oru.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Treatment goals and goal attainment in day care rehabilitation for elderly persons
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
(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.

Keywords [en]
elderly, day care, rehabilitation, goals, goal attainment
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-26820OAI: oai:DiVA.org:oru-26820DiVA, id: diva2:584995
Available from: 2013-01-09 Created: 2013-01-09 Last updated: 2017-10-17Bibliographically 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
Keywords
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

Open Access in DiVA

No full text in DiVA

Authority records BETA

Tollén, AnitaLidskog, MarieIvarsson, Ann-Britt

Search in DiVA

By author/editor
Tollén, AnitaLidskog, MarieIvarsson, Ann-Britt
By organisation
School of Health and Medical Sciences, Örebro University, Sweden
Nursing

Search outside of DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric score

urn-nbn
Total: 448 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf