More than Physical Function? Exploring Physiotherapists’ Experiences in Delivering Rehabilitation to Patients Requiring Palliative Care in the Community Setting

Abstract

Background: Physiotherapists, as essential members of the multidisciplinary palliative care team, are key to the successful rehabilitation of palliative patients. There is, however, a scarcity of literature on the experiences of primary care physiotherapists delivering this service. Aim: This study explored the experiences of physiotherapists delivering rehabilitation in palliative care and identified perceived barriers and enablers. Method: A qualitative approach was adopted involving semistructured interviews with a purposive sample of primary care physiotherapists (n=11). Findings: Participants viewed rehabilitation as helping to maximize independence and improve quality of life for palliative patients. Their role was primarily focused on physical functioning but within an overall philosophy of providing comfort and supportive care. Several barriers and enablers to delivering rehabilitation were identified; these were related to communication, resources, teamwork, and training. Conclusion: Physiotherapists believed that rehabilitation adds value to palliative care, but existing barriers limit the service. Improved collaboration and timely access to resources could assist in the provision of rehabilitation to palliative patients.