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The Role of Occupational Therapy and Its Impact on Quality of Life for the Pediatric Stem Cell Recipient
P (Population/Problem) Among school aged children (3-18 years of age) receiving a stem cell transplant (SCT)*
I (Intervention) Does occupational therapy intervention(s)
C (Comparison)
O (Outcome) Limit the negative affect of SCT on a patient’s quality of life?
Target Population for the Recommendation (Inclusion / Exclusion Criteria for the recommendation)
Preschool (3 years) to young adult (18 years) who are admitted to an inpatient unit to undergo SCT in the protected environment
Background / Purpose of BESt Development
SCT is a highly risky and aggressive therapeutic approach for an assortment of formerly incurable malignancies, hematological disorders, genetic disorders, and metabolic storage diseases that have evolved dramatically in the past 25 years, advancing at a rapid pace as scientific discoveries are transformed into pediatric clinical settings (Tanzi 2011 [1b]). Throughout the evidence, it is understood that there are three phases of SCT, which consist of pre-transplant, inpatient hospitalization and post-transplant. This review focuses on the acute, inpatient phase of SCT, including when the patient is hospitalized in the protected environment (PE). Evidence was reviewed with the objectives to delineate the roles and responsibilities of the OT during the inpatient phase of SCT, while also improving understanding of how the role of OT can impact HRQOL.