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Outcomes after stroke: Basic and instrumental activities of daily living, community reintegration and generic health status
Author(s) -
Hoffmann Tammy,
McKenna Kryss,
Cooke Deirdre,
Tooth Leigh
Publication year - 2003
Publication title -
australian occupational therapy journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 44
eISSN - 1440-1630
pISSN - 0045-0766
DOI - 10.1046/j.1440-1630.2003.00376.x
Subject(s) - activities of daily living , vitality , stroke (engine) , gerontology , psychology , normative , occupational therapy , intervention (counseling) , barthel index , telephone interview , medicine , physical therapy , psychiatry , mechanical engineering , social science , philosophy , theology , epistemology , sociology , engineering
This study describes the discharge destination, basic and instrumental activities of daily living (ADL), community reintegration and generic health status of people after stroke, and explored whether sociodemographic and clinical characteristics were associated with these outcomes. Participants were 51 people, with an initial stroke, admitted to an acute hospital and discharged to the community. Admission and discharge data were obtained by chart review. Follow‐up status was determined by telephone interview using the Modified Barthel Index, the Assessment of Living Skills and Resources, the Reintegration to Normal Living Index, and the Short‐Form Health Survey (SF‐36). At follow up, 57% of participants were independent in basic ADL, 84% had a low risk of experiencing instrumental ADL difficulties, most had few concerns with community reintegration, and SF‐36 physical functioning and vitality scores were lower than normative values. At follow up, poorer discharge basic ADL status was associated with poorer instrumental ADL and community reintegration status, and older participants had poorer instrumental ADL, community reintegration and physical functioning. Occupational therapists need to consider these outcomes when planning inpatient and post‐discharge intervention for people after stroke.