From some of my earlier posts:
Only 13 % of a stroke unit
patient’s day is typically spent in activities related to functional
outcome,(precisely what action observation should be used for to fill that time).
Patients should have no downtime except to sleep and with that they should be trained in lucid dreaming. There is no place for slackers in stroke recovery. Eating should be therapy, using your affected side. The foods you eat should be proven as stroke prevention. If you aren't working the hardest you have ever worked in your life you aren't going to recover to the best of your ability. Nothing your doctor or therapist does will magically make your recovery occur. ALL the work is for you to accomplish.
And you are going to work even harder because you doctor completely failed at stopping the 5 causes of the neuronal cascade of death in the first week thus killing off millions to billions of neurons!
Exploring the use of free time in an inpatient stroke rehabilitation setting
Abstract:
Background.
Stroke patients within an inpatient rehabilitation setting often find themselves with considerable unstructured periods prior, between and after scheduled therapy sessions. These periods could provide the opportunity to engage and participate in activities and occupations that provide meaning, as well as promote physical and mental well-being.
Purpose.
The aim of this study was to explore how stroke patients spend their free time in an inpatient setting and the perspectives of occupational therapists and nurses regarding how the patients spend or could spend their free time in a neurorehabilitation ward. Method. The study consisted of a small-scale qualitative design using one set of interview questions with four stroke patients, and another set for two occupational therapists and two nurses working within a neurorehabilitation ward. Following ethical approval, participants were recruited through purposive sampling via an intermediary. An observation tool was devised and used by the researcher who collected her observations and reflections. Thematic analysis was used to analyse the coded data collected from the interviews and a summary of the main points emerging from the observation sheet used by the researcher was compiled.
Results.
Two main themes were developed for each of the two participant group interviews – namely, the barriers and facilitators to engaging and participating in activities during free time in the ward, and the barriers to organising activities on the ward. The main findings gathered from these interviews and the researcher’s observation show that a number of barriers, including environmental restrictions, limited resources and time availability from staff are present within the ward that limit stroke patients from engaging and participating in meaningful occupations and activities.
Implications.
This study aims to shed light on the significance of occupational engagement and participation in promoting both physical and mental well-being among individuals undergoing inpatient rehabilitation. Furthermore, it seeks to contribute to the enhancement of recovery by potentially informing the development of tailored activities and improving accessibility within hospital environments to facilitate greater engagement and participation in meaningful occupations for stroke patients during the rehabilitation phase of their hospital stay.
Stroke patients within an inpatient rehabilitation setting often find themselves with considerable unstructured periods prior, between and after scheduled therapy sessions. These periods could provide the opportunity to engage and participate in activities and occupations that provide meaning, as well as promote physical and mental well-being.
Purpose.
The aim of this study was to explore how stroke patients spend their free time in an inpatient setting and the perspectives of occupational therapists and nurses regarding how the patients spend or could spend their free time in a neurorehabilitation ward. Method. The study consisted of a small-scale qualitative design using one set of interview questions with four stroke patients, and another set for two occupational therapists and two nurses working within a neurorehabilitation ward. Following ethical approval, participants were recruited through purposive sampling via an intermediary. An observation tool was devised and used by the researcher who collected her observations and reflections. Thematic analysis was used to analyse the coded data collected from the interviews and a summary of the main points emerging from the observation sheet used by the researcher was compiled.
Results.
Two main themes were developed for each of the two participant group interviews – namely, the barriers and facilitators to engaging and participating in activities during free time in the ward, and the barriers to organising activities on the ward. The main findings gathered from these interviews and the researcher’s observation show that a number of barriers, including environmental restrictions, limited resources and time availability from staff are present within the ward that limit stroke patients from engaging and participating in meaningful occupations and activities.
Implications.
This study aims to shed light on the significance of occupational engagement and participation in promoting both physical and mental well-being among individuals undergoing inpatient rehabilitation. Furthermore, it seeks to contribute to the enhancement of recovery by potentially informing the development of tailored activities and improving accessibility within hospital environments to facilitate greater engagement and participation in meaningful occupations for stroke patients during the rehabilitation phase of their hospital stay.
| Authors: | Agius, Julia (2024) |
| Keywords: | Cerebrovascular disease -- Patients -- Rehabilitation -- Malta Hospital patients -- Rehabilitation -- Malta Hospital patients -- Recreation -- Malta Nurses -- Malta Nurses -- Attitudes Occupational therapists -- Malta Occupational therapists -- Attitudes |
| Issue Date: | 2024 |
| Citation: | Agius, J. (2024). Exploring the use of free time in an inpatient stroke rehabilitation setting (Bachelor's dissertation). |
| Description: | B.Sc. (Hons)(Melit.) |
| URI: | https://www.um.edu.mt/library/oar/handle/123456789/128710 |
| Appears in Collections: | Dissertations - FacHSc - 2024 Dissertations - FacHScOT - 2024 |
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