Why would you expect any positive experiences from stroke rehab? Your doctor has NO stroke protocols to give you and you waste 90% of the waking hours doing nothing for your recovery.
You could more effectively and accurately just tell them,
'You're F*cking screwed'.
http://www.archives-pmr.org/article/S0003-9993%2815%2900290-7/abstract
Received: December 16, 2014; Received in revised form: March 17, 2015; Accepted: March 28, 2015; Published Online: April 03, 2015
Publication stage:
In Press Accepted Manuscript
Abstract
Objective
The
objective of this systematic review of qualitative studies was to
report and synthesise the perspectives, experiences and preferences of
stroke survivors undertaking inpatient physical rehabilitation.
Data Sources
MEDLINE,
CINAHL, Embase and PsycINFO were searched from database inception to
2014. Reference lists of relevant publications were searched. All
languages were included.
Study Selection and Appraisal
Qualitative
studies reporting stroke survivors’ experiences of inpatient stroke
rehabilitation were selected independently by two reviewers. The search
yielded 3039 records; 95 full text publications were assessed for
eligibility and 32 documents (31 studies) were finally included.
Comprehensiveness and explicit reporting were assessed independently by
two reviewers using the COREQ framework. Discrepancies were resolved by
consensus.
Data Extraction
Data
regarding characteristics of the included studies were extracted by one
reviewer, tabled, and checked for accuracy by another reviewer. All text
reported in studies’ results sections were entered into qualitative
data management software for analysis.
Data Synthesis
Extracted
texts were inductively coded and analysed in three phases using
thematic synthesis. Nine interrelated analytical themes, with
descriptive subthemes, were identified that related to issues of
importance to stroke survivors: physical activity is valued; bored and
alone; patient-centred therapy; recreation is also rehabilitation;
dependency and lack of control; fostering autonomy; power of
communication and information; motivation needs nurturing; fatigue can
overwhelm.
Conclusions
The thematic
synthesis provides new insights into stroke survivors’ experiences of
inpatient rehabilitation. Negative experiences were reported in all
studies and include disempowerment, boredom, and frustration.
Rehabilitation could be improved by increasing activity within formal
therapy and in free time, fostering patients’ autonomy through genuinely
patient-centred care, and more effective communication and information.
Future stroke rehabilitation research should take into account the
experiences and preferences of stroke survivors.
Article Info
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