You blithering idiots, you are blaming the patient for not getting socially engaged post-stroke. You need to blame the stroke medical world for not getting them 100% recovered. Do you not understand anything about what survivors want?
Abstract
Over
85% of the people survive stroke; and of those, over 80% are discharged
to the community. However, the majority do not recover completely. Loss
of identity is a commonly reported experience after stroke. Studies
focus on the individual survivors' use of their own cognitive resources
to adapt to change, rather than examining the effects of social
interactions on stroke survivors' identities. Social relationships are
the foundation upon which survivors rebuild skills to engage with the
world, yet little is known about the ways in which families, friends and
neighbours provide a context for the recreation of a sense of self and
activities after stroke. This article draws on situational analysis
grounded theory analysis of in-depth individual interviews with nine
middle-aged survivors of stroke. In situational analysis, the original
grounded theory methods proposed by Glaser and Strauss are used;
however, the situational context, and how environments and relationships
influence actions, is explicitly analysed. Our objective was to
understand the ways in which family, social, and community resources
might enhance stroke survivors' participation in personally meaningful
activities over the long term. The qualitative accounts of these
survivors reveal how social support helped them maintain or more
importantly regain a position in society. Following any life-changing
event, people's sense of self is fluid. A relevant social position
entitles stroke survivors to become actively involved in setting their
own goals and maintaining a positive identity. However, as these
participants attested, stroke impaired their social position and
resources to reject an imposed social position. It was difficult for
these survivors to construct a valued social identity without the
support of other people. Future studies should explore the consequences
of social interactions with others and how social attitudes about stroke
disability affects individual's activity options, professional
practice, and ultimately development of a positive poststroke identity.
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