Physiotherapy care between hospital and home: patients’ views

Macleod, Margaret; Thomson, Heather; Upton, C; Scott, Ron; Chesson, Rosemary

doi:10.12968/bjtr.2002.9.7.13642

Cited by 3 publications

(4 citation statements)

References 9 publications

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“…It appears that they did not see enhanced coping at home as the objective. Research has shown that patients have a vague understanding of the rehabilitation process and perceive a need for more information (MacLeod et al 2002 ;Röding et al 2003). Furthermore, it appears that the rehabilitation intervention failed to provide concrete tools to enhance coping at home.…”

Section: Discussionmentioning

confidence: 99%

“…These reactions replicated those reported by Cott's (2004Cott's ( : 1419 evaluation, that they had been offered a ' one-size-fits-all programme '. Several studies have argued that a lack of individualisation in a rehabilitation programme limits the opportunities for the clients' active participation and their choice of suitable treatments, and also results in their exclusion from setting the goals (MacLeod et al 2002 ;Röding et al 2003 ;Cott 2004;Wohlin Wottrich et al 2004).…”

Section: Discussionmentioning

confidence: 99%

“…Health-promotion research has shown that enabling older adults to be involved in planning, developing and delivering activities enhances older adults' wellbeing (Cattan et al 2003(Cattan et al , 2005, while others have shown the efficaciousness of the staff familiarising themselves with the clients' personal backgrounds and living situations (McWilliam et al 1996), and of providing opportunities to participate as partners (Paterson 2001). In the health-care context, it has been argued that the clients' limited opportunities to participate actively in the rehabilitation goal setting is the result of limited time and powerful social (or professional) constraints (Northen et al 1995;Payton and Nelson 1996 ;Baker et al 2001;MacLeod et al 2002;Palmadottir 2003;Parry 2004). To promote the clients' active participation as partners, older adults should be allowed sufficient time and space to elaborate their own stories (McWilliam et al 1994;Poskiparta et al 2001).…”

Section: Discussionmentioning

confidence: 99%

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The meanings older people give to their rehabilitation experience

et al. 2006

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Promoting older people's ability to manage at home is important both for themselves and for society, but few studies have explored whether geriatric rehabilitation actually meets the needs of this heterogeneous group. The purpose of this study was to investigate the meanings that older adults attribute to their geriatric rehabilitation experiences. A group of 27 older adults in inpatient rehabilitation were interviewed during the programme and after returning home. Semi-structured interviews were analysed using a qualitative method, which identified three categories of meaning. In the category ‘sense of confidence with everyday life’, rehabilitation was perceived as facilitating everyday living at home; in the category ‘sense of vacation’, rehabilitation was seen as a means of getting away from normal life and enjoying oneself; and in the category ‘sense of disappointment in the rehabilitation programme’, the participants expressed frustration with the limited opportunities to participate in the planning of their rehabilitation, and with the mismatch between the offered programme and what was needed. To promote older people's autonomy and to enhance their ability to live at home, professionals must involve their clients to a greater extent in the planning of the rehabilitation than is currently the case, and also individualise the rehabilitation regimen.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The meanings older people give to their rehabilitation experience

et al. 2006

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“…For older people receiving physiotherapy in institutional setting opportunities for active participation in decision making and goal setting have been shown to be limited due to physiotherapists deciding the goals and treatments for patients (MacLeod, Thompson, Upton, Scott, & Chesson, 2002;Parry, 2004a;Wohlin Wottrich, Stenström, Engardt, Tham, & von Koch, 2004;Wressle, Öberg, & Henriksson, 1999). However, there seems to be alternative, although rare, physiotherapy encounters in institutional settings, where older people are allowed to elaborate their own views and participate into goal setting (Jorgensen, 2000;Parry, 2004a).…”

Section: Agency Of Older People In Health Care Contextsmentioning

confidence: 99%

Interaction between clients and physiotherapists in group exercise classes in geriatric rehabilitation

Wallin¹,

Talvitie²,

Cattan³

et al. 2009

Advances in Physiotherapy

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The aim of this paper is to explore how older people construct their interaction in group exercise classes in geriatric rehabilitation, and what is the scope of their agency? Discourse analysis was employed and data, consisting of 7 videotaped group based exercise sessions, were collected from 7 rehabilitation centers involving 52 older people (age 66 -93 years) and 9 rehabilitation professionals. Four discourse categories were found. In 'taciturn exercising' older people remained verbally silent but physically active. In 'submissive disagreeing' older people were directly opposing the professionals' agenda with reluctant alignment to proposals. Where as in 'resilient endeavouring' older adults persisted on their stance, regardless of the disapproval of the professionals. In 'lay helping' older people initiated spontaneous encouragement, but also provided verbal and physical assistance for their peers. Older people's agency, whilst being likely to challenge institutional flow of activities, can be an integral part of the re-ablement process of rehabilitation.

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