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Äldre personers dagliga liv och betydelsen av dagrehabilitering
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
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. , 71 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 42
Keyword [en]
aged, everyday life, day care, rehabilitation, community-based, outcomes, goal attainment
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-26509ISBN: 978-91-7668-911-0 (print)OAI: oai:DiVA.org:oru-26509DiVA: diva2:571919
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: 2014-05-09Bibliographically approved
List of papers
1. Elderly persons with disabilities in Sweden: their experiences of everyday life
Open this publication in new window or tab >>Elderly persons with disabilities in Sweden: their experiences of everyday life
2008 (English)In: Occupational therapy international, ISSN 0966-7903, Vol. 15, no 3, 133-149 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe the everyday life experiences of 22 elderly persons with physical disabilities in Sweden. The participants were aged between 65 and 91 years. Interviews were conducted and analysed according to a qualitative research approach. Disengagement in activities and social contacts resulted in feelings of resignation and dejection for some participants, while others delegated tasks as a satisfactory alternative. Participants also described how activities and social contacts continued, albeit in a different way, and being active and socializing gave feelings of pleasure and a sense of belonging. While receiving help was experienced as valuable, it also increased the fear of becoming dependent. Occupational therapy intervention should be directed at increasing social contacts and engagements in meaningful activities, as well as strengthening the individual's autonomy. The transferability of the study can be questioned as the sample only included elderly persons with physical disabilities from urban areas. Further research is needed to address the impact of occupational therapy interventions on life satisfaction.

Place, publisher, year, edition, pages
London: Whurr, 2008
Keyword
activities of daily living, elderly living, phenomenography
National Category
Nursing Occupational Therapy
Research subject
Nursing Science w. Occupational Therapy Focus
Identifiers
urn:nbn:se:oru:diva-4736 (URN)10.1002/oti.254 (DOI)
Available from: 2008-11-17 Created: 2008-11-17 Last updated: 2013-01-09Bibliographically approved
2. Elderly persons' expectations of day-care rehabilitation
Open this publication in new window or tab >>Elderly persons' expectations of day-care rehabilitation
2007 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 14, no 3, 173-182 p.Article 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
Keyword
community-based adult day care, disability, qualitative research, phenomenography
National Category
Nursing Social Sciences Interdisciplinary
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-4431 (URN)10.1080/11038120601042566 (DOI)
Available from: 2008-03-11 Created: 2008-03-11 Last updated: 2013-01-09Bibliographically approved
3. Changes in everyday life after discharge from day care rehabilitation
Open this publication in new window or tab >>Changes in everyday life after discharge from day care rehabilitation
2011 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 1, 5753- p.Article in journal (Refereed) Published
Abstract [en]

Community-based day care that provides rehabilitation (DCR) targets elderly people with physical disabilities. The goal of these programmes is mainly to improve physical ability in order to enable participants to remain in their ordinary homes. Knowledge of the outcomes of DCR is limited as well as knowledge of what it is that makes a difference for the individual. The aim of this study was to describe what changes in everyday life elderly persons experienced after discharge from a community-based day care rehabilitation centre and to give possible explanations for these changes. Fifteen elderly people were interviewed after that they had been discharged from DCR. A narrative approach was used for analysing the interview data. Four case stories constitute the findings, each of them with unique descriptions of changes in everyday life as well as possible explanations for these changes. The first case story described resumption of daily activities that made the days more eventful and meaningful. The second described how everyday life became an arena for exercising, which create confidence for the future. The third described how an increased sense of certainty and security in the movements led to an increased appetite for life. Finally, the fourth case story described both the stay at the DCR centre and the promise of a new period there as uplifting that made the days easier. Concerning possible explanations for these changes, the findings indicate that it was a combination of several events that together contributed to the changes. Examples were physical training, counselling about how to live in an active and healthy lifestyle, and socialisation with other patients in formal as well as in informal sessions.

Place, publisher, year, edition, pages
CoAction Publishing, 2011
Keyword
Elderly, physical disabilities, geriatric rehabilitation, community-based, occupational performance, narrative
National Category
Occupational Therapy Nursing
Research subject
Nursing Science w. Occupational Therapy Focus
Identifiers
urn:nbn:se:oru:diva-17148 (URN)10.3402/qhw.v6i1.5753 (DOI)000288910000003 ()2-s2.0-84874956876 (Scopus ID)
Available from: 2011-09-05 Created: 2011-09-02 Last updated: 2017-02-14Bibliographically approved
4. Treatment goals and goal attainment in day care rehabilitation for elderly persons
Open this publication in new window or tab >>Treatment goals and goal attainment in day care rehabilitation for elderly persons
(English)Manuscript (preprint) (Other academic)
Abstract [en]

The aim of the study was to describe the individual treatment goals and goal attainment in community-based day care rehabilitation. A retrospective record study was conducted. The data consisted of occupational therapy patient records from 59 patients that had been discharged from five day care centres that provide rehabilitation (DCR). The mean age was 81 years and the distribution between women and men was almost the same. The records were analyzed using content analysis and The International Classification of Functioning, Disability and Health (ICF) as a framework for the analysis. The three ICF categories that contained the highest proportion of treatment goals were Walking (23 %), Exercise tolerance functions (9 %), and Muscle power functions (9 %). A smaller portion of the treatment goals were related to activities of daily living such as Dressing (4 %), Acquisition of goods and services (2 %), and Recreation and leisure (2 %). The vast majority of the goals were related to improvement of the ICF components Activities/Participation and Body Functions/Structures compared to maintaining of Activities/Participation and Body Functions/Structures. Overall, the goal attainment was considered high. Two thirds of the patients had completely achieved at least one treatment goal. A majority (74 %) of the treatment goals were either completely achieved (54 %) or partially achieved (20 %). The high proportion of goals related to improvement and the high goal attainment showed that the patients had a potential to improve. It is therefore important that elderly persons with physical disabilities living in the community are offered DCR after discharge from hospital.

Keyword
elderly, day care, rehabilitation, goals, goal attainment
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-26820 (URN)
Available from: 2013-01-09 Created: 2013-01-09 Last updated: 2016-12-12Bibliographically approved

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