Transition Experiences of Stroke Survivors Following Discharge Home

Rittman, Maude; Boylstein, Craig; Hinojosa, Ramon; Hinojosa, Melanie Sberna; Haun, Jolie

doi:10.1310/tsr1402-21

Cited by 65 publications

(92 citation statements)

References 30 publications

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“…When family members see that the loved one will survive, they anticipate changes needed after discharge, and the individuals with stroke begin coping with changes in functional abilities and body image [7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Research has found that the experiences of individuals with stroke during the first month postdischarge involve adapting to changes in their sense of self, connections with others, and community participation [8][9]. Managing multiple psychosocial changes in the first month postdischarge is often very difficult [10], and research supports the need for interventions during the immediate postdischarge period [11].…”

Section: Introductionmentioning

confidence: 99%

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A culturally sensitive Transition Assistance Program for stroke caregivers: Examining caregiver mental health and stroke rehabilitation

Perrin¹,

Johnston²,

Vogel³

et al. 2010

JRRD

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Abstract-This study developed and implemented the Transition Assistance Program (TAP) for stroke caregivers. The program is composed of (1) skill development, (2) education, and (3) supportive problem solving. Sixty-one dyads (n = 122) participated: thirty-nine from Puerto Rico and twenty-two from Texas. Participants were randomly assigned to the TAP treatment or a control group. As caregiver satisfaction with the TAP increased, strain and depression decreased, and caregivers reported a very high rate of program satisfaction (9.5 out of 10). The TAP effectively reduced caregiver strain at the 3-month follow-up. When controlling for baseline differences, we found that the treatment group had lower depression (p = 0.07) than the control group at follow-up and that the TAP may have had a preventative effect on depression for caregivers who had not been depressed at discharge, although this visual trend did not reach statistical significance. Among veterans with low functioning at baseline, veterans whose caregivers had received the TAP improved in functioning more than did veterans whose caregivers had been in the control group, although this visual trend was not significant. Functioning in veterans with stroke was also significantly linked to caregiver satisfaction with the TAP. The findings from the current study warrant further evaluation of the TAP intervention.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A culturally sensitive Transition Assistance Program for stroke caregivers: Examining caregiver mental health and stroke rehabilitation

Perrin¹,

Johnston²,

Vogel³

et al. 2010

JRRD

Self Cite

View full text Add to dashboard Cite

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“…Researchers have demonstrated that patients with PTSD who displayed a high level of avoidance behaviours also reported more social isolation and high level of depression after their MI [38,39]. Although participants in the current study reported adequate level of available social support, we believe that the avoidance behaviours resulting from the traumatic MI may have led patients to [40]. This resulting social isolation, in an effort to evade any discussion or recall of their recent MI, may have facilitated or provoked the development of depressive feeling for the patients, as reported by Hinojosa and his collaborators [41].…”

Section: Impact Of Ptsdmentioning

confidence: 58%

Six Months Post Myocardial Infarction Depression: Is Acute PTSD a Predisposing Condition?

Fortin¹

2013

J Depress Anxiety

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Background: Depression has been recognized has one of the most critical psychological issues following a Myocardial Infarction (MI), its presence associated with readmissions and death, augments healthcare costs and increases utilisation of services. For theoretical and clinical reasons, Post-traumatic Stress Disorder (PTSD) should be considered as a predisposing psychological condition for depression. However, its impact on depression's intensity and presence 6 months after a MI has not been clearly assess.Methods: Out of the 870 eligible patients in three Canadian hospitals, 339 completed the research protocol. Patients completed a depression (BDI-II) and a PTSD (MPSS-SR) inventory 48 hours to 14 days post MI to assess the prevalence both disorders. They again completed the BDI-II six months after their MI to investigate the predisposing effect of PTSD on depression.Results: Based on the symptomatology cut-off point of their respective measurement instruments, the prevalence of comorbid PTSD-depression was 11.5%. Patients with PTSD symptomatology one month post-MI report high level of depression symptomatology 6 months after the MI. The level of depression at 6 months for comorbid patients was not different from the depressed or traumatized patients' level at 1 month. Conclusion:The results suggest that the presence of PTSD symptomatology at 1 month is a predisposing condition for the development of depression and its evaluation in a post MI investigation routine is recommended.

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“…The literature shows that the occurrence of CVA affects the life of other members of the family and that this process may be considered chaotic, resulting in changes in family relationships and burnout in the caregivers dealing with this situation, until it attains a new phase of reorganization (17) .…”

Section: Typology 1: the Process Of Caring For The Dependent Elderly mentioning

confidence: 99%

“…A study with stroke survivors showed that in the period of transition from hospital to home, the following stood out: changes in the sense of self and body experiences, changes in the relationship with others and in one's integration in the community (17) , which In the period of transition, there may occur a phase of changes in family relationships, very often followed by a reorganization of the family system to manage this care (19) .…”

Section: Think That This Experience Is Difficult…an Adult Knows How Tmentioning

confidence: 99%

Transition of care for the elderly after cerebrovascular accidents - from hospital to the home

Rodrigues

Marques

Kusumota

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: to examine the transition of care in families caring for elderly persons who suffered the first episode of a cerebrovascular accident. Methodology: an instrumental ethnographic case study was used. The sample comprised 20 subjects: 10 caregivers and 10 elderly persons aged 65 or over, of both sexes, with diagnoses of first episode of cerebrovascular accident, capable of communicating, and requiring care from a main carer in their family. The data was collected through interviews, observation, existing documentation and field notes. Qualitative analysis techniques were used to codify and classify the data and to formulate significant categories, which generated typologies of care. Results and Discussion: The central idea was the Transition of Care and showed the context in three typologies: The care process for the dependent elderly person, Strategies for the care process and Impact and acceptance of the limitations. Conclusion: The data indicates that caring for an elderly person after a cerebrovascular accident is a challenge for the family. The data permitted it possible to elaborate a proposal for a model for the organization of the work, with a view to holistic care delivery in the health services, forming a care network, which constitutes an advance for the area of nursing.Descriptors: Aged; Stroke; Family; Caregivers; Geriatric Nursing. Os dados possibilitaram elaborar uma proposta de modelo para a organização do trabalho, visando a integralidade do cuidado nos serviços de saúde, formando uma rede de cuidado, o que constitui avanço para a área da enfermagem.Descritores: Idoso; Acidente Vascular Cerebral; Família; Cuidadores; Enfermagem Geriátrica. Transición del cuidado del adulto mayor despues del accidente cerebral vascular del hospital para casaObjetivo: examinar la transición del cuidado en familias que cuidan de adultos mayores que sufrieron el primer episodio de accidente cerebral vascular. Metodología: Fue utilizado el estudio de caso etnográfico instrumental. La muestra fue constituida de 20 sujetos, siendo 10 cuidadores y 10 adultos con 65 años y más, de ambos sexos, con diagnóstico de primer episodio de accidente cerebral vascular, capaces de comunicarse, demandando cuidado de un cuidador principal en la familia. Los datos fueron colectados por medio de entrevistas, observaciones, documentos existentes y notas de campo. Fueron utilizadas las técnicas de análisis cualitativo para codificar, clasificar los datos y formular categorías significativas, lo que generó tipologías de cuidado. Resultados y Discusión: La idea central fue la transición del cuidado y mostró el contexto en tres tipologías: El proceso de cuidar del adulto mayor dependiente, Estrategias para el proceso de cuidar e Impacto y aceptación de las limitaciones. Conclusión: Los datos nos indicaron que el cuidado para el adulto mayor, después del accidente cerebral vascular es un desafío para la familia. Los datos posibilitaron elaborar una propuesta de modelo para la organización del trabajo, visando la integralidad del cuid...

show abstract

Transition Experiences of Stroke Survivors Following Discharge Home

Abstract: Findings indicate that changes in sense of self, connectedness with others, and community integration presented the major challenges.

Cited by 65 publications

References 30 publications

A culturally sensitive Transition Assistance Program for stroke caregivers: Examining caregiver mental health and stroke rehabilitation

A culturally sensitive Transition Assistance Program for stroke caregivers: Examining caregiver mental health and stroke rehabilitation

Six Months Post Myocardial Infarction Depression: Is Acute PTSD a Predisposing Condition?

Transition of care for the elderly after cerebrovascular accidents - from hospital to the home

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