Lifestyle Redesign®

Sleep, Sleep Hygiene & Guided Imagery Audio

with Colorectal Cancer Patient: A Case Study
By: Madelyn Springer
OTH 502: Introduction to Occupation
Dr. Tammy Bickmore & Dr. Natalie Petrone
Department of Occupational Therapy, University of Southern Maine
November 22, 2022
 Table of Contents

01 Introduction 02
The occupation of sleep,
understanding of sleep
hygiene, & definition of
Lifestyle Redesign®
Tools
Interpreting the COPM,
Meditation Oasis:
Simply Being App®, &
Framework/Theory

03 Study & Results 04 Conclusion

Relating to Lifestyle
Steps of the study
Redesign® & Final
and the results
Reflection
“A ruffled mind makes a
restless pillow.”
-Charlotte Brontë,
English Novelist & Poet
01
Introduction
The occupation of sleep &
understanding of sleep hygiene
 Introduction
Lifestyle Redesign® focuses on…

“...each client’s individual challenges, strengths, and

goals to enable the infusion of personally satisfying
and health-promotion activities into daily life”
(Clark et al., 2015)
 Introduction
Sleep - “Activities related to obtaining restorative rest and sleep to
support healthy, active engagement in other occupations” (OTPF,
2020).

Sleep Preparation (Sleep Hygiene) - “Engaging in routines that

prepare the self for a comfortable rest, such as grooming and
undressing, reading or listening to music, saying goodnight to
others, and engaging in meditation or prayers…” (OTPF, 2020).
 02
Tools
Interpreting the COPM, Simply Being
App®, & Theory
 Tools

Canadian Occupational
Performance Measurement
(COPM)- “is an evidence-based
outcome measure designed to
capture a client’s self-perception
of performance in everyday
living, over time” (Law et al., 2014).
 Tools

● Sleep Meditation

● Relaxation Meditation

● Breathing Exercises
®
 Tools
Cancer-Related Fatigue (CRF) Framework
Cancer-related fatigue (CRF) is multifactorial and all potential contributing
factors are needed to be assessed to understand the unique presentation
on the individual’s life. This framework proposes a number of factors
associated with CRF (Prucell, 2009).

Other Unique Factors:

● anxiety/depression
● poor nutrition,
● support
● decreased activity,
● education
● sleep disturbance
● employment
● pain
 03
Study & Results
Steps of the study and the results
 Study: Step 1
Recording Data in
First Two week
 Study: Step 2
Implementing Meditation Oasis: Simply Being App®

● Each night when laying in bed, the participant would place headphones on

● The participant would play the guided imagery audio from their phone and listen
to it before falling asleep.

● The participant could play the guided imagery from their phone multiple times if
wanted.

● The participant would then self-reflect at the end of the week in the COPM form.
 Study: Step 3
Recording last two
weeks
 Results: Chemotherapy Week
Time 1 Time 2

Performance T1 Satisfaction T1 Performance T2 Satisfaction T2

3 3 8 7

Total Performance Total Satisfaction Total Performance Total Satisfaction

T1 T1 T2 T2

3 3 8 7

Average Average Average Average

Performance T1 Satisfaction T1 Performance T2 Satisfaction T2

3 3 8 7

Change in Change in
Performance Satisfaction

5 4
Results: Non-Chemotherapy Week
Time 1 Time 2

Performance T1 Satisfaction T1 Performance T2 Satisfaction T2

7 6 9 10

Total Performance Total Satisfaction Total Performance Total Satisfaction

T1 T1 T2 T2

7 6 9 10

Average Average Average Average

Performance T1 Satisfaction T1 Performance T2 Satisfaction T2

7 6 9 10

Change in Change in
Performance Satisfaction

2 4
04
Conclusion
Relating to Lifestyle Redesign® &
Final Reflection
Connection to Lifestyle Redesign®
● Module 4: Stress and Inflammation Management
○ “Restful periods help the brain refresh and cleanse
itself, better enabling us to absorb and process
new information” (Clark et al., 2015).
● Increases health-promotion by
○ preventing fatigue during the day
○ allowing for energy for other daily activities.
 Grading Rubric
Criteria: Points Available Points Received

Presentation is clear, organized, and developed 10 10

in a professional manner

Student uses appropriate spelling, grammar, 10 10

and use of OTPF language

Assessment tools, apps, framework, and/or 15 10

theory are identified and explained thoroughly.

Student defines Lifestyle Redesign® and 15 15

identifies a clear connection to Lifestyle
Redesign®.

Student submits project completed before or by 10 10

the due date discussed with instructor.

Student includes final reflection to reflect on the 15 15

process of the project

Voiceover explains each slide efficiently while 15 15

being clear and concise.

Student references source of information 10 10

accurately

Total: 100/100 95/100

Final Reflection

Reflection for Lifestyle Redesign

 Madelyn Springer

Thanks!
madelyn.springer@maine.edu

(207) 333-8581

CREDITS: This presentation template

was created by Slidesgo, including
Any Questions? icons by Flaticon, infographics &
images by Freepik and illustrations by
Stories
 References
American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process
(4th ed.). American Journal of Occupational Therapy, 74(Suppl. 2), 7412410010. https://doi.org/10.5014/ajot.2020.74S2001

Law, m., Baptiste, s., Carswell, a., McColl, m., Polatajko, h. and Pollock, n., 2014. Canadian Occupational Performance
Measure
Manual. 5th ed.

Clark F. A. & American Occupational Therapy Association. (2015). Lifestyle redesign : the intervention tested in the usc
well elderly studies (2nd ed.). AOTA Press The American Occupational Therapy Association.

Meditation Oasis. (2021). Meditation Oasis (Version 7.4 ) [Mobile app]. Apple App Store.
https://www.meditationoasis.com/app-support

Pureell A, Fleming J, Haines T, Bennett S. Cancer-Related Fatigue: A Review and a Conceptual Framework to Guide
Therapists’ Understanding. British Journal of Occupational Therapy. 2009;72(2):79-86. doi:10.1177/030802260907200205

Purcell, A. (2009). Framework of factors associated with cancer-related fatigue. Framework of factors associated with
cancer-related fatigue | OT Theory. Retrieved November 11, 2022, from https://ottheory.com/index.php/therapy-
model/framework-factors-associated-cancer-related-fatigue

Images: Google Images