Graduation Year


Document Type


Degree Type

Open Access Capstone

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy


Occupational therapists working in acute care must meet the many challenges of working with a diverse group of clients such as adult cancer survivors. Clients may be transitioned to acute palliative care due to disease progression. Clients in palliative care have many unmet needs affecting engagement in occupations, thus requiring occupational therapy services. The goal of this capstone project is to describe occupation-based problems and level of independence in completing basic activities of daily living among acute palliative care clients to illustrate the importance of using occupation-based approach with this population. The longitudinal prospective study utilized standardized evaluations to assess functional performance when admitted to acute palliative care: Canadian Occupational Performance Measure, Shah Modified Barthel Index, and Palliative Performance Scale. Ten clients identified more occupational performance problems at initial OT evaluation in self-care (75%), than productivity (12.5%), and leisure (12.5%). Relationships between the client’s perception and satisfaction scores at initial OT evaluation and the Palliative Performance Scale scores as well as the Shah Modified Barthel Index scores were not statistically significant. The difference between the pre-post Canadian Occupational Performance Measure scores for performance and satisfaction suggested that 50% of the clients experienced an improvement in performance scores and 50% of the clients experienced improvement in satisfaction scores. The use of a client-centered, standardized assessment guided the occupational therapy process in providing occupation-based goals.

Faculty Mentor

Anne Fleischer

Department Affiliation

Occupational Science and Occupational Therapy

Committee Member

Leslie J. Hardman

Department Affiliation

Occupational Science and Occupational Therapy

IRB Approval Number (if applicable)