title: Improving quality of life through rehabilitation in palliative care: case report.
abstract: OBJECTIVE
  Occupational and physical therapists can have a significant impact on the quality of life of terminally ill cancer patients. In the critical care setting, rehabilitation is often overlooked. However, occupational and physical therapists work with critically-ill patients to create realistic and meaningful goals for improving comfort, mobility, socialization skills, and ability to care for oneself regardless of disease state and medical status. The following case report describes rehabilitation intervention with a young woman diagnosed with osteosarcoma and leukemia during the final stage of her life.
  
  
  METHODS
  This case report highlights the use of patient-centered goals and the importance of close collaboration between the patient, occupational therapist, and physical therapists to achieve a higher quality of life.
  
  
  RESULTS
  A collaborative effort by the occupational and physical therapists yielded positive outcomes as defined by the patient, patient family, and the medical staff in the critical care setting.
  
  
  CONCLUSIONS
  Palliative care patients may benefit from occupational therapy (OT) and physical therapy (PT) intervention. Rehabilitation specialists are skilled at working with patients to set realistic and meaningful functional goals. Further study on rehabilitation treatment to improve quality of life among patients in palliative care is needed.
authors.affiliation: Rehabilitation Medicine Service, Department of Neurology, Memorial Sloan-Kettering Cancer Center, New York, New York 10065, USA. kasvenn@mskcc.org
authors.forename: Nicole
authors.initials: N
authors.lastname: Kasven-Gonzalez
authors.forename: Regine
authors.initials: R
authors.lastname: Souverain
authors.forename: Susan
authors.initials: S
authors.lastname: Miale
mesh_terms: D000203:Activities of Daily Living; D005260:Female; D006040:Goals; D006801:Humans; D020380:Needs Assessment; D009369:Neoplasms / Q000150:complications / Q000523:psychology / Q000534:rehabilitation*; D009788:Occupational Therapy / Q000458:organization & administration*; D010166:Palliative Care / Q000379:methods* / Q000523:psychology; D010348:Patient Care Team / Q000458:organization & administration; D026741:Physical Therapy Modalities / Q000458:organization & administration*; D011788:Quality of Life; D013727:Terminal Care / Q000379:methods / Q000523:psychology; D055815:Young Adult