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Disabil Rehabil. 2009;31(2):61-72. doi: 10.1080/09638280701775289.

Going home to get on with life: patients and carers experiences of being discharged from hospital following a stroke.

Author information

  • 1School of Health Professions and Rehabilitation Sciences, University of Southampton, UK. cseh@soton.ac.uk

Abstract

PURPOSE:

In this paper we aim to develop the understanding of what constitutes a 'good' or 'poor' experience in relation to the transition from hospital to home following a stroke.

METHOD:

Semi-structured interviews were carried out with 20 people and 13 carers within one month of being discharged from hospital following a stroke. Interviews covered views of mobility recovery and support from therapy and services. Interviews were transcribed verbatim, coded and analysed in depth in order to explore the discharge process.

RESULTS:

Participants described models of recovery, which involved a sense of momentum and getting on with their life. Discharge was successful if: (i) This sense of momentum was maintained, (ii) they felt supported, and (iii) they felt informed about what was happening. Discharge was seen as difficult when: (a) Momentum was perceived to be lost, (b) people did not feel supported, or (c) they felt in the dark about the plans or their recovery.

CONCLUSIONS:

The discharge experience could be improved by healthcare professionals understanding and exploring patients' individual models of recovery. This would allow professionals to: (a) Access patients concerns, (b) develop programmes addressing these, (c) correct misinterpretations, (d) keep people fully informed, and (e) share and validate the experience, to reduce their sense of isolation.

PMID:
19152154
[PubMed - indexed for MEDLINE]
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