR/L

March 21, 2016

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Question

What is the occupational therapy role in end of life care?

Answer

Unfortunately, the reality is that there are not many occupational therapists really across the country working in hospice. Hopefully we will see this change. As the Affordable Care Act continues to have an impact, I think it will open many doors for us to be a part of that team and focus on quality of life to decrease healthcare costs. Typically once the person is transferred to hospice, they usually say, “OT, we don’t need you anymore." We really have to market our services and advocate for our expertise with pressure care, pain management, functional mobility, adaptive equipment, etc. It is also important to have research to back that up. Perhaps we are not in there every week, but OT could be involved in the end of life care at a consulting level. 

With regards to transitioning to a career of OT in hospice, I think there are a couple of great ways to do this. First, if you can get into a home health agency that has a hospice side and if you can just go ahead and market yourself there. make a big impact of you’re an OT. You’re doing a great impact and then say, “I like to do a pilot program and continue to work with my client that was discharged from OT and moved into hospice.” Do some research and then bring it back to your executive director say, “Here’s what the outcomes were. Let’s go with another patient.” I think it is a wonderful opportunity to do research or connect to a university. I would be happy to talk with you more. 


heather javaherian

Heather Javaherian, OTD, OTR/L

Heather Javaherian is a Professor of Occupational Therapy and Program Director of the Entry-level Doctor of Occupational program at Loma Linda University. She graduated with her master’s degree from D’Youville College in 1996 and her doctorate from Creighton University in 2004. She is working on her health coach certificate at Loma Linda University, School of Public Health. Her research and practice areas include intimate partner violence, end-of-life care, ergonomics, health and wellness, and education. Dr. Javaherian is passionate about qualitative studies exploring people’s lived experiences to inform practice. She provides pro bono services and supervises graduate students in domestic violence settings, ergonomics, and at the Thursday Night Clinic. She is part of Roots Down, Inc., which serves survivors of domestic violence. Dr. Javaherian coordinates interprofessional education opportunities in the occupational therapy program. She teaches classes involving education, theory, occupation across the lifespan, health, research, and lectures on various specialized topics. She participates in several interprofessional education initiatives. Dr. Javaherian has presented at regional, state, and national levels and has authored several publications. She has served the profession nationally as editor in the Education special interest section and at the state level as a regional director in Ohio. She now serves as Vice President on the Executive Board of the Occupational Therapy Association of California. In April 2019 Dr. Javaherian was named to the Roster of Fellows of the American Occupational Therapy Association. 


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