d’accomplissement, en utilisant le modèle conceptuel PEOP (Personne Environnement Occupation et Participation), afin de guider et d’uniformiser la prise en soin des troubles anxiodépressifs.
L’étude se base sur une méthode qualitative, via des entretiens semi-directifs, réalisés auprès d’ergothérapeutes diplômés, rencontrant au quotidien ces troubles en ehpad. L’analyse des résultats est basée sur une grille d’analyse, reprenant les principaux thèmes du cadre théorique.
Il résulte que les quatre professionnels sont confrontés à des résidents qui développent des troubles anxiodépressifs lors d’une entrée, souvent non souhaitée. Or, il n’existe pas de protocole spécifique quant à la prise en soin de ces troubles. Le repérage se fait généralement au moment de l’entrée, par observation de symptômes. Aucun des professionnels utilise de modèle. Tous s’accordent à dire que l’apparition des troubles peut être un réel poids dans l’accompagnement, et qu’un modèle commun permettrait de cadrer les prises en soin.
Le PEOP, permet de guider et d’uniformiser les pratiques ergothérapiques, traitant les troubles anxiodépressifs en ehpad. En mettant en lien les facteurs personnels, environnementaux et occupationnels, il offre un cadre, pour adapter les interventions. Des outils spécifiques comme une MCRO, peuvent y être associés, optimisant ainsi le recueil des données et une meilleure compréhension des besoins des résidents.
- Suzette LENEUF
- 2025
- EHPAD pathologies chroniques trouble anxiodépressifs modèle PEOP pratiques ergothérapiques
- nursing home chronic conditions anxiety and depressive disorders PEOP model occupational therapy practices
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During my internship in a nursing home, I discovered the essential role of occupational therapists in supporting elderly people who are losing their independence. This loss, caused by aging, chronic illnesses, or cognitive disorders, affects their daily lives and participation in activities. Admission to an institution is frequently perceived as a rupture, which can lead to the development of anxiety and depressive disorders. Today, 6.48 million people aged 60 and over, live in institutions, yet their motivations are not often studied in occupational therapy. However, occupational therapists have a key role in maintaining occupational engagement and supporting psychological well-being. The objective of the study was to identify the strategies implemented to support the motivation of older adults in nursing homes and to promote a sense of accomplisment, participation, and enjoyment, by using the PEOP conceptual model (Person-Environment-Occupation-Participation) could help guide and standardise occupational therapy practices, while also offering more effective ways to address anxiety and depressive symptoms in institutions.
To conduct this study, a qualitative method was used. Semi-structured interviews were conducted with four certified occupational therapists working in nursing homes, treating anxiety and depression daily. The analysis of the results is structured around an analytical grid, with specific items.
Findings from the interviews show that four professionals frequently face residents developing anxiety and depressive symptoms during an unwanted admission to a nursing home. However, none of them use the same assessments or tools in their practice. The onset of anxiety and depression can be a real challenge in providing proper support.
The PEOP model helps guide and standardise occupational therapy practices for elderly people in nursing homes with anxiety and depression. By connecting personal, environmental, and occupational factors, it provides a structured framework to adapt interventions. Through this model, specific tools like the MCRO (Canadian Occupational Performance Measure) can be integrated, making data collection easier and improving the understanding of residents' needs. - NEVERS
- LENEUF-Suzette
ANFE