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Health, wellness, and safety concerns of persons with moderate-to-severe traumatic brain injury and their family caregivers: a qualitative content analysis.

Publication ,  Journal Article
Oyesanya, TO; Arulselvam, K; Thompson, N; Norelli, J; Seel, RT
Published in: Disability and rehabilitation
March 2021

Persons with moderate-to-severe traumatic brain injury (TBI) face issues with health, wellness, and safety that affect their ability to independently manage their care, even for individuals who are ≥75% independent in activities of daily living. These issues often lead to increased family involvement in managing the person's condition after discharge home.We explored health, wellness, and safety concerns after discharge home from inpatient rehabilitation from the perspectives of persons with TBI who are ≥75% independent in activities of daily living and their family caregivers.We interviewed 27 persons with TBI and family caregivers and used conventional content analysis to analyse the data.Seven themes related to health, wellness, and safety encompassed participants' experience. Health themes included: (1) attempting to manage medications and (2) navigating mental health difficulties. Wellness themes included: (1) working to stay physically active, (2) dealing with sleep and sleeplessness, and (3) adjusting to changing social relationships. Safety themes were: (1) addressing mobility challenges and (2) compensating for complications with cognitive functioning.Findings can guide the development of tools, supports, and resources to promote health, wellness, and safety of persons with TBI as they recover after discharge home.Implications for rehabilitationFindings on numerous concerns related to health, wellness, and safety suggest the need for implementation or development and testing of tools, supports, and resources to promote health, wellness, and safety of persons with traumatic brain injury as they recover after discharge home.Our findings can be used to educate healthcare providers and increase awareness of the nuanced challenges patients and families face after discharge home.Findings can also be used by providers to educate patients and families on realistic expectations for life after discharge.

Duke Scholars

Published In

Disability and rehabilitation

DOI

EISSN

1464-5165

ISSN

0963-8288

Publication Date

March 2021

Volume

43

Issue

5

Start / End Page

685 / 695

Related Subject Headings

  • Rehabilitation
  • Patient Discharge
  • Humans
  • Health Promotion
  • Caregivers
  • Brain Injuries, Traumatic
  • Activities of Daily Living
  • 44 Human society
  • 42 Health sciences
  • 32 Biomedical and clinical sciences
 

Citation

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Oyesanya, T. O., Arulselvam, K., Thompson, N., Norelli, J., & Seel, R. T. (2021). Health, wellness, and safety concerns of persons with moderate-to-severe traumatic brain injury and their family caregivers: a qualitative content analysis. Disability and Rehabilitation, 43(5), 685–695. https://doi.org/10.1080/09638288.2019.1638456
Oyesanya, Tolu O., Karthik Arulselvam, Nicole Thompson, Jenna Norelli, and Ronald T. Seel. “Health, wellness, and safety concerns of persons with moderate-to-severe traumatic brain injury and their family caregivers: a qualitative content analysis.Disability and Rehabilitation 43, no. 5 (March 2021): 685–95. https://doi.org/10.1080/09638288.2019.1638456.
Oyesanya TO, Arulselvam K, Thompson N, Norelli J, Seel RT. Health, wellness, and safety concerns of persons with moderate-to-severe traumatic brain injury and their family caregivers: a qualitative content analysis. Disability and rehabilitation. 2021 Mar;43(5):685–95.
Oyesanya, Tolu O., et al. “Health, wellness, and safety concerns of persons with moderate-to-severe traumatic brain injury and their family caregivers: a qualitative content analysis.Disability and Rehabilitation, vol. 43, no. 5, Mar. 2021, pp. 685–95. Epmc, doi:10.1080/09638288.2019.1638456.
Oyesanya TO, Arulselvam K, Thompson N, Norelli J, Seel RT. Health, wellness, and safety concerns of persons with moderate-to-severe traumatic brain injury and their family caregivers: a qualitative content analysis. Disability and rehabilitation. 2021 Mar;43(5):685–695.

Published In

Disability and rehabilitation

DOI

EISSN

1464-5165

ISSN

0963-8288

Publication Date

March 2021

Volume

43

Issue

5

Start / End Page

685 / 695

Related Subject Headings

  • Rehabilitation
  • Patient Discharge
  • Humans
  • Health Promotion
  • Caregivers
  • Brain Injuries, Traumatic
  • Activities of Daily Living
  • 44 Human society
  • 42 Health sciences
  • 32 Biomedical and clinical sciences