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[The meaningful activities approach in post-stroke neurorehabilitation: an identity-based intervention in a nurse
Carlo Alberto Camuccio1, Sara Guglielmi2, Valeria Basso3
1Immunologia e Diagnostica Molecolare Oncologica (IDMO), Istituto Oncologico Veneto (IOV) IRCSS, Padova.
Abstract:
. The meaningful activities approach in post-stroke neurorehabilitation: an identity-based intervention in a nurse with severe stroke.
Background:
Neurorehabilitation often lacks personalized strategies that incorporate patients' identities and meaningful activities; those aligned with personal goals, skills, and identity, can enhance motivation, participation, and long-term engagement. This study describes a nursing intervention aimed at integrating professional identity into rehabilitation for a nurse recovering from a severe stroke.
Purpose:
To describe the outcomes of a neurorehabilitation intervention based on meaningful activities derived from the patient's nursing background.
Method:
A case study on a post-stroke nurse patient. An interdisciplinary team designed and implemented cognitive stimulation activities based on nursing procedures performed by the patient together with the ward nurses. Emotional and cognitive changes were monitored using neuropsychological tests and the Goal Attainment Scaling.
Results:
The patient showed progressive emotional stabilization and improvements in attention and visuospatial abilities, she regained autonomy in activities of daily living. These improvements coincided with engagement in procedural activities grounded on nursing professional identity.
Conclusions:
This approach proved to be effective, well-received by the staff, and therefore promising both for further research and for designing and implementing in clinical practice rehabilitation programs that incorporate identity-based meaningful activities, fostering the therapeutic relationship and recovery in post-stroke care.
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