Identifying Factors Associated With Perceived Success in the Transition From Hospital to Home After Brain Injury

Nalder, Emily; Fleming, Jennifer; Foster, Michele; Cornwell, Petrea; Shields, Cassandra; Khan, Asaduzzaman

doi:10.1097/htr.0b013e3182168fb1

Cited by 47 publications

(50 citation statements)

References 38 publications

(43 reference statements)

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“…It is widely acknowledged that adults with acquired brain or spinal injury or progressive neurological illness (e.g., Multiple Sclerosis; Cerebral Palsy) incur significant housing challenges post diagnosis (Cameron, Pirozzo, and Tooth 2001;Foster, Fleming, and Tilse 2007;Nalder et al 2012). Due to the complex physical and/or cognitive nature of their condition, individuals living with a neurological disability often require assistance with activities of daily living (ADL) and personal care.…”

Section: Introductionmentioning

confidence: 99%

“…The housing challenges experienced are reflective of a broader and persistent issue relating to housing availability as well as the problem with housing suitability. In the case of acquired neurological injury, once the person is deemed medically stable by a physician or able to function semiindependently, arrangements are made to refer the person back to: (a) their family home, where the infrastructure often requires modifications; or (b) some form of supported accommodation or residential care facility (in instances where the family home is not an option) to continue their care and support as needed during this initial recovery period (Beer and Faulkner 2008;Cameron, Pirozzo, and Tooth 2001;Foster, Fleming, and Tilse 2007;Nalder et al 2012).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The choice agenda in the Australian supported housing context: a timely reflection

Wright

Muenchberger

Whitty

2015

Disability & Society

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The last thirty years has seen significant developments in the Australian housing sector for people with disabilities. Despite much change in the sector, and advancements in disability services, the range of current supported housing options for younger Australian adults with a neurological disability remains vastly under-developed. This is despite a widely accepted and endorsed recognition that, as is the general population, people with all forms of disability have a right to housing of their choice. This paper presents a timely critique of the key actions made by the Australian disability and housing sectors and subsequently proposes a more informed approach to supported housing design and development: one that is based on a comprehensive understanding of consumer housing priorities and preferences, and is conducive to a person's biopsychosocial health.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The choice agenda in the Australian supported housing context: a timely reflection

Wright

Muenchberger

Whitty

2015

Disability & Society

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“…How caregivers cope can adversely affect the status of their health (1,11,14,18).As for their health problems, emotional functioning, mental and physical health, many studies (29)(30)(31)(32) clearly note correlations with the recovery outcomes of survivors with TBI in the rehabilitation phase. However, the caregivers in this study reported more problems with physical health than emotional functioning and mental health.…”

Section: Discussionmentioning

confidence: 99%

Coping and Health Problems of Caregivers of Survivors with Traumatic Brain Injury

Chayaput¹,

Utriyaprasit²,

Bootcheewan³

et al. 2014

Aquichan

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Objetivos: Evaluar el afrontamiento y los problemas de salud de los cuidadores en el momento en que el sobreviviente fue dado de alta y un mes después de que el sobreviviente fue dado de alta y determinar las correlaciones entre los datos de carácter personal, afrontamiento y los problemas de salud de los cuidadores y la incapacidad de los sobrevivientes. Método: Ochenta y cinco díadas de supervivientes con lesiones cerebrales traumáticas y sus cuidadores fueron incluidos en la investigación. Los instrumentos utilizados para la recolección de datos fueron la versión tailandesa de la Escala de Medición del Proceso de Afrontamiento y Adaptación – Formato Corto, con 27 ítems, el Cuestionario de Problemas de Salud para los cuidadores y la Clasificación de Escala de Discapacidad para los sobrevivientes. El Modelo de Adaptación de Roy se utilizó como marco conceptual para este estudio. La correlación producto-momento de Pearson se utilizó para el análisis. Resultados: No se encontraron diferencias estadísticas entre los problemas de afrontamiento y de salud en los cuidadores. Los problemas de salud reportados más frecuentemente por los cuidadores fueron dolor de cabeza en el día de alta y ningún problema de salud después de un mes de participación en el cuidado del sobreviviente. El nivel de la discapacidad de los sobrevivientes y el estado civil de los cuidadores se correlacionaron negativamente con el afrontamiento (r = - 0,245 , p = 0,024 , r = - 0,220 , p = 0,043 , respectivamente). Conclusiones: Los resultados demuestran que los cuidadores permanecieron capaces de manejar las dificultades que implica el cuidado de los sobrevivientes en casa con menos problemas de salud. Los cuidadores casados eran propensos a manejar esta carga mejor que otros cuidadores.

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“…Consequently, it is imperative that community ambulation is addressed during inpatient rehabilitation. This will allow for increased confidence with exploring community environments and tasks (Walsh et al, 2014) and reduce the incidence of sentinel events, which can lead to avoidance of communitybased activities (Ahuja et al, 2013;Barnsley et al, 2012;Nalder et al, 2012a;Nalder et al, 2012b) and poor community re-integration. Another option is the implementation of communitybased rehabilitation or community follow-up for all stroke survivors following hospital discharge.…”

Section: The Effect Of Current Practices On Free-living Ambulation Rementioning

confidence: 99%

“…During the subacute phase of stroke, stroke survivors display the greatest potential for improvement in functional outcomes (Jang, 2010;Carod-Artal et al, 2000;Jorgensen et al, 1995b). Further, experiences such as sentinel events, or mismatched expectations of recovery that can occur early after stroke survivors return home from hospital can change expectations of outcome and engagement in walking related activities if not sufficiently supported (Ahuja et al, 2013;Barnsley et al, 2012;Nalder et al, 2012a;Nalder et al, 2012b). Thus, this immediate phase post hospital discharge is important to target during recovery to ensure optimal outcomes later after stroke.…”

Section: Introductionmentioning

confidence: 99%

Ambulation recovery after stroke

Mahendran¹

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Most stroke survivors regard successful independent ambulation important. However, ambulation recovery is limited following stroke. Historically, limited availability of objective tools and measures to characterise free-living ambulation recovery has restricted investigation of this outcome after survivors return home. However, commercially available devices, including accelerometers and portable global positioning systems, are now available. Thus, this thesis aimed to characterise free-living ambulation recovery over the first six months after stroke survivors returned home from hospital and determine what factors at discharge contributed to ambulation recovery across this time.The first study of this thesis investigated the concurrent validity and retest reliability of accelerometers (ActivPAL TM and Sensewear Pro 2 Armband) and global positioning systems (GPS) (Garmin forerunner 405CX) to measure free-living ambulation after stroke. Measures of step counts, time spent walking, energy expenditure, distance and location were taken during walking tasks that impose demands similar to those encountered when walking in the community as well as free-living community ambulation over four days. This study determined that the ActivPAL TM was valid and reliable for measuring ambulation after stroke. The GPS was valid and reliable for all measures except distance, whereas the Sensewear Pro 2 Armband recorded with high error during all walking tests.The second study aimed to characterise ambulation activity after stroke across the first six months following discharge from hospital and investigate how ambulation activity changed across this time period. Free-living ambulation activity was measured over four days using the ActivPAL TM accelerometer at one, three and six months after stroke survivors left hospital. Measures of volume (daily step counts and time spent walking, sitting/lying, standing and upright), frequency (total number of ambulation bouts; number of bouts and total time spent in short, medium and long duration ambulation bouts) and intensity (number of bouts and total time per day spent in low, moderate and high intensity ambulation bouts) of ambulation activity were collected. This study highlighted that volume of ambulation activity was low across the first six months following hospital discharge, with a majority of ambulation bouts short and low in intensity. Stroke survivors rarely engaged in long duration and high intensity ambulation bouts across the first six months.Daily volume of ambulation activity increased from one month to both three and six months after iv discharge from hospital through an increase in medium duration and moderate intensity ambulation only.The third study aimed to determine what factors at discharge were related to and predicted ambulation activity outcomes over the first six months following hospital discharge in stroke.Factors including age, fatigue, mood, executive function, gait speed, gait endurance, perceived stroke recovery, pre-stroke physical activity, ambulat...

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Identifying Factors Associated With Perceived Success in the Transition From Hospital to Home After Brain Injury

Abstract: : A combination of sentinel events and personal and environmental factors influences the perceptions of individuals and their families regarding the success of the transition from hospital to home.

Cited by 47 publications

References 38 publications

The choice agenda in the Australian supported housing context: a timely reflection

The choice agenda in the Australian supported housing context: a timely reflection

Coping and Health Problems of Caregivers of Survivors with Traumatic Brain Injury

Ambulation recovery after stroke

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