Summary :
Background. For a long time, curing pediatric cancer was the main purpose. Now, it is no longer a matter of surviving but of living with the effects of the disease and preventing long- term consequences by integrating supportive care. Occupational therapy is a part of it. Nevertheless, this care is often relegated to a secondary place compared to treatments. In France, the intervention of occupational therapy in pediatric oncology remains an exception.
Objective. The aim of this study is to determine the added value of an occupational therapy assessment by using the Canadian Occupational Performance Measure in children's supportive care.
Method. We were interested in the practice of a pediatric oncology ward. A hypothetico-deductive approach and a qualitative method allowed us to conduct seven semi-structured interviews with six different professions.
Results. An inductive analysis revealed that it is essential to consider all areas of the Canadian Occupational Performance Measure. Supportive care needs are not assessed, and professionals underline organizational difficulties.
Conclusion. Lack of resources is an obstacle to the integration of occupational therapy. Nevertheless, the Canadian Occupational Performance Measure may be an appropriate tool for the team to assess and organize supportive care on the ward. Its use would facilitate the consideration of the child's individual needs, the prioritization of supportive care, and inter-branch communication and collaboration. The intervention of an occupational therapist in pediatric oncology appears to be a future prospect for the profession.
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Article rédigé par :
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Héléna Lopes Carneiro
Ergothérapeute DE
Institut de formation en ergothérapie, Ocellia Échirolles
Université de Grenoble, Alpes
helenalopescarneiro@gmail.com