Gemeinsam eins – Die Alltagsbetätigung eines älteren Ehepaars nach zerebrovaskulärem Insult[1]

Zusammenfassung

Nach einem zerebrovaskulären Insult verändert sich der Alltag für die betroffene Person ebenso wie für ihren Lebenspartner, denn dieser übernimmt meistens die Betreuung im häuslichen Umfeld. Die Veränderungen im Alltag können die Gesundheit und das Wohlbefinden sowohl des Patienten als auch des Partners beeinträchtigen. Aus Sicht der Paare ist jedoch nur wenig über diese Veränderungen bekannt. Diese Fallstudie soll zu einem besseren Verständnis der Erfahrungen eines älteren Ehepaares drei Jahre nach einem zerebrovaskulären Insult führen. Über einen Zeitraum von sieben Monaten wurden bei Hausbesuchen Einzel- und gemeinsame Interviews geführt. Das wichtigste Ergebnis ist, dass die Alltagsbetätigung beider völlig miteinander verwoben ist: Sie handeln als eine gemeinsame Einheit.

Abstract

This exploratory case-study aims to understand an older couple’s experience of their everyday occupations after a stroke. Data were collected through individual and joint interviews conducted during multiple home visits over a period of 7 months, 3 years after the stroke. Analysis resulted in two personal narratives and one joint narrative. The main finding is that their current occupational life is fully intertwined. The couple acts as one entity, conceptualized as one body, three hands and two minds, in their everyday occupations; in timing, coordinating, balancing, orchestrating and assisting. The findings challenge an individualistic view of occupation and suggest a complementary view paying attention to the interdependency of people and the interaction with their close social environment as being part of one complex social system.

Schlüsselwörter

zerebrovaskulärer Insult - co-occupation - narrative Methode - Interdependenz - sozialer Kontext - Ältere

Key words

stroke - co-occupation - narrative method - interdependence - social system - older people

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