Social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at Walter Reed National Military Medical Center
Objective: To explore how the social context of the clinic influenced the way former patients with lower limb loss in the Military Advanced Training Center at Walter Reed National Military Medical Center evaluated their outcomes. Design: Cross-sectional phenomenological-based interviews...
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doaj-516aba3252e3473f9bc7f7717c699dcf2020-11-24T20:54:19ZengFoundation for Rehabilitation InformationJournal of Rehabilitation Medicine1650-19771651-20812017-11-01501869310.2340/16501977-22742355Social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at Walter Reed National Military Medical CenterSeth Messinger0Sayeh BozorghadadPaul Pasquina Center for Rehabilitation Sciences Research, F Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, 20814 Bethesda, USA. seth.messinger.ctr@usuhs.edu. Objective: To explore how the social context of the clinic influenced the way former patients with lower limb loss in the Military Advanced Training Center at Walter Reed National Military Medical Center evaluated their outcomes. Design: Cross-sectional phenomenological-based interviews and observations. Patients: Twenty individuals with lower limb amputation were recruited from a multidisciplinary military treatment programme for patients with lower-extremity traumatic limb-loss injured in Afghanistan or Iraq. Methods: Lightly structured interviews were conducted either in person or over the telephone with former patients and clinical care-providers. Where possible, observation was conducted in conjunction with the interviews. The research team used content analysis of the data, consistent with ethnographic methods. Results: Analysis of the therapeutic effect of social relationships developed in the clinical rehabilitation programme identified 3 areas of significance: enduring relationships with key care-providers, access to treatment team by patients, and peer support among patients. Conclusion: The social component of service delivery influences patients’ outcomes from clinical care. These results could be translated across healthcare settings to improve patient outcomes. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2274 amputationautonomylowerextremitypeersupportrehabilitationsocialorganization. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Seth Messinger Sayeh Bozorghadad Paul Pasquina |
spellingShingle |
Seth Messinger Sayeh Bozorghadad Paul Pasquina Social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at Walter Reed National Military Medical Center Journal of Rehabilitation Medicine amputation autonomy lowerextremity peersupport rehabilitation socialorganization. |
author_facet |
Seth Messinger Sayeh Bozorghadad Paul Pasquina |
author_sort |
Seth Messinger |
title |
Social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at Walter Reed National Military Medical Center |
title_short |
Social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at Walter Reed National Military Medical Center |
title_full |
Social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at Walter Reed National Military Medical Center |
title_fullStr |
Social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at Walter Reed National Military Medical Center |
title_full_unstemmed |
Social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at Walter Reed National Military Medical Center |
title_sort |
social relationships in rehabilitation and their impact on positive outcomes among amputees with lower limb loss at walter reed national military medical center |
publisher |
Foundation for Rehabilitation Information |
series |
Journal of Rehabilitation Medicine |
issn |
1650-1977 1651-2081 |
publishDate |
2017-11-01 |
description |
Objective: To explore how the social context of the clinic influenced the way former patients with lower limb loss in the Military Advanced Training Center at Walter Reed National Military Medical Center evaluated their outcomes.
Design: Cross-sectional phenomenological-based interviews and observations.
Patients: Twenty individuals with lower limb amputation were recruited from a multidisciplinary military treatment programme for patients with lower-extremity traumatic limb-loss injured in Afghanistan or Iraq.
Methods: Lightly structured interviews were conducted either in person or over the telephone with former patients and clinical care-providers. Where possible, observation was conducted in conjunction with the interviews. The research team used content analysis of the data, consistent with ethnographic methods.
Results: Analysis of the therapeutic effect of social relationships developed in the clinical rehabilitation programme identified 3 areas of significance: enduring relationships with key care-providers, access to treatment team by patients, and peer support among patients.
Conclusion: The social component of service delivery influences patients’ outcomes from clinical care. These results could be translated across healthcare settings to improve patient outcomes. |
topic |
amputation autonomy lowerextremity peersupport rehabilitation socialorganization. |
url |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2274
|
work_keys_str_mv |
AT sethmessinger socialrelationshipsinrehabilitationandtheirimpactonpositiveoutcomesamongamputeeswithlowerlimblossatwalterreednationalmilitarymedicalcenter AT sayehbozorghadad socialrelationshipsinrehabilitationandtheirimpactonpositiveoutcomesamongamputeeswithlowerlimblossatwalterreednationalmilitarymedicalcenter AT paulpasquina socialrelationshipsinrehabilitationandtheirimpactonpositiveoutcomesamongamputeeswithlowerlimblossatwalterreednationalmilitarymedicalcenter |
_version_ |
1716794884276355072 |