Year of Publication

2012

Date of Thesis

01-2012

Document Type

Thesis

Degree Name

Master of Science

Department

Occupational Therapy

Abstract

The transition to a long-term care facility may be traumatic for elders and result in decreased quality of life as well as a multitude of other changes including role and routine changes. Occupational therapy for residents in long-term care (LTC) facilities is typically focused on rehabilitation, because insurance companies will not reimburse occupational therapy for assistance with adjustments. The objective of this study was to deter-mine the relationships between quality of life and roles and routines during the transition to LTC. The researcher qualitatively and quantitatively analyzed the results of a Hyland rating scale of Global Quality of Life as well as the Occupational Circumstances Assessment Interview and Rating Scale (OCAIRS). The study was inclusive of 12 elders aged 60 or over who had entered one of two skilled nursing facilities within the past year and who were judged by the referring staff member to have the cognitive ability to remember life prior to their transition to LTC. Participants reported a statistically significant change in mean quality of life based on two administrations of the Global Quality of Life scale, one for prior to entering the facility and one for current quality of life. The researcher analyzed this using a Wilcoxon signed rank test with a Z score of -2.034. A Spearman's rho correlation revealed significant correlations between current quality of life and the OCAIRS sections of "habits" (r = 0.608) and "skills" (r = 0.661). Other variables had relationships with current quality of life that were not statistically significant given the small sample size. Other areas considered in more detail include social environment, roles, goals, and interpretation of past experiences. Participants lost an average of 1.2 roles through the transition. Considerable additional research is needed to further address the relationship between quality of life and roles and routines and to assist occupational therapists in understanding how to best advocate for and serve clients during the transition into LTC.

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