title: Client and carer experience of transition home from inpatient stroke rehabilitation.
abstract: OBJECTIVE
  The purpose of this qualitative study was to enhance our understanding of the transition experience for clients with stroke and their carers during discharge and the first month at home.
  
  
  METHODS
  Semi-structured interviews were conducted with five clients with stroke and their carers (n = 5) at 1 month after discharge from stroke rehabilitation. Questioning in the interviews explored preparation for and the experience of the transition. Inductive thematic analysis was completed with the client and carer interviews and the resultant themes were compared. Basic demographic data were collected to allow description of the participants.
  
  
  RESULTS
  Five clients and five carers were interviewed 1 month after discharge to home. The analysis of the client interviews yielded three themes including: rehabilitation was okay, it's a struggle, and supports and assistance. The carer interviews also yielded three themes including: the purpose of rehabilitation, life is different now, and looking to the future.
  
  
  CONCLUSIONS
  The clients and the carers all spoke of the positive aspects of rehabilitation but raised concerns about the limited ability to undertake daily tasks regularly and develop personalised routines in preparation for discharge. The daily routines at home were disrupted with clients taking longer to complete daily activities and carers juggling caring responsibilities with their own lifestyle. Overall, the results suggest that there is a need for stroke rehabilitation services to better prepare the clients and carers for transition to home.
authors.affiliation: School of Health and Rehabilitation Sciences, Division of Occupational Therapy, The University of Queensland, Brisbane, Queensland, Australia. l.gustafsson@uq.edu.au
authors.forename: Louise
authors.initials: L
authors.lastname: Gustafsson
authors.forename: Kerryn
authors.initials: K
authors.lastname: Bootle
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007297:Inpatients; D007407:Interviews as Topic; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D036301:Qualitative Research; D012944:Social Support; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation