BUILDING LIFE PROJECTS WITH PEOPLE IN ONCOLOGICAL PALLIATIVE CARE AND POSSIBILITIES FOR OCCUPATIONAL THERAPY: A QUALITATIVE AND INTEGRATIVE REVIEW STUDY

• Grant number: 23/14012-2
• Support Opportunities: Scholarships abroad - Research Internship - Scientific Initiation
• Start date: January 01, 2024
• End date: April 30, 2024
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Gabriela Rezende
• Grantee: Luiza Gomes Salomão dos Santos
• Supervisor: Mario Lozano-Lozano
• Host Institution: Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
• Institution abroad: Universidad de Granada (UGR), Spain
• Associated to the scholarship: 23/01315-7 - WEAVING LIFE PROJECTS OF PEOPLE UNDER ONCOLOGICAL PALLIATIVE CARE THROUGH ORAL LIFE HISTORY: A QUALITATIVE STUDY, BP.IC

Abstract

Introduction: Cancer is a group of diseases characterized by the uncontrolled proliferation of cells that escape the body's control, leading to the formation of tumors that can invade distant tissues and organs in a process called metastasis. Due to the disease's complexity, it has significant impacts on patients and their families, altering their lives and future plans. It is important to provide objective information to aid in understanding the disease and its implications. To address this, it is essential to provide palliative care from diagnosis with person-centered health care support. Promoting shared decision-making, advance care planning (ACP) and life projects is also essential. Occupational Therapists have a critical role, taking into account the relationship between the individual, their environment, and occupation to enhance the quality of life for patients in palliative care, who often present complex needs. Aims: This study aims to comprehensively examine the strategies of the interprofessional healthcare team using an integrative literature review. Additionally, qualitative data from current research will be analyzed to identify the care plans and end-of-life priorities of oncological palliative care patients, focusing on the potential contributions of Occupational Therapy. Method: Reflexive Thematic Analysis was conducted on qualitative data collected from semi-structured audio-recorded interviews carried out with individuals receiving oncological palliative care. An integrative literature review is also intended to be conducted as it offers a method for synthesizing existing knowledge and incorporating notable findings into practice. Justification: Research, systematization, and integration of strategies, instruments, and tools used by the interprofessional healthcare team, with a focus on the contributions of Occupational Therapy, are required to access and construct Advance Care Planning (ACP) and other projects based on the unique desires and characteristics of each patient receiving oncological palliative care. This justification is necessary due to the presented barriers, including the team's lack of knowledge about the benefits of this planning and how to achieve it. The expected outcome of this research is that it will enhance the role of occupational therapists in implementing life projects to provide client-centered care. Expected results: This research aims to enhance the work of occupational therapists by facilitating the implementation of life projects and achieving client-centered care. Moreover, it will improve the team's effectiveness in meeting the needs of this population by gaining expertise in creating a more person-centered practice and executing the CAP, life projects, with shared decision-making. Preliminary considerations: Understanding the life goals of individuals in oncological palliative care enhances care quality and fosters participation between the treatment team, oncology patients, and their families, and priorities priority establishment. Occupational therapy thus plays an indispensable role in the interdisciplinary team.