Rheumatology Practice in Occupational Therapy

About the EDITORSDr Lynne Goodacre is Research Fellow, Faculty of Health and Medicine, Lancaster University.Dr Margaret McArthur is Director of the MSc pre-registration OT programme in the School of Allied Health Professions, University of East Anglia.

• Notes on contributors ixPreface xi1 Living with a rheumatic disease: the personal perspective 1Lynne Goodacre and Margaret McArthur1.1 Introduction 11.2 Living with a rheumatic condition 31.3 Developing new skills and learning 91.4 Summary 122 Living with rheumatic diseases: the theoretical perspective 13Margaret McArthur and Lynne Goodacre2.1 Introduction 132.2 Understanding and being understood 132.3 The impact of a rheumatic condition on a person’s sense of self 172.4 The experience of living with a rheumatic condition 232.5 Acknowledge the loss, promote the gain 253 Understanding rheumatic diseases: the occupational therapy perspective 29Margaret McArthur3.1 The centrality of occupation 293.2 Occupational potential 303.3 Occupational science 303.4 Understanding need 313.5 Occupational identity 333.6 Occupational adaptation 343.7 Occupational balance 34nts3.8 Occupational gain 353.9 Clinical reasoning – the thinking that guides practice 363.10 Personal perspectives 394 Managing rheumatic conditions: the policy perspective 47Lynne Goodacre4.1 Introduction 474.2 Increase in the ageing population 474.3 Increase in long-term conditions 494.4 The delivery of efficient client-centred approaches to health and social care 564.5 Shaping policy to meet the needs of people with rheumatic conditions 584.6 Conclusions 595 Occupational therapy assessment and outcome measurement 63Annette Sands and Lynne Goodacre5.1 Introduction 635.2 Outcome measurement: the policy context 645.3 The occupational therapy assessment process 655.4 Commonly used data-collection tools 675.5 Factors influencing the choice of data-collection tool 725.6 Summary 776 Psychological approaches to understanding and managing rheumatic conditions 81Deborah Harrison6.1 Introduction 816.2 Health psychology and biopsychosocial perspectives 816.3 Coping with illness 836.4 Transactional model of stress 836.5 Self-efficacy and hardiness 856.6 Locus of control 866.7 Crisis theory 876.8 Coping styles 906.9 Moving beyond coping: hope 916.10 Conclusion 917 Approaches to promoting behaviour change 95Sarah Drake7.1 Introduction 957.2 Relevance to occupational therapists 967.3 Health behaviour change 967.4 Social Cognition theories 977.5 Implications for practice 987.6 Implications for practice 1007.7 Motivational interviewing 1017.8 Clinical example of the TTM 1017.9 Limitations of the TTM 1077.10 Conclusion 1088 Joint protection 111Alison Hammond8.1 Introduction 1118.2 What is joint protection? 1118.3 The aims of joint protection 1128.4 Why and when to use joint protection 1128.5 Joint protection and energy conservation principles 1148.6 Understanding and perceptions of joint protection 1158.7 Goals of joint protection education 1168.8 Evidence for joint protection effectiveness 1178.9 The Looking After Your Joints Programme and the Lifestyle Management for Arthritis Programme 1198.10 Teaching joint protection 1198.11 Practical techniques 1258.12 Conclusion 1309 Pain management 133Lucy Reeve and Margaret McArthur9.1 Introduction 1339.2 What is pain? 1339.3 Pain and rheumatology 1349.4 Living with rheumatic pain 1359.5 Pain assessment 1369.6 Pain and occupational therapy 1389.7 Patient education 1399.8 Fatigue management 1399.9 Sleep hygiene 1409.10 Medication 1409.11 Changing behaviour 1409.12 Vocational rehabilitation 1429.13 Psychological interventions 1439.14 Social support 1469.15 Summary 14710 Maintaining independence 153Jill Jepson and Lynne Goodacre10.1 Introduction 15310.2 What is assistive technology? 15410.3 Reducing non-use of assistive technology 15410.4 Matching person and technology 15610.5 Applying the MPT to AT for people with rheumatic conditions 15710.6 Assistive technology outcomes 16010.7 Methods of obtaining AT 16110.8 Commonly used AT and home adaptations for people with rheumatic conditions 16310.9 Inclusive design 16310.10 Conclusion 16611 Vocational rehabilitation 171Lucy Reeve and Janet Harkess11.1 Introduction 17111.2 The importance of employment 17211.3 The current context of vocational rehabilitation 17211.4 Predictors of work disability and work instability 17311.5 Vocational rehabilitation 17411.6 Occupational therapy and vocational rehabilitation 17511.7 Work evaluation and monitoring 17711.8 Condition-specific interventions 17811.9 Work-specific interventions 17811.10 Advice on redeployment or retraining 18011.11 Counselling and advocacy 18011.12 Post-work support 18111.13 Summary 18212 Rheumatology splinting 189Sarah Bradley and Jo Adams12.1 Introduction 18912.2 Splinting rationale 18912.3 Clinical decision making 19312.4 Approaches to evaluation 19912.5 Splint construction 20112.6 Summary 20313 Maintaining a sense of self 207Penny Sloane and Lynne Goodacre13.1 Introduction 20713.2 Impact of rheumatic conditions on body experience 20913.3 An introduction to strategies to increase confidence in personal presentation and clothing style 21213.4 The impact of rheumatic conditions on personal and sexual relationships 21513.5 Conclusions 217Index 221

“Overall, it is easy to read and is a great book to ensure you are using the latest evidence-based approaches.”  (British Journal of Occupational Therapy, 1 January 2014)