Discourses in stroke rehabilitation as they present themselves in current physiotherapy and occupational therapy

Disability and Rehabilitation
Hanne Kaae KristensenCharlotte Ytterberg

Abstract

Aim This study aims to discuss current perceptions of rehabilitation and how present rehabilitation practice is affected by dominating discourses in Danish society by exploring discourses expressed in official publications and the constructed journal notes of occupational and physiotherapists' practice of stroke rehabilitation. Method The frame of reference is Fairclough's critical discourse analysis. The analysis comprises seven official documents relevant to stroke rehabilitation provided in Danish health services in 2012-2013. Also, notes written by occupational therapists and physiotherapists in medical records of 10 patients with a stroke diagnosis admitted to hospital in 2012. The documents included were read thoroughly. The texts were analyzed deductively, focusing on discursive practice on articulated understandings of rehabilitation, health practice approaches, and social practice. Results The dominating discourses seem to be Western neoliberalism organizational, medical and ethical discourses. The macro level of discourses consisted of political documents addressing rehabilitation nationally. The meso level mainly concerned medical discourses within stroke rehabilitation whereas the micro level represented local medic...Continue Reading

References

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Apr 26, 2013·Disability and Rehabilitation·Hanne Kaae Kristensen, Lise Hounsgaard
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Citations

Sep 25, 2017·Nursing Inquiry·Kim Joergensen, Jeanette Praestegaard
Jan 25, 2018·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Karen Whalley Hammell
Jan 25, 2018·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Karen Whalley Hammell
Jun 5, 2020·Scandinavian Journal of Occupational Therapy·Julie Katrine Karstensen, Hanne Kaae Kristensen
Jul 24, 2021·Australian Occupational Therapy Journal·Karen Whalley Hammell

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