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Perceptions and abilities over the r...

Redwine, Angela Marketa.

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Perceptions and abilities over the rehabilitation trajectory: A study of post ICU recovery.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Perceptions and abilities over the rehabilitation trajectory: A study of post ICU recovery./
Author:	Redwine, Angela Marketa.
Description:	236 p.
Notes:	Adviser: John F. Watkins.
Contained By:	Dissertation Abstracts International69-01A.
Subject:	Education, Religious. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3298862
ISBN:	9780549439066

Perceptions and abilities over the rehabilitation trajectory: A study of post ICU recovery.
Redwine, Angela Marketa.

Perceptions and abilities over the rehabilitation trajectory: A study of post ICU recovery. - 236 p.

Adviser: John F. Watkins.

Thesis (Ph.D.)--University of Kentucky, 2007.

Keywords. Functional Dynamics, Locational Trajectory, Fluidity of Perceptions, Intensive Care Unit, Relocation

ISBN: 9780549439066Subjects--Topical Terms:

1017705
Education, Religious.

Perceptions and abilities over the rehabilitation trajectory: A study of post ICU recovery.
LDR:02961nam 2200301 a 45 001 947282
005 20110524
008 110524s2007 ||||||||||||||||| ||eng d
020 $a 9780549439066
035 $a (UMI)AAI3298862
035 $a AAI3298862
040 $a UMI $c UMI
100 1 $a Redwine, Angela Marketa. $3 1270747
245 1 0 $a Perceptions and abilities over the rehabilitation trajectory: A study of post ICU recovery.
300 $a 236 p.
500 $a Adviser: John F. Watkins.
500 $a Source: Dissertation Abstracts International, Volume: 69-01, Section: A, page: 0337.
502 $a Thesis (Ph.D.)--University of Kentucky, 2007.
520 $a Keywords. Functional Dynamics, Locational Trajectory, Fluidity of Perceptions, Intensive Care Unit, Relocation
520 $a The ability to function in one's environment is essential in maintaining independence. Yet, older people are often confronted with unexpected acute health episodes that diminish function, requiring admission to intensive care units (ICU) followed by either voluntary or involuntary relocation. Very little qualitative prospective research has been conducted in this area. The continual interplay between a person's functional trajectory following an unexpected acute health event, and the locational trajectory from hospitalization through rehabilitation and discharge remains poorly understood. This study examines change in self-reported function and perceptions of the experience from the perspective of older participants, ages 65 -- 97, as they progress through unexpected acute health episodes, admission to ICU, changes in functional abilities, and release to various settings. A purposive sample of 10 participants was interviewed five times each over a time period of 24 months. A grounded theory approach was employed to develop a conceptual model that describes and explains the evolving function-location relationship, as a means of better understanding the event-recovery trajectory, and of improving care decisions. Findings revealed five main themes that were surrounded by the use of prior life experiences as the participants searched for stability. First, there was a mismatch of expectations and realities concerning the ICU experience and functional capacity. Second, as health changes were experienced over time, there was a fluidity of perceptions concerning one's health and medical care. Third, there were uncertainty and fear of the unknown concerning health, death, finances, and independence. Fourth, social comparisons were applied as the concept of "normal" was used. And fifth, religion and prayer were used as adaptive devices and coping mechanisms in the reestablishment of equilibrium.
590 $a School code: 0102.
650 4 $a Education, Religious. $3 1017705
650 4 $a Gerontology. $3 533633
650 4 $a Psychology, Social. $3 529430
690 $a 0351
690 $a 0451
690 $a 0527
710 2 $a University of Kentucky. $3 1017485
773 0 $t Dissertation Abstracts International $g 69-01A.
790 $a 0102
790 1 0 $a Watkins, John F., $e advisor
791 $a Ph.D.
792 $a 2007
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3298862