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Uvod: Število otrok z zaostankom v razvoju, vključenih v redne oddelke vrtca, tako v Sloveniji kot v tujini narašča. Razvojne ambulante, ki nudijo pomoč otrokom z zaostankom v razvoju, otrokom omogočajo individualno obravnavo v ambulantnem okolju, ki je otroku tuje. Otrokom lahko z delovnoterapevtsko obravnavo v vrtčevskem okolju, kjer otrok preživlja čas s sovrstniki, omogočimo boljše možnosti za napredovanje v razvoju, hkrati pa ima delovni terapevt tudi boljši vpogled v otrokovo funkcioniranje v življenjskih aktivnostih, interakcijo z vrstniki in njegov razvoj igre. Namen: Raziskali smo, kako delovnoterapevtska obravnava v vrtčevskem okolju pripomore k otrokovemu razvoju. Zanimal nas je tudi njen vpliv na otrokovo ožje in širše okolje, na starše in vzgojitelje otrok ter na otrokovo pripravljenost za šolo. Raziskali smo, katere modele, pristope in strategije uporablja delovni terapevt pri obravnavi predšolskega otroka v vrtcu. Metode dela: Opravljen je bil sistematični pregled literature. Članke za pregled literature smo iskali s pomočjo DiKul v podatkovnih bazah Web of Science, Taylor&Francis Online, OT Seeker in Crossref. Zadetke, ki smo jih dobili v podatkovnih bazah, smo ožili po PRISMA metodi, preko katere smo dobili članke, ki smo jih vključili v končno analizo. Rezultati: V končno analizo smo vključili 10 raziskav. Delovnoterapevtska obravnava v vrtcu pozitivno vpliva na razvoj spretnosti pri otrocih z razvojnim zaostankom in pri otrocih z normalnim razvojem, na otrokovo pripravljenost na šolo, na vrstnike, vzgojitelje in starše. Prav tako delovnemu terapevtu omogoča boljši vpogled v otrokove zmožnosti, spretnosti in potrebe, da le-ta lahko načrtuje učinkovito in uspešno obravnavo. Tveganja za zaostanek v razvoju niso pogojena le z diagnozami, ampak lahko na otrokov razvoj vpliva tudi ekonomski standard družine in družinska klima. Razprava in zaključek: Možnost delovnoterapevtske obravnave v vrtcu lahko otrokom omogoči boljši in hitrejši razvoj, boljšo pripravljenost na šolo in vključenost z vrstniki. Delovni terapevt lahko izobražuje vzgojitelje o strategijah dela z otroki s posebnimi potrebami oziroma razvojnimi ali drugimi primanjkljaji in o prilagoditvi prostora in pripomočkov. Z možnostjo delovnoterapevtske obravnave, ponujene v vrtcu v dopoldanskem času, razbremenjuje otrokove starše, da je popoldanski čas namenjen prosti igri in preživljanju družinskega skupnega časa in ne le konstantni vožnji na obravnave in druge preglede. Introduction: The number of children with special needs, which are included in regular preschool programs in Slovenia and around the world, is increasing. Development clinics, which help children with special needs, enable individual treatment to children in an unknown environment. We can enable better chances of developmental progress with an occupational therapeutic treatment in preschool environment, which is well-known to children. Preschool environment also enables us to have a better insight into their everyday functioning, interaction with other children and their play development. Purpose: Our main purpose was to research, how occupational therapeutic treatment in preschool can contribute to children's development. We wanted to see, how it affects children's close and extended environment, their parents, preschool teachers and school readiness. We also researched, which models, approaches and strategies are used by an occupational therapist while treating preschool children. Methods: The thesis is based on a systematic literature review. The literature review was conducted in the DiKul database, which included Web of Science, Taylor&Francis Online, OT Seeker and Crossref databases. We narrowed the search results based on the PRISMA method. Results: There were 10 research papers included in the final analysis of this paper. Occupational-therapeutic intervention in preschool impacts the development of several skills in children with and without developmental obstacles, it also has a positive impact on children's school readiness, their peers, preschool teachers and parents. It enables the occupational therapist to have a better insight into children's abilities, skills and needs, so they can plan a more effective and successful intervention. Risks in development deviation are not conditioned only by medical diagnoses, but can also be affected by family economic standard and family climate. Discussion and conclusion: The opportunity of occupational therapeutic treatment in preschool can enable better and faster development, school readiness and inclusion among their peers for children. Occupational therapist can educate preschool teachers about strategies of working with children with special needs and children with developmental or other deficits and they can give suggestions about adjusting the environment and materials in preschool. They can also relieve the children's parents by enabling occupational therapeutic treatment in the morning, so that parents and their children can dedicate their afternoons to playing and spending time with their family, not to constant driving to treatments and other examinations.

Uvod: Po svetu letno zabeležimo 37,3 milijona padcev, zaradi katerih je potrebna zdravniška pomoč. Najpogostejše posledice padcev, pri katerih pride do poškodbe, so zlomi kolka, zlomi roke, podplutbe in bolečine. Starostniki pogosto izgubijo možnost, da bi lahko živeli v varnem domačem okolju, zato imajo pri tem pomembno vlogo delovni terapevti. S primernimi pristopi, prilagoditvami okolja, izvajanjem aktivnosti in rehabilitacijskimi strategijami za izboljšanje tako motoričnih kot procesnih spretnosti lahko preprečijo nastanek padcev in s svojo prisotnostjo v domačem okolju omogočajo boljši vpogled v težave, s katerimi se vsakodnevno srečujejo. Namen: Namen diplomskega dela je s pomočjo pregleda obstoječe literature in z izvedbo standardiziranih ocenjevalnih instrumentov ugotoviti, kakšni so dejavniki tveganja starostnikov za nastanek padcev v domačem okolju in kateri izmed njih so najpogostejši, kako lahko delovni terapevt načrtuje strategije za preprečevanje padcev pri starostnikih v domačem okolju in s katerimi strategijami lahko preprečimo njihov nastanek. Metode dela: V raziskavo smo vključili 50 starostnikov, povprečne starosti 75 ± 7,7 leta. Rezultate smo merili z vprašalnikom o ocenitvi tveganosti za padce in vprašalnikom o nesrečah in padcih v domačem okolju. Statistično pomembno razliko smo ugotavljali z Mann-Whitneyjevim preizkusom in hi-kvadratom. Rezultati: Mann-Whitneyjev preizkus je pokazal, da razlike v povprečnem dojemanju tveganosti glede na starostno skupino v raziskavi niso statistično značilne (U = 269,00, p = 0,50). S testom Hi-kvadrat pa smo ugotovili, da so približno enaki deleži starostnikov do in nad 70 let enako zastopani (x^2 = 0,825, p = 0,662) pri vsakem odgovoru (nizka, srednja, visoka ocena tveganosti za padce). Razprava in zaključek: Delovni terapevti smo usposobljeni za izvajanje ocen dejavnikov tveganja in izvajanje fizičnih, okoljskih in vedenjskih intervencij, da zmanjšamo tveganje za poškodbe, izboljšamo varnost in starostnikom omogočimo, da povečajo svojo funkcijo in izpolnijo vloge, ki odražajo njihove vrednote in identitete. Z rezultati diplomskega dela smo pridobili potrditev, da je pogostost dejavnikov relativno visoka in na načelni ravni utemeljena za načrtovanje in izvajanje intervencij preprečevanja padcev starostnikov v domačem okolju. Introduction: We yearly record 37.3 million falls that require medical attention. The most common consequences of falls that result in injury are hip fractures, arm fractures, bruises, and pain. Since older people often lose the opportunity to live in a safe home environment, occupational therapists assume an important role in their lives. With appropriate approaches, environmental adaptations, the implementation of activities, and rehabilitation strategies to improve both motor and process skills of the elderly, occupational therapists can prevent falls and, with their presence in the home environment, provide a better insight into the problems the elderly face on a daily basis. Purpose: The purpose of this paper was to review the existing literature and implement standardized assessment instruments to determine the risk factors for falls of the elderly in their home environment and which of them are the most common, how an occupational therapist can plan strategies to prevent falls in the elderly in their home environment and what strategies can be used to prevent their occurrence. Methods: The study included 50 elderly people, whose average age was 75 years ± 7.7. The results were measured with the Fall Risk Assessment Questionnaire and the Home Falls and Accidents Screening Tool (Home Fast). Statistically significant difference was determined with the Mann-Whitney test and the Chi-squared test. Results: The Mann-Whitney test showed that the differences in the average risk perception according to the age group in the study were not statistically significant (U = 269.00, p = 0.50). We discovered that proportions of the elderly up to and over 70 years of age were equally represented (x^2 = 0.825, p = 0.662) in every response (low, medium, high fall risk assessment). Discussion and conclusion: Occupational therapists are qualified to assess risk factors and make physical, environmental and behavioural interventions to reduce the risk of injuries, improve safety and enable the elderly to increase their function and assume the roles that express their values and identity. With the help of this paper, we can confirm that the frequency of risk factors is relatively high and that it justifies the planning and implementation of interventions to prevent falls of the elderly in their home environment.

Uvod: Glavni cilj paliativne oskrbe je, da neozdravljivo bolnemu človeku odvzema bolečine in trpljenje ter da mu omogoči kakovostno življenje do smrti. Pomaga tudi svojcem pri spopadanju z dejstvom, da ima njihov svojec neozdravljivo bolezen, in tudi v procesu žalovanja. Namen: Namen diplomskega dela je ugotoviti, kakšni so izsledki raziskav glede vloge delovne terapije v paliativni oskrbi. Metode dela: Izvedena je bila deskriptivna študija, in sicer pregled znanstvenih virov. Vključitveni kriteriji: vsebinska ustreznost, vrsta in starost članka, napisani v slovenščini ali angleščini in dostopni v polnem besedilu. V končno analizo in sintezo je bilo vključenih 14 člankov. Rezultati: V diplomsko delo smo vključili študije, ki zadostujejo merilom in se navezujejo na delovno terapijo in paliativno oskrbo. Delovni terapevti bolnikom in svojcem skozi ves proces umiranja stojijo ob strani ter preko okupacij in različnih intervencij izboljšujejo kakovost življenja. Pogosto so delovni terapevti prepozno vključeni v obravnavo in po krivem označeni kot terapevti, ki bolnike oskrbujejo le s pripomočki. Delovni terapevti so del interdisciplinarnega tima, kjer si člani tima med seboj pomagajo, iščejo rešitve za bolnike in svojce ter stremijo k skupnemu cilju. Razprava in zaključek: Izsledki študij potrjujejo, da je delovna terapija pomemben člen v paliativni oskrbi, saj z vključevanjem bolnika v zanj pomembne okupacije in s pristopom, ki je usmerjen na bolnika, izboljšujejo kakovost življenja bolnikov z neozdravljivo boleznijo. Pomembno je promoviranje delovno-terapevtskih storitev v paliativni oskrbi, tako med laiki kot tudi med drugimi zdravstvenimi delavci. Interdisciplinarni tim ponuja bolniku številne koristi, zato bi bilo dobro, da tudi v Sloveniji delovni terapevti postanejo del tima paliativne oskrbe. Introduction: The main goal of palliative care is to take away the pain and suffering of patients with incurable diseases and improve their quality of life. It also offers support to the family members that have to deal with the fact that their relative is suffering from an incurable disease moreover, it also provides help in the grieving process. Purpose: The purpose of the paper is to identify what study findings determined regarding the role of occupational therapy in palliative care. Methods of work: A descriptive study was carried out - a review of scientific sources. Inclusion criteria: content suitability, type and age of the articles, written in Slovene or English languages and available in full. There were fourteen articles included in the final analysis and synthesis. Results: The paper includes studies that meet the criteria and are related to occupational therapy and palliative care. Occupational therapists, throuh their occupations and various interventions, improve the lives of patients and their loved ones and help them through the process of dying. Occupational therapists are often included in the treatment process too late and wrongly labeled as therapists, who just prescribe gadgets. Occupatonal therapists are part of an interdisciplinary team where team members are helping one another, seek solutions for patients and their loved ones and strive for common goal. Discussion and conclusion: The findings of the studies show that occupational therapy is an important part of palliative care since by involving the patients in activities they enjoy and with client-centred approaches, their quality of life improves. It is important to promote occupational therapy services in palliative care among laymen as well as other healthcare workers. An interdisciplinary team can offer the patients many advantages, which is why it would be advisable for occupational therapists in Slovenia to become a part of the team involved in palliative care.

Uvod: Demenca je kronična ali progresivna bolezen, ki se kaže v obliki motenj višjih kortikalnih funkcij, zlasti spomina, razumevanja, mišljenja, orientacije, računskih in učnih sposobnosti ter sposobnosti govornega izražanja in presoje. Posledično osebe z demenco izgubljajo sposobnosti skrbi zase in samostojnega opravljanja vsakodnevnih aktivnosti. Osebe potrebujejo vedno več nadzora in pomoči pri izvajanju dnevnih aktivnosti, zato so čedalje bolj odvisne od pomoči svojcev. Vloga svojcev pri oskrbi oseb z demenco je z napredovanjem bolezni čedalje večja in pomembnejša. Dolgotrajna oskrba oseb z demenco povzroči pri skrbnikih kronično utrujenost, preobremenjenost, socialno izključenost, finančne obremenitve ter slabšo kakovost življenja. Delovni terapevti dajejo nasvete in informacije o bolezni in usposabljajo, kako se soočiti z boleznijo, nego in oskrbo svojca. Namen: Ugotavljali smo, kakšne izkušnje imajo svojci, ki skrbijo za osebe z demenco, in kako to vlogo doživljajo. Metode dela: V kvalitativni raziskavi smo podatke pridobili s polstrukturiranimi intervjuji s petimi svojci, ki v domačem okolju skrbijo za osebo z demenco. Rezultati: Na osnovi kvalitativne vsebinske analize podatkov smo določili štiri kategorije: seznanjenje z boleznijo svojca, posledice bolezni za osebo z demenco, doživljanje in posledice skrbi za osebo z demenco in pomoč pri skrbi za osebo z demenco. Znotraj kategorij smo določili še podkategorije in kode. Bolezen in skrb za osebo z demenco svojci doživljajo različno. V času oskrbe osebe z demenco se srečujejo z novimi oblikami vedenja, ki jih do nastopa bolezni niso opazili. Zaradi skrbi so preobremenjeni, občutijo utrujenost, veliko stresa, pojavi se izgorelost. Manj časa imajo za opravljanje vsakodnevnih aktivnosti in okupacij ali pa jih morajo zaradi poslabšanja bolezni osebe z demenco opustiti. Zaradi dolgotrajne oskrbe svojca z demenco se jim poslabša kakovost življenja. Delovna terapija je med svojci slabo poznana stroka. Razprava in zaključek: V domačem okolju za osebe z demenco najpogosteje skrbijo svojci, ki se pri tem soočajo s številnimi izzivi, situacijami, ki jih ne pričakujejo, poznajo. Svojci so preobremenjeni in njihove potrebe so pogosto prezrte. Pri skrbi za osebe z demenco v domačem okolju ima pomembno vlogo delovni terapevt, ki z informacijami o bolezni ter nasveti in usposabljanjem glede soočanja z boleznijo in skrbjo za osebo z demenco zmanjšuje breme oskrbe in izboljša kakovost življenja tako svojcev oseb z demenco kot tudi oseb z demenco. Delovni terapevt lahko v družinsko življenje vnese spremembe, ki olajšajo opravljanje vsakodnevnih aktivnosti in tako zvišajo kakovost življenja vsakega družinskega člana. Introduction: Dementia is a syndrome – usually of a chronic or progressive nature that leads to deterioration in cognitive function to such an extent that it interferes with a person's daily life and activities. As dementia progresses an individual will eventually require assistance with activities of daily living. Therefore, an individual could become increasingly dependent on the help of a relative. Long-term care for people with dementia could cause chronic fatigue, social exclusion, financial burdens and poorer health-related quality of life. Occupational therapy practitioners help those with dementia in long-term-care to retain existing function for as long as possible. They act as direct care providers and as consultants of relatives in how to approach the care of their family member. Purpose: The purpose of this paper is to discern the experiences of families while caring for a close relative with dementia. Methods: Qualitative analysis of semi-structured interviews with 5 people caring for a family member with dementia in a home environment had been used. Results: Based on the qualitative content analysis of the data we determined four categories: coping with the illness of a loved one, consequences of the dementia, experience and consequences of caring for a person with dementia and assistance in caring for a person with dementia. Within the categories we also defined subcategories and codes. Everyone experienced the care of a family member with dementia differently. In caring for these family members they met with the types of behaviour that were not present before the disease. Family caregivers experience higher levels of burden and stress as well as exhaustion, even burnout. They have less time for their own daily activities or they have to abandon them completely. As a result they have a lower quality of life. Occupational therapy is a poorly understood profession among relatives who take care about the dementia people. Discussion and conclusion: In a home environment family members are most often caregivers of people with dementia. Caring for a loved one with dementia poses many challenges for families and caregivers. Family members are overburdened and their needs are often overlooked. Occupational therapy can be an important source of support for people with dementia and their families and thus make it easier for both parties. Occupational therapist can increase the quality of life of each family member and therefore could play an important collaborative role in the care of the person with dementia.

Uvod: Parkinsonova bolezen je degenerativna nevrološka bolezen, kjer gre za propadanje dopaminskih nevronov, kar povzroča moteno delovanje centralno živčnega sistema. Točnega vzroka za nastanek še ne poznajo. Pojavijo se težave na motoričnem in nemotoričnem področju. Parkinsonovo bolezen spremljata tremor, rigidnost, bradikinezija in motnje ravnotežja. Na kognitivnem področju se pojavljajo težave s spominom, demenco, motnje spanja in depresija. Težave se stopnjujejo z napredovanjem bolezni. Parkinsonova bolezen vpliva na posameznikovo življenje, saj povzroča težave pri izvajanju vsakodnevnih aktivnosti in njemu pomembnih okupacij. Namen: Namen diplomskega dela je bil ugotavljanje učinkovitosti delovnoterapevtske obravnave osebe s Parkinsonovo boleznijo po procesu ameriškega okvirja prakse s poudarkom obravnave na ravni okupacije. Metode dela: Raziskava je bila izvedena v obliki študije primera, pri kateri gre za celosten opis enega primera, zasnovane po modelu ameriškega okvirja prakse. V raziskavo je bil vključen 73-letni uporabnik s Parkinsonovo boleznijo v Domu starejših občanov Krško, ki je bil sprejet zaradi nesamostojnosti v vseh dnevnih aktivnostih. Individualna obravnava je za doseganje ciljev zajemala vsakodnevne terapevtske aktivnosti na ravni okupacije. Za pridobivanje podatkov smo uporabili Kanadski test izvedbe okupacije, lestvico funkcijske neodvisnosti in analizo aktivnosti po spretnostih. Rezultati: Pri končnem ocenjevanju je pri Kanadskem testu izvedbe prišlo do izboljšanja ocen izvedbe in zadovoljstva z izvedbo. Prav tako je prišlo do izboljšanja pri stopnji odvisnosti od pomoči in stopnji samostojnosti, ocenjeni z Lestvico funkcijske neodvisnosti. Izboljšanje se je pokazalo tudi pri kakovosti izvedbe, ocenjene z Analizo aktivnosti po spretnostih, na področju vseh motoričnih in procesnih spretnosti, ki so bile pred začetkom obravnave v odstopanju. Razprava in zaključek: Delovnoterapevtska obravnava po ameriškem okvirju prakse se je izkazala za učinkovito. Doseženi so bili vsi zastavljeni cilji, saj je uporabnik v izvedbi vseh obravnavanih aktivnosti in okupacij samostojen. Pri določenih aktivnostih potrebuje le nadzor z vidika varnosti. Introduction: Parkinson's disease is a degenerative neurological disease that causes degeneration of dopamine neurons, impairing the functioning of the central nervous system. Its exact cause is not yet known. Motor and non-motor problems occur. Parkinson's disease is accompanied by tremor, rigidity, bradykinesia and balance disorders. Cognitive problems include memory problems, dementia, sleep disorders and depression. Related problems exacerbate as the disease progresses. Parkinson's disease affects people's lives by hindering their ability to carry out everyday activities and occupations that they deem important. Purpose: The aim of the paper was to determine effectiveness of the occupational therapy treatment of person with Parkinson's disease with following the Occupational Therapy Practice Framework, with an emphasis on the level of occupation. Methods: A case study research in form of a comprehensive description of one case was conducted, following the Occupational Therapy Practice Framework, included a 73-year-old client with Parkinson's disease who had been admitted to the Krško Nursing Home because of the lack of independence in all daily activities. To achieve the set goals, we planned an individualised treatment, with therapeutic activities relating to certain occupations. Data were collected using the Canadian Occupational Performance Measure, the Functional Independence Measure and an activity analysis. Results: At the final assessment, performance and satisfaction scores improved according to the Canadian Occupational Performance Measure, as did the level of aid dependency and independence, assessed using the Functional Independence Measure. Performance quality, assessed through an activity analysis, also improved in both motor and process skills, which were in derogation before the start of the treatment. Discussion and conclusion: Occupational therapy following the Occupational Therapy Practice Framework has proven to be successful. All goals have been achieved. The client has achieved independence in performing all treated activities and occupations. For certain activities, he still needs supervision, but only for safety reasons.

Uvod: Staranje je biološki proces, ki se odvija v vseh živih bitjih od rojstva do smrti. Glede na to, da se starost prebivalcev vztrajno viša, je vprašanje oziroma področje institucionalne oskrbe vse pomembnejše. Prehod iz domačega okolja v dom starejših občanov je za večino ljudi ena izmed težjih sprememb v njihovem življenju. Poleg slabšanja zdravja je največja izguba za starostnika tudi izguba lastnega doma. Namen: Namen diplomskega dela je raziskati, kakšni so izsledki študij na področju prehoda starostnika iz domačega okolja v dom starejših občanov. Zanima nas predvsem, kako se spremeni način življenja, rutin in navad, do katerih pripelje sprememba življenjskega okolja, ter kakšna je vloga delovnega terapevta v tem procesu. Metode dela: Uporabljena je bila deskriptivna metoda s pregledom tematsko ustrezne literature. V sintezo je bila vključena literatura, objavljena v obdobju med leti 2008 in 2019. V pregledu je bilo pregledanih in analiziranih 10 člankov v angleškem jeziku. Rezultati: Vzroki za prehod so največkrat poslabšanje zdravstvenega stanja in telesnih funkcij, želja po varnosti in socialni vključenosti ter strah pred nalaganjem prevelikega bremena na svojce oziroma sorodnike. Smiselne dejavnosti in vsakodnevna rutina predstavljajo velik in pomemben del identitete posameznikov ter posledično prispevajo k zdravju in dobremu počutju. Starejši so želeli skozi proces prehoda obdržati smiselne dejavnosti in navade, predvsem tiste, ki so del njihove identitete. Ob prehodu v domsko oskrbo ni nujno, da starejši spremeni vrste dejavnosti, spremenijo se vzorci izvajanja dejavnosti in njihova frekvenca izvajanja. Posamezne vrste dejavnosti se povečajo, na primer kulturne in družbene dejavnosti. Spet druge se lahko zmanjšajo, na primer nakupovanje, dejavnosti, povezane z računalnikom. Razprava in zaključek: Vloga delovnega terapevta v obdobju prehoda med domačim in institucionalnim okoljem je ljudem omogočiti vključevanje v za njih smiselne dejavnosti. Delovna terapija vpliva tako na fizično, psihično kot tudi kognitivno delovanje posameznika in s tem na prilagajanje novemu okolju. Uspešna prilagoditev je povezana z udejstvovanjem v pomembnih dejavnostih ter za večino pomeni občutek doma in domačnosti. Introduction: Ageing is a biological process that takes place in all living beings from their birth to their death. With regard to the constant increase in the age of residents, the question of institutional care is becoming more and more important. The transition from their home environment to a nursing home is for most people one of the hardest changes in their lives. The greatest loss for the elderly is, in addition to health deterioration, the loss of their own home. Aim: The aim of this paper is to study research findings in the field of elders’ transition from their home environment to a nursing home. We particularly want to determine how their lifestyle, routines, and habits change, which is a result of the change in one's living environment, and what the role of an occupational therapist is in this process. Work methods: A descriptive method with a review of relevant literature was used. The synthesis included literature published between the years 2008 and 2019. Ten articles, written in English, were reviewed and analysed. Results: Most frequently, the reason behind a transition is the deterioration of health and bodily functions, the desire for security and social inclusion, and the fear of overburdening one's relatives. Meaningful activities and an everyday routine present a great and important part of people’s identity, and they consequently contribute to their good health and well-being. During the transition, the elderly wanted to preserve meaningful activities and habits, especially those that form a part of their identity. Upon the transition to nursing care, the elderly do not necessarily need to change the type of activities they engage in, only the pattern of performing activities and their frequency. Some types of activities become more common, for example, cultural and social activities, while others may become less common, for example, shopping and computer-based activities. Discussion and conclusion: The role of an occupational therapist during elders’ transition from their home environment to an institutional environment is to enable the elderly to perform activities that are meaningful to them. Occupational therapy affects physical, mental, and cognitive performance of an individual, and, consequently, their adaptation to the new environment. Successful adaptation is related to the participation in important activities, and most of the elderly perceive in this a feeling of home and homeliness.