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Clients' perceptions of discharge housing decisions after stroke rehabilitation

journal contribution
posted on 28.05.2019, 00:00 authored by Carolyn UnsworthCarolyn Unsworth
Objective. The purpose of this research was to examine the perceptions of older persons with stroke concerning the discharge housing decisions made during their rehabilitation program. The research explored clients' locus of control, their perceptions of the role of the rehabilitation team and their family in the decision, and their perceptions of their activities of daily living skiffs. Method. Sixty-two subjects with stroke completed four measures: (a) the Functional Independence Measure (FIM), (b) a housing information questionnaire, (c) a semistructured interview, and (d) the Bialer Locus of Control Scale. Rehabilitation team members also completed the FIM and housing information questionnaire for each subject. These instruments were used to collect data relating to clients'perceptions oftheirfunctional status, discharge from the hospital housing options available, and locus of control Results. Despite the team or family opinions on discharge housing, subjects saw housing decisions as primarily their own. The majority of subjects were reluctant to consider alternatives to returning home, even though they have selfcare deficits and frequently reported that the presence of a spouse and family members were important to support their return home. Subjects generally seemed unaware of the influence of team and family opinions and the impact of their functional status on their discharge housing. Subjects' locus of control seemed unrelated to satisfaction with the discharge decision process. Conclusion. Clients who have had a stroke could use assistance to determine housing that is appropriate for their living skills. Discussions with clinicians concerning accommodation options may lead to a smoother transition from the hospital to longer term housing for clients after stroke.

Funding

Category 2 - Other Public Sector Grants Category

History

Volume

50

Issue

3

Start Page

207

End Page

216

Number of Pages

10

ISSN

0272-9490

Publisher

American Occupational Therapy Association, Inc.

Peer Reviewed

Yes

Open Access

No

Acceptance Date

20/04/1995

External Author Affiliations

Tufts University, Medford, Massachusetts

Era Eligible

Yes

Journal

American Journal of Occupational Therapy