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General Motor Function Assessment and Perceptions of Life Satisfaction during and after Geriatric Rehabilitation
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Geriatrics.
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Two main goals of geriatric rehabilitation are to re-establish ability for physical function in order to facilitate independence in activities of daily living (ADL), and to promote an optimal degree of well-being, i.e. life satisfaction, in the individual. In this research a new scale, the General Motor Function assessment scale (GMF), was developed and evaluated. Subsequently, factors perceived as important for the life satisfaction of people undergoing geriatric rehabilitation were investigated.

The GMF includes both mobility and upper limb functions and comprises three subscales covering different aspects of functioning, namely performance-related Dependence, Pain and Insecurity. The clinical practicality of the GMF was evaluated by a field test. Its psychometric properties were analysed in both hospital and community-based settings of geriatric rehabilitation, using non-parametric statistical methods. The results indicated that the GMF is clinically adequate, possesses good reliability and is sensitive enough to demonstrate changes from pre- to post-intervention in different forms of geriatric rehabilitation.

For investigation of perceptions of life satisfaction, individual qualitative interviews were conducted with old (80+) care recipients and with their significant others, who had a helping relationship with them. The results revealed that habitual activity, independence and adaptation were generally considered to be important for the life satisfaction of the care recipients. Recalling of pleasant past memories in an effort to achieve current life satisfaction was a commonly used adaptive strategy among the care recipients. This strategy created a temporary sense of life satisfaction, with a potential for concealing dissatisfaction with conditions that might otherwise be correctable. From the perspective of the significant others, protection of the continuity of the care recipients’ self was seen as vital for the latter's life satisfaction, and was thus an underlying general purpose of the informal caregiving.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis , 2003. , p. 71
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1309
Keywords [en]
Geriatric nursing, geriatric rehabilitation, motor function, assessment, qualitative interviews, life satisfaction, self-expresion, informal care
Keywords [sv]
Äldrevård
National Category
Other Social Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:uu:diva-3788ISBN: 91-554-5812-2 (print)OAI: oai:DiVA.org:uu-3788DiVA, id: diva2:163706
Public defence
2003-12-18, Auditorium Minus, Gustavianum, Akademigatan 3, Uppsala, 09:15
Opponent
Supervisors
Available from: 2003-11-25 Created: 2003-11-25Bibliographically approved
List of papers
1. Development and reliability of the General Motor Function assessment scale (GMF): A performance-based measure of function-related dependence, pain and insecurity
Open this publication in new window or tab >>Development and reliability of the General Motor Function assessment scale (GMF): A performance-based measure of function-related dependence, pain and insecurity
2003 In: Disbaility and Rehabilitation, Vol. 25, no 9, p. 462-72Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-91102 (URN)
Available from: 2003-11-25 Created: 2003-11-25Bibliographically approved
2. Evaluation and application of the General Motor Function assessment scale in geriatric rehabilitation
Open this publication in new window or tab >>Evaluation and application of the General Motor Function assessment scale in geriatric rehabilitation
2003 In: Disability and Rehabilitation, Vol. 25, no 7, p. 360-8Article in journal (Refereed) Published
Identifiers
urn:nbn:se:uu:diva-91103 (URN)
Available from: 2003-11-25 Created: 2003-11-25Bibliographically approved
3. On Loss of activity and independence, adaptation improves life satisfaction in old age
Open this publication in new window or tab >>On Loss of activity and independence, adaptation improves life satisfaction in old age
Show others...
Article in journal (Refereed) Submitted
Identifiers
urn:nbn:se:uu:diva-91104 (URN)
Available from: 2003-11-25 Created: 2003-11-25Bibliographically approved
4. Continuity of the self in later life: perceptions of informal caregivers
Open this publication in new window or tab >>Continuity of the self in later life: perceptions of informal caregivers
Show others...
Article in journal (Refereed) Submitted
Identifiers
urn:nbn:se:uu:diva-91105 (URN)
Available from: 2003-11-25 Created: 2003-11-25Bibliographically approved

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Citation style
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  • Other locale
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Output format
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