Browsing by Author "Scott, Patricia J."

Now showing 1 - 10 of 17
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    The 4th International MOHO Institute: Summary and Reflections
    (2015) Nakamura-Thomas, Hiromi; Van Antwerp, Leah R.; Ikiugu, Moses N.; Scott, Patricia J.; Bonsaksen, Tore
    The 4th International Institute on the Model of Human Occupation (MOHO) was held October 23-24, 2015 at Indiana University-Purdue University in Indianapolis, USA. The title of the institute was: Reaching Out: Application of MOHO in Academic-Practice Partnerships.
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    Clinical Applications of the Role Checklist Version 2: Quality of Performance
    (2015-10) Bonsaksen, Tore; Scott, Patricia J.
    The three-part Role Checklist Version 2: Quality of Performance (RC V2: QP) assesses role performance, role valuation, and current compared to past functioning. This session will illustrate by two different case examples how occupational therapists can make use of the RC V2: QP to support the clients’ process in diverse clinical settings: 1) In a psychiatric hospital setting with mental health clients, and 2) upon discharge from a medical setting to track recovery with transplant clients.
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    Creating an Infrastructure for Professional Development and Mentoring in the School of Health and Rehabilitation Sciences
    (Office of Academic Affairs, IUPUI, 2016-09-16) Scott, Patricia J.; Dierks, Tracy A.
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    Creating an Infrastructure for Professional Development and Mentoring in the School of Health and Rehabilitation Sciences
    (Office of Academic Affairs, IUPUI, 2016-09-16) Scott, Patricia J.; Dierks, Tracy A.
    This poster describes the progress and lessons learned as a result of newly implemented Faculty Mentoring Program in the School of Health & Rehabilitation Sciences, IUPUI.
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    Does the Role Checklist Measure Occupational Participation?
    (2015-07-01) Bonsaksen, Tore; Meidert, Ursula; Schuman, Deana; Kvarsnes, Hildegunn; Haglund, Lena; Prior, Susan; Forsyth, Kirsty; Yamada, Takashi; Scott, Patricia J.; Department of Occupational Therapy, IU School of Health and Rehabilitation Sciences
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    Establishing Cross-cultural Validity of the Role Checklist Version 2: Quality of Performance
    (2014-06) Scott, Patricia J.; Bonsaksen, Tore; Forsyth, Kirsty; Haglund, Lena; Yamada, Takashi
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    Fatigue as Reported at 12 Time Points during the First Year Post-Liver Transplant
    (2013) Scott, Patricia J.; Krause, Audrey; Tector, A. Joseph; Kwo, Paul
    BACKGROUND: Although liver transplantation has evolved as an effective procedure, fatigue remains a post-transplant complaint [1]. As yet, there are no published accounts of the experience of fatigue at temporal intervals during the first post-transplant year, and this information would benefit LT candidates in recovery planning. Van Ginneken [2] found that time since transplant was not associated with physical fatigue and reduced activity, but was associated with albumin levels less than 25g/l and with lower GFR. METHODS: Data used in this study were collected through an ongoing, longitudinal, prospective design. Results presented here are for fatigue and biometric data at 12 data points starting one week post hospital discharge, continued weekly for the first 8 weeks, then monthly at 3, 6, 9, and 12 months. RESULTS: We sampled 30 subjects: 19 (70.4%) male and 8 (29.6%) female, age 55.4 ± 9.8 years. A mixed models analysis of variance was done to investigate a change in FACIT over time. The initial model included age, MELD, sex, week, albumin, ALT, BILI T, and CREAT. The final model included age, BILI T, and week. Increasing age and BILI T were associated with greater fatigue (p=0.0376 and p=0.0005, respectively). There was significant decrease in fatigue over time (p<0.0001). Pair-wise comparisons were done to determine which weeks significantly differed. Tukey’s adjustment for multiple comparisons was used. Figure 1 indicates which visits significantly differed. DISCUSSION: Our subjects experienced decreased fatigue over time. The data set was rich with prospectively collected longitudinal information helpful for establishing realistic expectations for post-transplant fatigue. Finding include early weeks of recovery (weeks 2-3) differ from weeks 7+ and that there is no significant change after 3 months, up to one year. No association was seen with Albumin levels although total bilirubin and age were associated with greater fatigue.
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    Impact of medical, health related, social and occupational factors on post-liver transplant recovery: a longitudinal study
    (Office of the Vice Chancellor for Research, 2012-04-13) Scott, Patricia J.; Winslow, Emily; Krause, Audrey; Bah, Fatoumata
    Purpose: Organ transplantation is a serious surgery with nearly 10% of patients failing to survive the first three months. Studies of quality of life reflect an increase post-transplant, as compared to pre-transplant, then reports vary including a trend towards decreasing QOL scores by the end of the first transplanted year. In this first year, patients have an increased risk of re-hospitalization due to infection, failure of the body to accept the graft, problems with anti-rejection medications or post- surgical complications. Methods: A longitudinal study of liver transplant recipients (n=23) followed medical, social, and occupational factors, along with SF-36 measures. Results: Variability in QOL scores at 1, 2, 3, 6, 9, and 12 months were directly related to identifiable factors. In those subjects where health returned in an uncomplicated manner, QOL scores consistently improved with the greatest change occurring over the first six months and then tapering off through the end of the first year. Conclusions: These subjects almost uniformly expressed frustration at the length of time it took to return to a healthy state. In circumstances where recovery was delayed due to medical reasons, QOL scores declined significantly until the problems were resolved. In several cases, QOL scores stayed low as these individuals were unprepared for the potential complications associated with this difficult surgery.
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    Influencing functional outcomes: a look at role performance and satisfaction with life following liver transplant
    (2008-09) Scott, Patricia J.; Misra, Vijay Laxmi; Mangus, Richard S.; Tector, A. Joseph; Lacerda, Marco A.; Vinayek, Rakesh; Munsch, Linda; Musick, Beverly; Kwo, Paul
    Abstract 572 The success of orthotopic liver transplantation (OLT), originally measured as survival, now extends to quality of the life saved. Return to work (RTW) is also a desired outcome. Our AIM was to explore the relationship between 5 pre-OLT factors & 5 post-OLT quality of life (QOL) domains with life satisfaction and primary productive role to better understand how to improve both. METHODS: Patients (pts)1-3 yrs post-OLT filled QOL form during follow-up clinic visits between 7/04 to 6/05. The Liver transplantation Database-Quality of life (LTD-QOL) form yielded data on 5 domains: measure of disease (MOD), psychological distress/well-being (PDW), personal function (PF), social/role function (SRF) & general health perception (GHP). Results: 229 pts were first categorized as satisfied overall with life (79%), or dissatisfied, and then assigned to groups based on primary productive role (51%), no primary productive role, or retired. Pre-OLT variables were age, gender, marital status, education, & etiology of liver disease; HCV (33%), alcohol liver disease (ALD)(11%), HCV+ALD (10%), & others (46%). Marital status & age were not significantly related to the outcome variables. Etiology of liver disease, education, and time since OLT and 5 post-OLT QOL domains were significantly associated with both outcome variables; satisfaction and primary productive role (p<.0001).To understand the differences, the 5 physical & men-tal QOL domains were regressed on primary productive role and satisfaction. Pts (mean age 54 yrs (19-74 yrs), males, 70%) fell into the category of primary productive role rates (51%). Pts transplanted for ALD were significantly (p<.05) more likely to be satisfied with life, whereas individuals with HCV±ALD, had lowest satisfaction and were most likely to be unable/uninterested in work. Stepwise logistical regression analysis of satisfaction demonstrated that GHP and SRF correlated most highly. Although satisfaction was significant in bivariate analysis, regression analysis of the influence of domains of QOL, as well as employment, demonstrated that SRF & GHP correlated most highly with life satisfaction. CONCLUSIONS: SRF and GHP correlate with good QOL post OLT. HCV patients have low levels of satisfaction whereas the highest level of satisfaction is in the ALD group. Further studies should address methods to improve satisfaction in those with HCV.
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    A longitudinal analysis of the impact of fatigue on return to activities of daily living during the first year after liver transplantation
    (Office of the Vice Chancellor for Research, 2012-04-13) Bah, Fatoumata; Winslow, Emily; Scott, Patricia J.
    Liver transplantation is often thought of as organ recovery and lifesaving surgery. The reality is a prolonged and stressful time for the patient and their family (Scott & Brown, 2011). The persistence of fatigue after liver transplantation is well documented in the research literature (Aadahl, Hansen, Kirkegaard, & Groenvold, 2002; van den Berg-Emons et al., 2006; Van Ginneken et al., 2010). However, there is no evidence as to the timing of how this fatigue dissipates during the early transplanted period and its impact on quality of life. Furthermore, studies on changes in fatigue do not start until 6 months after transplant, leaving a gap in knowledge of the patient’s experience post-surgery up to this point. This ongoing longitudinal study is aimed at better understanding the recovery process. Patients from a Midwest medical center (N=21) were followed post-discharge, at weeks 1-8 and at months 3, 6, 9, and 12. The FACIT-Fatigue Scale (Cella, 1997) indicates a decrease in fatigue scores (less fatigue) in those subjects without adverse events. Adverse events including re-hospitalization, surgical complications and organ rejection were associated with higher FACIT scores (higher level of fatigue) and less resolution over this first year. Through this research Dr. Scott and her team hope to translate their findings into educational resources for patients and their families to understand what to anticipate during the post-transplant recovery period.