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  4. Vulnerable, but strong: The spinal cord-injured patient during rehabilitation

Vulnerable, but strong: The spinal cord-injured patient during rehabilitation

Int J Qualitative Stud Health Well-being, 2010 · DOI: 10.3402/qhw.v5i3.5145 · Published: October 4, 2010

Spinal Cord InjuryRehabilitationPublic Health

Simple Explanation

This paper explores the vulnerability experienced by spinal cord-injured patients during rehabilitation and how they find strength to cope with their situation. The study followed 12 patients for two years, observing them in the rehabilitation unit and after they were discharged, using interviews and observations to understand their experiences. The research found that patients' feelings of vulnerability varied, and they drew on their strength to manage the challenges. It suggests that vulnerability is more about the person's experience of their situation.

Study Duration
2 years
Participants
12 spinal cord-injured patients
Evidence Level
Not specified

Key Findings

  • 1
    Spinal cord injury significantly impacts various aspects of life, affecting physical and mental well-being and creating an imbalance between demands and resources.
  • 2
    Patients exhibit strength through inner resources and support from others, which can be seen in their ability to handle difficult situations and adapt to their new circumstances.
  • 3
    Vulnerability can be reduced or increased based on the balance between resources and demands, with progress in rehabilitation, support from professionals, and a positive attitude contributing to a sense of strength.

Research Summary

The study investigates the vulnerability and strength of spinal cord-injured patients during rehabilitation, using a phenomenological-hermeneutic narrative approach. Data collected from observations and interviews with 12 patients over two years revealed that patients' perceptions of vulnerability varied, and strength was mobilized to overcome the imbalance between demands and resources. The study concludes that vulnerability should be understood as a person's experience of the situation, encouraging professionals to adopt an open and exploratory approach towards patients.

Practical Implications

Personalized Care

Professionals should recognize and address the individual experiences of vulnerability in patients with spinal cord injuries.

Support Systems

Healthcare providers should focus on strengthening patients' resources through support from relatives, knowledge, and positive attitudes.

Holistic Approach

Rehabilitation programs should consider both the physical and mental aspects of recovery, addressing the imbalance between needs and resources.

Study Limitations

  • 1
    Small sample size of 12 participants
  • 2
    Focus on Danish-speaking adults, limiting generalizability
  • 3
    Potential for researcher bias in data interpretation

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