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By Jill Cooper

Now in its moment version, this is often the one publication on occupational treatment in oncology and palliative care. it's been completely up-to-date, comprises new chapters, and prefer the 1st version will entice a variety of allied wellbeing and fitness pros operating with sufferers with a life-threatening illness.The booklet explores the character of melanoma and demanding situations confronted by means of occupational therapists in oncology and palliative care. It discusses the variety of occupational remedy intervention in symptom regulate, nervousness administration and rest, and the administration of breathlessness and fatigue.The e-book is produced in an evidence-based, useful, workbook structure with case experiences. New chapters on creativity as a psychodynamic process; final result measures in occupational remedy in oncology and palliative care; HIV-related cancers and palliative care.

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Other issues involving feeding difficulties not only have physical implications for the patient, but are distressing for the family, as most cultures place great importance on the individual’s appetite and weight. Cooper (1997) describes how feeding is such a basic aspect of daily living that any problems must be investigated. There may be underlying difficulties of nausea and vomiting, lack of appetite (anorexia) and altered taste sensation, in which cases the dietitian must assess these. Cognitive dysfunction is likely to affect hand–eye coordination, in which case help of one person is needed particularly if adapted cutlery is ineffective.

Diamond, J. (1998) ‘C’ Because Cowards Get Cancer Too, Vermillion, London. Gabriel, J. (2004) The Biology of Cancer, Whurr, London. King, R. (2000) Cancer Biology, Prentice Hall, London. Souhami, R. and Tobias, J. (2003) Cancer and its Management, 4th edn, Blackwell Science, Oxford. 10 OT IN ONCOLOGY AND PALLIATIVE CARE Tobias, J. and Eaton, K. (2001) Living with Cancer, Bloomsbury, London. WHO (1990) World Health Organization Defi nition of Palliative Care. uk 2 Challenges Faced by Occupational Therapists in Oncology and Palliative Care JILL COOPER Occupational therapists working with people who are terminally ill potentially face a contradiction between the principles and assumptions of rehabilitation-oriented practice and the needs and experiences of clients who are dying (Bye, 1998).

Law et al. (1997) describe spirituality as being an innate essence of self, a quality of being uniquely and truly human, an expression of will, drive and motivation, a source of self-determination and personal control and a guide for expressing choice. Because people are spiritual beings, they should be treated as unique. Their values, beliefs and goals are, therefore, essential to their spirituality. When occupations are used therapeutically, they must have relevance and meaning for each client and have clear therapeutic aims and objectives and also be of that client’s choice.

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