Climbing the Spiral Staircase:The Experiences of Women With AIDS -Occupational Therapy Intervention in a Home Health Setting
Author: Dr.Ruth A.M. Meyers
Format: Kindle Edition
The Experiences Of Women With AIDS Who Have Received Occupational Therapy Intervention In A Home Health Care Setting
The purpose of this study was to describe the experiences of women living with AIDS, and to explore the nature and effectiveness of occupational therapy interventions, which they received in their homes. By describing the effectiveness of those interventions in helping women with AIDS engage in those life role activities which are important to them the study intended to contribute to the Occupational Therapy knowledge base, and in so doing to ultimately improve the quality of services occupational therapists may provide to women with AIDS.
This qualitative study was conducted in the form of individual in - depth guided interviews with six women with AIDS who had received occupational therapy in their homes as part of a Home Health program. The research focused on examining two broad aspects of the women's experience: The Experience of Having AIDS and The Experience of Having Occupational Therapy. Utilizing a constant -comparative method, and employing inductive reasoning processes, eight major themes within the two categories were identified. Five themes reflecting the Experience of Having AIDS: The experience of having AIDS, What's meaningful How has what's meaningful changed ? How has the ability to do what's meaningful changed? How does one decide what's meaningful? Three themes reflecting the Experience of Having Occupational Therapy were elucidated: The experiences, what we did together, and the effect of having occupational therapy
Three additional aspects, or subthemes, emerged from the interviews. 'My Relationships, My Body, and Taking Care of Myself', were issues which were central to the experience of dealing with this illness, and transected the five major themes related to the effects of having AIDS.
The Women's experiences, have been compared to the activity of climbing a spiral staircase, in which the steps upon which one moves are constructed of the theme-components and the banister of support one might utilize is provided by occupational therapy. The staircase is envisioned as spiral because the women return to issues repeatedly, albeit with differing energy and insight as their illness progresses. The primary focus of the women's experiences was the effect of AIDS on the meaning of their lives, as exemplified in their relationships. They perceived their occupational therapy as being relationship-based experiences which had been helpful to them in coping with their illness.
Copyright© 2002 Ruth A.M.Meyers