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- Eriksson, Gunilla, et al.
(författare)
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Handling fatigue in everyday activities at five years after stroke : A long and demanding process
- 2023
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis Group. - 1103-8128 .- 1651-2014. ; 30:2, s. 228-238
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Tidskriftsartikel (refereegranskat)abstract
- Background Fatigue is common and can be challenging after stroke. Aim To explore how post-stroke fatigue (PSF) was experienced and handled among people with stroke in their performance of everyday activities and in participation in social activities five years after stroke. Methods Nine persons who perceived PSF one year after stroke onset were interviewed five years later. The interviews were analysed using qualitative content analysis. Results Most participants experienced PSF even five years after stroke and reported longstanding difficulties in everyday activities. Handling fatigue-a long slow process with invisible adjustments in everyday life emerged as the theme. By implementing new strategies in everyday life their PSF lessened over time. Understanding among significant others as to how PSF appears and providing information about PSF early after stroke was perceived important. Conclusion This study adds new knowledge regarding experiences of PSF and long-term support needs. Even if PSF still was reported the participants experienced improvements in everyday life through the application of new strategies. Information about PSF and strategies for managing everyday life should be provided during rehabilitation. Significance This study is one out of only a few focussing on long-term PSF and adjustment to its consequences in everyday life.
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| 2. |
- Lantz, Ann‐Christin Hultman, et al.
(författare)
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Evaluation of patient participation in relation to the implementation of a person-centered nursing shift handover
- 2023
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Ingår i: Worldviews on Evidence-Based Nursing. - : WILEY. - 1545-102X .- 1741-6787. ; 20:4, s. 330-338
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundIt has been suggested that nursing shift-to-shift handover should be a more team-based dialogue with and for the patient rather than about a patient. AimThe aim of this study was to evaluate patient participation in relation to the implementation of the person-centered handover (PCH). MethodA pretest-posttest design was used without a comparison group, including patients from nine units in a university hospital at pretest (n = 228) and after implementing PCH (posttest, n = 253) per the framework integrated-Promoting Action on Research Implementation in Health Services. The PCH is inspired by an Australian bedside handover model. The Patient Preferences for the Patient Participation tool was used to rate the preference for and experience of participation on 12 items, combined into three levels of preference-based participation (insufficient-fair-sufficient). ResultsThere were no differences regarding experience or preference-based participation between patients at pretest-posttest; however, posttest patients experienced participation in the item Reciprocal communication to a lesser extent than the pretest patients. Only 49% of the posttest group received PCH; of those not receiving PCH, some would have wanted PCH (27%), while some would have declined (24%). Patients receiving PCH had sufficient participation (82%), to a greater extent, regarding the item Sharing ones symptoms with staff than patients at pretest (72%). Patients receiving PCH also had sufficient participation, to a greater extent, than patients at posttest who did not receive, but would have wanted PCH, regarding four items: (1) sharing ones symptoms with staff, (2) reciprocal communication, (3) being told what was done, and (4) taking part in planning. Linking evidence to actionMost patients want to be present at PCH. Therefore, nurses should ask for the patients preferences regarding PCH and act accordingly. Not inviting patients who want PCH could contribute to insufficient patient participation. Further studies are needed to capture what assistance nurses would want in identifying and acting in alignment with patient preferences.
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| 3. |
- Tõrv, Mari, et al.
(författare)
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Buried at home? Stable isotope analysis of the late hunter-gatherer cemetery population at Tamula, SE Estonia
- 2023
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Ingår i: Estonian Journal of Archaeology. - 1406-2933 .- 1736-7484. ; 27:2, s. 98-128
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Tidskriftsartikel (refereegranskat)abstract
- The function of European Stone Age forager sites with several burials has been debated for decades. One little-known site of this kind is the 4th–3rd millennium cal BC Tamula I (hereinafter Tamula) in south-eastern Estonia. Bringing together the results of archaeological and archaeothanatological analyses and departing from stable isotope based dietary reconstructions together with the idea of ‘you are what you eat’ as a basis for forming a group identity, we discuss the function of Stone Age forager sites with more than one interment. Should these be considered cemeteries, meeting places or ordinary settlements? Bulk stable carbon (δ13C) and nitrogen isotope (δ15N) analysis of human skeletal remains from Tamula and a spatio-temporally close multiple burial at Veibri (5th millennium cal BC) demonstrate a significant consumption of freshwater resources. However, the stable isotope values from these two sites differ significantly, allowing a clear distinction between the two populations. Regarding these values not merely as a reflection of peoples’ dietary preferences, but also as a reflection of their primary identities and an indication of local ecologies, we argue that the stable isotope data together with the fact that the late foragers were sedentary provides additional insights into the discussion on the structure of buried populations. These new isotope data together with archaeological records from Tamula, Veibri and the Stone Age complex Zvejnieki in Latvia suggest that at least three different types of burial places existed among the hunter-gatherer communities in the eastern Baltic region during the Stone Age. In the future, these preliminary results about the people forming a burial community could be further consolidated by the establishment of local baseline information and the application of stable isotope analysis of single amino acids.
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