This statement is what is completely wrong about this research: 'adjustment to their situation'. Bad objective because it means the stroke medical team has completely washed their hands of getting you recovered. YOU ARE COMPLETELY ON YOUR OWN TO FIGURE OUT HOW TO RECOVER! Ask your doctor for protocols that lead directly to 100% recovery. You will have to scream in their faces because they will push guidelines, not protocols, proving they know nothing about stroke recovery.
An Exploration of Quality of Life Contributors for Stroke Survivors:Potential Implications for Service Delivery Within the Community Rehabilitation Context
Gaylea Fritsch
Queensland Health, Metro South Health Service, Community Adult Rehabilitation Service,
gayleafritsch@gmail.com
Sarah Patterson
Queensland Health, Metro South Health Service, Community Adult Rehabilitation Service,
sarah.patterson@health.qld.gov.au
Anita Blight
Queensland Health, Metro South Health Service, Community Adult Rehabilitation Service,
anita.blight@health.qld.gov.au
Renaye Daniells
Queensland Health, Metro South Health Service, Community Adult Rehabilitation Service,
Renaye.Daniells@health.qld.gov.au
Follow this and additional works at: https://nsuworks.nova.edu/ijahsp
Part of the Rehabilitation and Therapy Commons
Recommended Citation
Fritsch G, Patterson S, Blight A, Daniells R. An Exploration of Quality of Life Contributors for Stroke
Survivors: Potential Implications for Service Delivery Within the Community Rehabilitation Context. The
Internet Journal of Allied Health Sciences and Practice. 2020 Oct 12;18(4), Article 6.
This Manuscript is brought to you for free and open access by the College of Health Care Sciences at NSUWorks. It
has been accepted for inclusion in Internet Journal of Allied Health Sciences and Practice by an authorized editor
of NSUWorks. For more information, please contact nsuworks@nova.edu.
An Explor An Exploration of Quality of Lif ation of Quality of Life Contribut e Contributors for Str ors for Stroke Survivors: Potential otential
Implications for Service Delivery Within the Community Rehabilitation Context
Abstract
Purpose: Community rehabilitation services typically assist stroke survivors with function, participation,
and quality of life. Many factors have been found to influence the overall quality of life including selfidentity, control, social supports, personality, and participation in valued activities. This review explored
the possible contributing quality of life factors for stroke survivors within a community rehabilitation
context to assist with further development of service delivery within this clinical area. Method: A purposive
sample of clients with stroke (n=20) was selected based on their overall quality of life change during
their rehabilitation program as measured on the World Health Organisation Quality of Life Questionnaire.
Clients with the largest positive and negative quality of life changes were included. A clinical record review of client medical records was undertaken of these stroke survivors to identify and describe common themes that may be related to quality of life. Results: Five general themes emerged relating to possible contributing factors to quality of life for clients participating in this community stroke rehabilitation setting including transiting between hospital and community, flexibility of service delivery model, strength of family and household relationships, acceptance and expectation of both service delivery and functional levels, and ongoing co-morbid medical issues. Conclusions: This review suggests that community rehabilitation service models of care should be flexible and tailored to client needs and goals to enable a true “client centered” approach. Social and behavioural paradigms should be incorporated within the community rehabilitation settings. Services should focus on personal factors such as the stroke survivor's adjustment to their situation, personality factors, and outcome expectations. Consideration also needs to be given to the overall continuum of care of health care services.
Queensland Health, Metro South Health Service, Community Adult Rehabilitation Service,
gayleafritsch@gmail.com
Sarah Patterson
Queensland Health, Metro South Health Service, Community Adult Rehabilitation Service,
sarah.patterson@health.qld.gov.au
Anita Blight
Queensland Health, Metro South Health Service, Community Adult Rehabilitation Service,
anita.blight@health.qld.gov.au
Renaye Daniells
Queensland Health, Metro South Health Service, Community Adult Rehabilitation Service,
Renaye.Daniells@health.qld.gov.au
Follow this and additional works at: https://nsuworks.nova.edu/ijahsp
Part of the Rehabilitation and Therapy Commons
Recommended Citation
Fritsch G, Patterson S, Blight A, Daniells R. An Exploration of Quality of Life Contributors for Stroke
Survivors: Potential Implications for Service Delivery Within the Community Rehabilitation Context. The
Internet Journal of Allied Health Sciences and Practice. 2020 Oct 12;18(4), Article 6.
This Manuscript is brought to you for free and open access by the College of Health Care Sciences at NSUWorks. It
has been accepted for inclusion in Internet Journal of Allied Health Sciences and Practice by an authorized editor
of NSUWorks. For more information, please contact nsuworks@nova.edu.
An Explor An Exploration of Quality of Lif ation of Quality of Life Contribut e Contributors for Str ors for Stroke Survivors: Potential otential
Implications for Service Delivery Within the Community Rehabilitation Context
Abstract
Purpose: Community rehabilitation services typically assist stroke survivors with function, participation,
and quality of life. Many factors have been found to influence the overall quality of life including selfidentity, control, social supports, personality, and participation in valued activities. This review explored
the possible contributing quality of life factors for stroke survivors within a community rehabilitation
context to assist with further development of service delivery within this clinical area. Method: A purposive
sample of clients with stroke (n=20) was selected based on their overall quality of life change during
their rehabilitation program as measured on the World Health Organisation Quality of Life Questionnaire.
Clients with the largest positive and negative quality of life changes were included. A clinical record review of client medical records was undertaken of these stroke survivors to identify and describe common themes that may be related to quality of life. Results: Five general themes emerged relating to possible contributing factors to quality of life for clients participating in this community stroke rehabilitation setting including transiting between hospital and community, flexibility of service delivery model, strength of family and household relationships, acceptance and expectation of both service delivery and functional levels, and ongoing co-morbid medical issues. Conclusions: This review suggests that community rehabilitation service models of care should be flexible and tailored to client needs and goals to enable a true “client centered” approach. Social and behavioural paradigms should be incorporated within the community rehabilitation settings. Services should focus on personal factors such as the stroke survivor's adjustment to their situation, personality factors, and outcome expectations. Consideration also needs to be given to the overall continuum of care of health care services.
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