Treatment Activity Preferences of Occupational Therapists in Adult Physical Dysfunction Settings

Neistadt, Maureen E.; Seymour, Susanne G.

doi:10.5014/ajot.49.5.437

Cited by 25 publications

(29 citation statements)

References 27 publications

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“…While the biomedical model gives priority to physical tasks [10], there is a need for closer consideration of stroke survivors such as social and emotional, preferences, which is in contrast to the tendency for health professionals to focus on discrete physical goals [11]. Indeed, The World Health Organisation (WHO) framework for rehabilitation, the International Classification of Functioning Disability and Health (ICF) definition of activity [12] incorporates the importance of communication, socialisation, and other non-physical based activities.…”

Section: Introductionmentioning

confidence: 99%

Exploring stroke survivor experience of participation in an enriched environment: a qualitative study

White

Bartley

Janssen

et al. 2015

Disability and Rehabilitation

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This study provides preliminary support for the implementation of an EE within a typical stroke rehabilitation setting from a patient perspective. Reported benefits included (1) increased motor, cognitive and sensory stimulation, (2) increased social interaction, (3) alleviation of degree of boredom and (4) increased feelings of personal control. However, participants also identified a number of barriers affecting implementation of the EE. We have previously published findings on perceptions of nursing staff working with stroke survivors in this enriched rehabilitation environment who identified that patients benefited from having better access to physical, cognitive and social activities. Together, results contribute to valuable evidence for future implementation of an EE in stroke rehabilitation settings. Implications for Rehabilitation Stroke survivor access to an enriched environment (EE): RESULTS identified that participation in both individual and communal forms of environment enrichment within the stroke rehabilitation ward resulted in increased access to activities providing increased opportunities for enhanced motor, cognitive and sensory stimulation. Increased access to and participation in activities of the environmental enrichment (individual and communal) interrupted the ongoing cycle of boredom and inactivity experienced by many participants. This study provides preliminary support for the implementation of an EE within a typical stroke rehabilitation setting from a patient perspective.

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Section: Introductionmentioning

confidence: 99%

Exploring stroke survivor experience of participation in an enriched environment: a qualitative study

White

Bartley

Janssen

et al. 2015

Disability and Rehabilitation

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“…Training to acquire self-care skills has been conducted as the major focus of rehabilitation programs [8-10]. Training or education in self-care includes occupational or physical therapies to learn modified ways to move body parts [9] and health education for symptom control [4].…”

Section: Introductionmentioning

confidence: 99%

The meaning of self-care in persons with cervical spinal cord injury in Japan: a qualitative study

2013

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BackgroundProfessionals in Japan tend to regard the individual contexts of persons with spinal cord injury (SCI) as the cause of their passive participation in self-care activities or self-management. However, the meaning of self-care involves variables that interrelate with sociocultural factors. Thus, it is necessary to uncover its meaning in the perceptions of persons with cervical spinal cord injury (CSCI) in order not only to implement better rehabilitation but also to understand the sociocultural constraints that determine the injured person’s attitudes to self-care and long-term health outcomes.MethodsSemi-structured interviews with 29 CSCI participants from fourteen municipalities of Osaka, Hyogo, and Ehime prefectures were conducted. Participants contributed diverse perspectives on rehabilitation, lay-professional and family relationships, health promotion, and body conceptions. Interviews were recorded, transcribed and analyzed using the grounded theory approach to inter-relate categories and to develop theoretical constructions.ResultsFour main themes emerged from the data: rehabilitation for independence in ADLs; detachment from the body and self; embodiment; and self-management. From the participants’ point of view, rehabilitation programs in Japan aim at improving body functions for ADL performance, but provide little health education. These rehabilitation values might hinder some participants from developing self-esteem for their bodies. Moreover, socially-shaped family caregivers’ active engagement in the participants’ self-care allowed many participants to entirely rely on them for care. Through embodiment, participants found that self-care was not merely a means of independence in ADLs but also of self-management to enhance health and well-being, requiring collaborative relationships with caregivers.ConclusionPersonal factors such as low motivation for self-care might be in part a reflection of social expectations of dependence for persons with CSCI. However, the shift in the meaning of self-care from ADLs to self-management implies more active participation in health care needs, shaped through social exchanges. Not only personal factors but also sociocultural factors influence the injured person’s valuation of self-care. There is a need for further research to better understand sociocultural influences on illness behaviors among persons with CSCI, so that clinical and community practice can develop accordingly.

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“…Recent research (17,18) demonstrates that daily activities help older people maintain their functions. Facing new organizations that demand professional changes, occupational therapists as well as physiotherapists face new challenges calling their traditional way of working (15,19,20) into question (9,16). They have to advocate rehabilitation to leading officials and politicians not used to being in charge of that kind of services.…”

Section: Discussionmentioning

confidence: 99%

Staff and Administration Perspectives in a One-year Geriatric Rehabilitation Developmental Process

Iwarsson¹,

Nygren²,

Isacsson³

et al. 1999

Scandinavian Journal of Caring Sciences

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A health care reform for senior citizens took effect in 1992 in Sweden. Shortcomings as regards geriatric rehabilitation were identified and, in 1995, governmental grants were assigned to local developmental projects. The aim of this study was to report the staff and administration perspectives in a geriatric rehabilitation developmental process over a 1-year period. In all, 782 staff and 45 administration respondents took part. The investigation was based on questionnaires and series of interviews. Significant positive changes with respect to collaboration between the authorities involved were demonstrated at the administrative level, while the most positive results at staff level concerned competence development in the group of employees without college education. A positive process as regards geriatric rehabilitation has started in the study district, indicating that governmental grants assigned for the stimulation of developmental activities are beneficial. Official goals for geriatric rehabilitation, points of departure for the organization of rehabilitation services and the content of general and specialized rehabilitation programmes are pinpointed as some of the areas deserving further attention.

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Treatment Activity Preferences of Occupational Therapists in Adult Physical Dysfunction Settings

Abstract: Occupational therapists in adult physical dysfunction settings are not routinely providing client training in the full spectrum of occupational behaviors.

Cited by 25 publications

References 27 publications

Exploring stroke survivor experience of participation in an enriched environment: a qualitative study

Exploring stroke survivor experience of participation in an enriched environment: a qualitative study

The meaning of self-care in persons with cervical spinal cord injury in Japan: a qualitative study

Staff and Administration Perspectives in a One-year Geriatric Rehabilitation Developmental Process

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