Occupational therapy practice with terminally ill Chinese older adults in Singapore: A qualitative exploratory study.
Geck Hoon Lim, Celine Yong, Lauren J Breen and 2 others
PMID 35791064WHAT IT FOUND
In Singapore palliative care, occupational therapists described Chinese older adults often preferring family care over independence, deferring choices to family, valuing contribution and rest, and seeing presence as more meaningful than active doing.
Key findings
01Care recipients often preferred assistance with basic daily tasks, while still valuing the ability to move around.
02Clients commonly deferred goals and participation choices to family, and avoided disagreement to protect harmony.
03Therapists treated contributing to others as more meaningful than leisure done only for fun.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study reports occupational therapists' views only, not the direct experiences of terminally ill Chinese older adults or their families. The sample was limited to Singapore and to terminally ill Chinese older adults, so it may not apply to younger people, other ethnicities, or clients living alone. All participants were female, so the perspectives of male occupational therapists were not represented. Recruitment used professional networks and snowballing, and the eligible therapist pool was small, which limits transferability.
Declared interests
One author, AB, is an associate editor of the journal and a co-author; the Editor-in-Chief managed peer review and decisions. No funding source is stated.
The easy way to misread this
Do not read these themes as proof that occupational therapy improves outcomes or as a universal rule for Chinese older adults. They describe therapists' perceptions in one Singapore palliative setting, and the study did not examine clients living alone or with poor family support.