Scielo RSS <![CDATA[South African Journal of Occupational Therapy]]> http://www.scielo.org.za/rss.php?pid=2310-383320130002&lang=es vol. 43 num. 2 lang. es <![CDATA[SciELO Logo]]> http://www.scielo.org.za/img/en/fbpelogp.gif http://www.scielo.org.za <![CDATA[<b>Editorial Comment</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200001&lng=es&nrm=iso&tlng=es <![CDATA[<b>Promoting person-centred care for people with advanced dementia through environmental adaptations</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200002&lng=es&nrm=iso&tlng=es <![CDATA[<b>Research Orientation of South African occupational therapists</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200003&lng=es&nrm=iso&tlng=es The value placed on and the extent of involvement of occupational therapists in research is unknown. This article reports on the quantitative part of a mixed methods study conducted to establish the multi-dimensional factors that influence Research Orientation. A cross-sectional descriptive design was employed. Data were collected through the use of a previously validated instrument, the Edmonton Research Orientation Survey (EROS). The survey was posted to all occupational therapists on the HPCSA register (2279 occupational therapists) in August 2007. A thirteen percent response rate (298 of 2279) was achieved. Most respondents (177/275, 67%) had high overall EROS scores (mean = 133.6 and median =136.) indicating a strong research orientation. With further analyses it became clear that these occupational therapists valued research ( 195 / 290, 67%) and saw themselves at the leading edge of the profession (214 / 291, 73% ) yet evidence based practice (149 / 285, 52%) and involvement in research was limited (76 / 275, 28%). The results suggest that although occupational therapists value research they do not engage in applying research in practice or participate in the execution of research. The positive research orientation provides an opportunity for the profession to use the available potential to increase research output. <![CDATA[<b>Current practices in the assessment of hypotonia in children</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200004&lng=es&nrm=iso&tlng=es The assessment of muscle tone is a fundamental component of the neurological examination of infants and children and is often crucial in the establishment of an accurate diagnosis and appropriate management. However, the accurate identification and quantification of muscle tone, particularly in the clinical setting continues to pose a challenge for clinicians. An electronic survey was used to determine the current practices of Paediatric Occupational Therapists, Physiotherapists, Paediatric Neurologists and Paediatricians in the assessment of hypotonia. Three hundred and nineteen (319) responses were eligible for data analysis utilising SPSS 18. Results are described descriptively and indicate that practices vary. The need for more objective measures in assessment was also strongly indicated. <![CDATA[<b>Mothers' experiences of caring for a child with severe brain injury in a disadvantaged community in the Cape Flats</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200005&lng=es&nrm=iso&tlng=es Health professionals have a limited understanding of the experiences of mothers caring for a child with traumatic brain injury (TBI) in a context of disadvantage. This may be due to the dearth of qualitative research on this topic in the South Africa. This phenomenological study aimed to explore and describe the lived experiences of four mothers caring for their children with severe TBI in disadvantaged communities in the Cape Flats. Their lived experiences were described in terms of lived space, lived body, lived social relationships and lived time. Two in-depth interviews were done with each of the four mothers. Interviews were transcribed verbatim and analysed inductively. The three themes which emerged from the analysis were: "personal burden of care", "living a different life with a different child" and "holding onto faith and hope". The findings highlighted that caring for a child with TBI changed the mothers' circumstances in such a way that they had no time for themselves, because caring for and worrying about their children consumed their whole day. They also experienced an increased financial burden as they resigned from their employment to care for their children fulltime. They had to change their parenting styles as the children had different needs than before the TBI. The mothers also identified many needs of their own, including the need for meaningful occupations and support. However, they remained optimistic and experienced a stronger faith in God. The findings stressed the need for intervention with these mothers to prevent a decline in their well-being. <![CDATA[<b>Wheelchair dancing and self-esteem in adolescents with physical disabilities</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200006&lng=es&nrm=iso&tlng=es INTRODUCTION: Adolescents with physical disabilities are prone to experience lowered self-esteem which can result in negative consequences for the individual as well as the community. It has been found that dancing may have positive emotional, social and developmental consequences. AIM: The aim of this study was to determine the influence of wheelchair dancing on the self-esteem of adolescents with physical disabilities. METHODS: Twenty-four participants were involved in this quantitative study. A before-and-after experimental study design was used which included a control group. Structured interviews were conducted to obtain information from the participants. The experimental group participated in wheelchair dancing, while the control group did not. RESULTS: A difference between the two groups was observed with 72.7% of the intervention group displaying an increase in self-esteem, compared to 54.6% of the control group. Improved self-esteem manifested in, for example, an improvement in eye contact and sense of responsibility. CONCLUSION: The researchers concluded that wheelchair dancing may have a positive influence on the self-esteem of adolescents with physical disabilities. <![CDATA[<b>Occupational therapists in medico-legal work - South African experiences and opinions</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200007&lng=es&nrm=iso&tlng=es In South Africa, occupational therapists' who practice in the medico-legal field face changes as the impact of new and amended legislation begins to be felt. This article looks at the current realities and experiences of South African occupational therapists' working in the Medico Legal field. The opinions of relevant role players are shared. The aim being for the profession as a whole, to profit from the pasts triumphs and disasters and to encourage the meeting of challenges and ethical questions raised, as we move into a new legislative era. <![CDATA[<b>Using the Occupational Therapy Practice Framework-ll to treat a rare condition - brain abscess and empyema</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200008&lng=es&nrm=iso&tlng=es Brain abscess and Empyema are potentially disabling conditions with lifelong consequences, yet there is a paucity of literature on occupational therapy assessment and treatment of these patients. A recent record review found that the most important presenting problems were neuro- musculoskeletal, movement and mental deficits. Based on this review, and the lack of literature on the guidelines for assessment and treatment of these conditions, the need for an occupational therapy practice guideline was established. The Occupational Therapy Practice Framework- II was used as a scaffold to draw up a guideline that will give occupational therapy clinicians working with this group of rare conditions a guideline for rehabilitation priorities for intervention. <![CDATA[<b>Judith Farrell</b>]]> http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S2310-38332013000200009&lng=es&nrm=iso&tlng=es Brain abscess and Empyema are potentially disabling conditions with lifelong consequences, yet there is a paucity of literature on occupational therapy assessment and treatment of these patients. A recent record review found that the most important presenting problems were neuro- musculoskeletal, movement and mental deficits. Based on this review, and the lack of literature on the guidelines for assessment and treatment of these conditions, the need for an occupational therapy practice guideline was established. The Occupational Therapy Practice Framework- II was used as a scaffold to draw up a guideline that will give occupational therapy clinicians working with this group of rare conditions a guideline for rehabilitation priorities for intervention.