My risk taking started my first day release from the hospital; went to watch a whitewater slalom race with a quarter mile rough path to get to the banks. Nurses found out about it and I got a stern visit from one of my doctors highly recommending against it. I totally ignored her since she obviously knew nothing about my risk taking. I was damn good at OC1 and OC2 slaloms and wasn't going to miss it.
The trophies are from the Buttercup series of whitewater slalom races(6 races in Wisconsin and Minnesota).
Left is 1rst place OC1(Open Canoe 1 person) 2004
Middle is 2nd place OC1(Open Canoe 1 person) 2003
Right is 3rd place OC1(Open Canoe 1 person) 2005, stroke was in May 2006
Missing
are the two first place finishes in OC2(Open Canoe 2 person) in
consecutive years with different paddling partners, they have the
trophies.
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One of my main reasons for my excellent balance is this: Don't follow me, I'm not medically trained, is your doctor?
The yin and yang of safety and risk: a content analysis and critical narrative synthesis exploring the conceptualisation of risk in the stroke rehabilitation literature
Abstract
Many people feel unprepared for life following discharge from stroke services. Rehabilitation occurs within a harm-reduction framework, but evidence suggests risk-taking is crucial for recovery. The aims of this review study were to explore how risk is conceptualised in the stroke rehabilitation literature and to develop a critical narrative synthesis of articles exploring and challenging dominant conceptualisations of risk, in the context of post-stroke identity and engagement in valued activities. We undertook a literature search (including Embase, PubMed, CINHAL and PsycINFO), including qualitative, quantitative and mixed-methods studies in post-stroke adults > 18 years. Phase 1 involved a content analysis, with 1420 articles screened and 246 included. Most (n = 233) were described by the theme ‘Safety first’, divided into sub-themes: i) Physical safety; ii) Societal and organisational protection; and iii) Cognitive, affective and communication risks. Remaining articles were described by Theme 2: ‘Taking risks as necessary and subjective’. Critical narrative synthesis in Phase 2 included fifteen articles, demonstrating the imposition of ‘rules’ for safety, despite risk-taking being important. The predominant narrative prioritised safety and harm-reduction during stroke rehabilitation, overlooking unintended consequences for post-stroke identity and engagement in valued activities. The voice of people post-stroke was largely absent(So, not listening to the experts in the field.) in decision-making around risk prioritisation and management, which often failed to acknowledge the inherent uncertainties and sociocultural factors influencing beliefs and behaviours in relation to risk. Further qualitative research is needed to understand the experiences of people post-stroke and to inform service co-design and shared decision-making in relation to risk in stroke rehabilitation.
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