ORCID Profile
0000-0002-2238-8689
Current Organisation
University of South Australia
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Publisher: Wiley
Date: 20-12-2012
Abstract: Following a stroke, in iduals' abilities may not match the demands of their environment and occupations, resulting in compromised occupational performance. The process of adaptation can enable adjustment of the way occupations are performed to achieve occupational mastery. The purpose of this honours study was to investigate and describe older adults' lived experience of occupational adaptation following a stroke. An interpretative phenomenological approach was used. Participants in the community were recruited through Domiciliary Care service co-ordinators. In-depth interviews were conducted with three men and two women, aged 68-78 years who had experienced a stroke up to 14 years ago. Data were analysed using the Colazzi's method to formulate themes. Experiencing a stroke is initially a 'shock to the system' and while 'your whole life changes', there are still ways to 'get on and do your best'. The theme 'your whole life changes' had three subthemes: 'apprehension and fear', 'problem solving' and 'stretching the limitations'. Resilience, motivation and effort are the required qualities for adaptive responses after stroke. Coping strategies identified to facilitate occupational mastery include the use of humour, touch, expressing anger, using self-talk, maintaining hope, having a sense of being fortunate and supportive friends and family. These findings support an empowering approach to therapy, facilitating clients to identify and utilise in idually appropriate coping strategies to negotiate negative emotions and apprehension and enable the required personal qualities for occupational adaptation.
Publisher: Informa UK Limited
Date: 06-09-2019
Publisher: Wiley
Date: 14-12-2017
Abstract: Large amounts of time spent alone by older people have been associated with loneliness and poor mental and physical health. There is a paucity of research, however, that examines time alone from an occupational perspective. In this exploratory study we explored the perspectives of older people on their time spent alone. A qualitative descriptive study design was selected. With the aim of maximising variation, five participants were recruited from retirement villages and seven participants who lived independently in the community. Participants recorded time spent alone in a time diary for three days as priming for a semi-structured in-depth interview. Transcripts were analysed thematically. Three key themes were identified: 'it is a matter of getting some balance' 'keeping busy' and 'the nights are the worst'. The study highlights the importance older people place on the need to manage time alone so that it is a positive and nourishing experience and to avoid experiencing extended periods of boredom potentially leading to loneliness. Older people utilise occupations to keep busy and achieve an in idually acceptable level of time alone. Enabling older people to balance time spent alone by addressing barriers to participation in the community in addition to finding engaging occupations to occupy time has the potential to prevent boredom, loneliness and improve wellbeing.
Publisher: SAGE Publications
Date: 08-2013
DOI: 10.4276/030802213X13757040168351
Abstract: A meta-synthesis is a means of extracting data from multiple qualitative studies about the same topic, re-analysing the findings and bringing them together as a collective whole. Data from six qualitative studies that investigated the experience of engaging in occupation following a stroke were extracted and reanalysed with the purpose of gaining a greater understanding of the subjective experience to inform occupational therapy practice. Six databases were systematically searched for literature published in English during 1990–2011. Seven studies were appraised using the Critical Appraisal Skills Programme tool six of these were included in the meta-synthesis. Five conceptual themes regarding occupational engagement emerged from the review: an emotional response, impact on identity, role of significant others, community access and the process of occupational adaptation. Engagement in occupation following a stroke is linked to self-identity and an emotional response both of these, in turn, have an impact on capacity for occupational adaptation. In iduals are situated within a context of significant others and community. These findings give occupational therapists greater insight into the experience of older people following stroke in community settings.
No related grants have been discovered for Shoshannah Kiriam.