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• W161295288 abstract "The purpose of this qualitative study was to explore the perspectives and experiences of three occupational therapists in the United States in addressing psychosocial reaction and adjustment in the treatment of individuals with traumatic amputations. Occupational therapists with extensive experience working with clients with traumatic amputations were selected as participants. Data from the participant interviews revealed two major themes: (1) Individuals’ internal resources and response to amputation influence psychosocial adjustment and (2) Occupational therapists addressing psychosocial reactions in individuals with traumatic amputations in the context of treatment. The first theme “Individuals’ internal resources...” had two subthemes: (a) the influence of individuals’ internalized resources and responses, and (b) family support, culture and background. The second theme, “occupational therapists addressing psychosocial reactions...” had two subthemes: (a) occupation based, client centered treatment, and (b) therapeutic use of self. These themes demonstrated that individuals’ pre-morbid coping skills and external supports are crucial factors in adjusting to a traumatic amputation, and that occupational therapists’ use of meaningful activities and a therapeutic use of self, as well as appropriate timing of treatment can give the best support to the client. This study suggests that understanding a client on a deeper level and finding out what is motivating to that client are the best ways to promote psychosocial adjustment to a traumatic amputation. Running head: PSYCHOSOCIAL ADJUSTMENT TO TRAUMATIC AMPUTATIONS 4 Facilitating Psychosocial Adjustment to Traumatic Amputations: Perspectives of Occupational Therapists Traumatic amputation of a limb or body part can result from numerous events, including work injuries, recreational or sporting accidents, and war related injuries (Stubblefield & Armstrong, 2008). Regardless of the origin, traumatic amputations can cause the individual to feel a loss of what makes them who they are, and may seriously impact the individual’s ability to be independent and participate in life situations. While rehabilitation professionals have traditionally been successful in improving the physical functioning of people with amputations, the psychosocial factors related to traumatic and emotionally distressful events are often neglected (Desmond & MacLaughlan, 2002). Psychosocial reaction to an amputation can be defined as the response of an individual to a life-altering traumatic event, which may result in depression, body image problems, and a decline in social interactions (Hamill, Carson, & Dorahy, 2010). Psychosocial adjustment involves an adaptive response to a substantial life change by an individual (Moorhead, Johnson & Swanson, 2008). Occupational therapy (OT) recognizes that the debilitating effects of a traumatic amputation may adversely impinge upon the individual’s self worth and integration in society (Ramsey, 2004). Primary concerns of individuals with amputations were reported as “fear of the unknown, loss of self-esteem, loss of self-confidence, fear of rejection, and loss of occupational roles,” (Smurr, Gulick, Yancosek, & Ganz, 2008, p. 162). Each of these concerns is within the scope of OT practice. All members of the rehabilitation team should provide psychological support (Smurr et al., 2008), however occupational therapists may be especially well suited to incorporate psychosocial support into treatment, given OT’s holistic view of the" @default.
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• W161295288 date "2011-01-01" @default.
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• W161295288 title "Facilitating Psychosocial Adjustment to Traumatic Amputations: Perspectives of Occupational Therapists" @default.
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