The preferred place of care and death for the majority of terminally ill people is the home environment. However, the majority of people die in hospital. Discharging terminally ill people from hospital to home is considered to be a complex, challenging and risky process. Pre-discharge occupational therapy home visits are common practice in the care of older adults in Europe. They play an important role in enabling people with terminal conditions to remain at home. This article discusses one such home visit.
Progressive, chronic, life-limiting illness may affect a person’s ability to carry out activities that are important to their sense of wellbeing and their daily living. Boredom is individually determined and is often not well understood or acknowledged by healthcare practitioners. The impact of illness on a person’s ability to carry out meaningful activity following terminal diagnosis is explored in this article and the concept of boredom is addressed.
The occupational therapist (OT) maximises patients’ quality of life, by the use of equipment, adaptations
to the home environment, education regarding the management of symptoms and the resultant deficits,
plus ongoing support and collaboration with the patient, carers and members of the multiprofessional
team. Within palliative and end-of-life care, OT interventions must be prompt due to patients’ changing
functional status and health. Flexibility, problem-solving skills and continuity are essential for effective