In occupational therapy, the underlying purpose of therapy in stroke rehabilitation is to help clients achieve an optimal level of functioning that is as close to their prior level of functioning as possible. Due to the acuity of stroke injury, much of the initial rehabilitative intent of therapy is focused on basic activities of daily living (BADL) and instrumental activities of daily living (IADL). The occupation of leisure is often not addressed to the extent ADL and IADL functioning is addressed, and possibly due to the limited time spent in rehabilitation it may never be addressed at all. Occupational therapy must establish leisure education that addresses the limitations stroke imposes on leisure participation throughout the rehabilitative process, such that the clients have a regained sense of purpose and meaning associated with leisure participation because leisure participation has been identified to contribute largely to well-being and life satisfaction post-stroke.
What is the evidence for the role of leisure and what is its effect on improved quality of life in stroke rehabilitation?
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