Personal meaning in relation to daily functioning of a patient in physical therapy practice: narratives of a patient, a family member, and physical therapist
| Autor: | Willem Marie Speelman, Jaap Dronkers, Nico L. U. van Meeteren, Thomas J. Hoogeboom, E. Oosting |
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| Přispěvatelé: | Epidemiologie, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation |
| Rok vydání: | 2018 |
| Předmět: |
030506 rehabilitation
Activities of daily living total hip arthroplasty PERCEPTIONS Arthroplasty Replacement Hip patient-centered care Disability Evaluation 0302 clinical medicine Narrative Professional-Family Relations Activities of Daily Living patiëntgerichte zorg participation physical therapy 030212 general & internal medicine Netherlands media_common DISCHARGE METASYNTHESIS Daughter Narration spirituality revalidatie heupartroplastiek EXPERIENCES Female Independent Living Spiritual care HEALTH 0305 other medical science Psychology REHABILITATION medicine.medical_specialty Psychotherapist media_common.quotation_subject Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center TOTAL HIP spiritualiteit Intervention (counseling) Preoperative Care medicine Humans Family Meaning (existential) ARTHROPLASTY Social Behavior OLDER-ADULTS Physical Therapy Modalities Aged Motivation QUALITATIVE RESEARCH Physical Therapists spiritual care Physical therapy Independent living Qualitative research |
| Zdroj: | Disability and Rehabilitation, 40, 10, pp. 1220-1226 Disability and Rehabilitation. Informa Healthcare Disability and Rehabilitation, 40(10), 1220-1226 Disability and Rehabilitation, 40(10), 1220-1226. Routledge/Taylor & Francis Group Disability and Rehabilitation, 40, 1220-1226 |
| ISSN: | 0963-8288 |
| Popis: | To get insight into personal meaning of a person involved in a physical therapy intervention.Mrs. A, a 76-year-old woman is referred to a physical therapist (PT) for assessment of functioning and training before total hip arthroplasty (THA). The patient, her daughter, and PT were asked to write a story about their daily life. Stories were analyzed according to the narrative scheme based on a method to find meaning in daily life, which consists of four phases: 1. Motivation; 2. Competences; 3. Performance; and 4.Mrs. A was mainly motivated by her will to do enjoyable social activities and stay independent. Although she tried her best to undertake activities (performance) that made her proud (evaluation), her pain and physical limitations were anti-competences that motivated her to attend healthcare. Although the PT seemed to be aware of personal participation goals, her main motivation was to improve and evaluate functions and activities. The daughter was motivated by good relationships and did not see herself as informal caregiver.The narrative method was a valuable tool to clarify motivations, competences, and values in the process of creating personal meaning related to functioning. This knowledge could help caregivers in applying patient-centered goal-setting and treatment on a participation level. Implications for rehabilitation Personal meaning of people's functioning within their daily context can be clarified from daily life stories. This case report demonstrates that motivations and goals may differ between patient and therapist; the PT seems to focus on improving and evaluating functions and activities, while the patient seems to focus her motivations and personal meaning on participation. This approach may help in patient-centered goal-setting at the level of activities and participation. |
| Databáze: | OpenAIRE |
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