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Elderly persons' expectations of day-care rehabilitation
Örebro University, Department of Health Sciences.
Örebro University, Department of Health Sciences.
Örebro University, Department of Health Sciences.
2007 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 14, no 3, p. 173-182Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore elderly persons' conceptions of what they expected to gain from attending day-care rehabilitation centres (DCR). A purposeful sampling procedure was employed. Interviews with 22 prospective elderly day-care patients were carried out and analysed according to a phenomenographic approach. The analysis yielded eight categories. Two categories, Social contact and Exercise, described what the elderly persons expected to encounter. The remaining categories, A change from the monotony of everyday life, An opportunity to be yourself, A balm for the body, A safety net, A mastery of everyday activities, and An energizing spark, described the meanings of the encounters. Two categories were attributed to the elderly persons' physical presence at the centre and the gains were expected to end when the programme ended. In three categories the expected improvements were projected into the future and were expected to last. The findings imply that follow-up home visits and suggestions for alternative social activities in order to provide stimulation and social equality would be a valuable complement to the DCR programme. Rehabilitation personnel need to consider the ambivalent view on assistive devices as well as the elderly person's need for continuity when setting goals and planning individual programmes.

Place, publisher, year, edition, pages
London: Taylor & Francis , 2007. Vol. 14, no 3, p. 173-182
Keyword [en]
community-based adult day care, disability, qualitative research, phenomenography
National Category
Nursing Social Sciences Interdisciplinary
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-4431DOI: 10.1080/11038120601042566OAI: oai:DiVA.org:oru-4431DiVA, id: diva2:138730
Available from: 2008-03-11 Created: 2008-03-11 Last updated: 2018-01-13Bibliographically approved
In thesis
1. Äldre personers dagliga liv och betydelsen av dagrehabilitering
Open this publication in new window or tab >>Äldre personers dagliga liv och betydelsen av dagrehabilitering
2013 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to study elderly persons’ everyday life and the benefits of community-based day care rehabilitation (DCR). Further aims were to describe everyday life as experienced by elderly persons eligible for DCR and what they expected to gain from attending DCR. Participants in  study I and II were 22 prospective elderly day-care patients with physical disabilities. Interviews about their experiences of everyday life (study I) and their expectations of DCR (study II) were conducted and analysed according to a qualitative research approach called phenomenography. In study III 15 elderly persons were interviewed about changes in everyday life after having been discharged from DCR. A narrative approach was used for analysing the interviews. In Study IV occupational therapy patients’ records from 59 patients that had been discharged from DCR were analysed using deductive content analysis for describing individual treatment goals and level of goal attainment. The findings in study I, showed that cessation of activities and social contacts resulted in feelings of resignation and dejection for some participants. Participants also described how activities and social contacts continued, albeit in a different way, and that being active resulted in feelings of pleasure. In study II the findings described expectations of participating in physical training and socialisation with others at the DCR. The findings in study III, in the form of four case-stories, described positive changes in the participants’ everyday life such as improved occupational performance and heightened sense of wellbeing. The findings indicate that it was a combination of several events that together contributed to the changes. The findings in study IV showed that “Walking” was the category that contained the highest proportion of treatment goals. A majority of the treatment goals were either completely achieved or partially achieved. DCR could have a significant impact on elderly persons’ everyday life.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 71
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 42
Keyword
aged, everyday life, day care, rehabilitation, community-based, outcomes, goal attainment
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-26509 (URN)978-91-7668-911-0 (ISBN)
Public defence
2013-01-25, Hörsal 2, Prismahuset, Örebro universitet, Fakultetsgatan 1, Örebro, 10:17 (Swedish)
Opponent
Supervisors
Available from: 2012-11-26 Created: 2012-11-26 Last updated: 2017-10-17Bibliographically approved

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Tollén, AnitaFredriksson, CarinKamwendo, Kitty

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