Karen R Whalley Hammell

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BACKGROUND According to the existential philosophers, meaning, purpose and choice are necessary for quality of life. Qualitative researchers exploring the perspectives of people who have experienced health crises have also identified the need for meaning, purpose and choice following life disruptions. Although espousing the importance of meaning in(More)
STUDY DESIGN Review. OBJECTIVES To explore the concept of quality of life (QOL), critique the practice and problems of assessing QOL following spinal cord injury (SCI) and to review the findings of studies into QOL for people with SCI both below and above the level of C4. METHODS Relevant articles were identified from the Medline and CINAHL databases(More)
Purpose. To highlight research priorities of people with spinal cord injury (SCI), outline the current state of rehabilitation research and suggest potentially fruitful avenues for future inquiry. Method. Commentary. Results. People with SCI identify pain, depression, fatigue, pressure sores, spasticity and the management of bladder and bowel as research(More)
BACKGROUND Critics contend that occupational therapy's theories of occupation are culturally specific, class-bound, and ableist, and that the division of all occupations into three simplistic categories of self-care, productivity, and leisure is arbitrary, lacks supportive evidence, and promotes a doctrine of individualism. PURPOSE To add to the work of(More)
BACKGROUND The Canadian Model of Occupational Performance and Engagement depicts individuals embedded within cultural environments that afford occupational possibilities. Culture pertains not solely to ethnicity or race but to any dimension of diversity, including class, gender, sexual orientation, and ability. PURPOSE This paper highlights specific(More)
BACKGROUND Although claiming that engagement in occupations influences well-being, the occupational therapy profession has largely failed to acknowledge and address the relationships between well-being, occupation, and human rights. PURPOSE This paper supports the premise that the focus of occupational therapy should be on the right of all people to(More)
AIMS The occupational therapy profession has long proclaimed its commitment to a client-centred philosophy of practice and the assumption that occupational therapists consistently practice in a client-centred manner has become central to the profession's self-image and public rhetoric. However, client-centred practice has been subjected to little critical(More)
BACKGROUND Occupational therapists share some basic assumptions about occupation that are rarely challenged and are held to be true. These assumptions underpin our theories of human occupation. PURPOSE To probe some of the core assumptions that inform current occupational therapy theory and to determine whether these are culturally specific or have(More)
Canadian occupational therapists have placed spirituality as the central core of their theoretical Model, depicting inner and outer selves that contradict simultaneous declarations concerning the integration of mind/body/spirit. Even the word spirituality has discrepant meanings and failure to articulate one chosen meaning leads to ambiguity. This paper(More)
PURPOSE To identify, from the perspectives of people with spinal cord injury (SCI), (a) appropriate components of a fatigue management programme; and (b) important outcomes or indicators of success. METHOD Collaborative, qualitative methodology comprising four focus groups undertaken simultaneously in Kelowna, Prince George, Vancouver and Victoria,(More)