title: Family caregivers' experience of activities of daily living handling in older adult with stroke: a qualitative research in the Iranian context.
abstract: BACKGROUND
  Patients with stroke require additional support from family to live independently in the area of activities of daily living. Family members are usually the main caregivers of stroke patients. Comprehensive explanation of ADL handling from family caregivers' view is lacking.
  
  
  OBJECTIVE
  This study explores and describes family caregivers' experiences about the strategies to handle activities of daily living (ADL) dependency of elderly patient with stroke in the Iranian context.
  
  
  METHODS
  A qualitative content analysis approach was conducted to analyse data. Nineteen family caregivers participated in the study from multiple physiotherapy clinics of physiotherapy in Sari (Iran) between September 2013 and May 2014. Data were generated through in-depth interviews, and content analysis method was used to analyse the data and determine themes.
  
  
  RESULTS
  The findings show that family caregivers manage the ADL dependency of their elderly stroke patients through seven strategies including encouraging physical movements, providing personal hygiene, nutritional consideration, facilitating religious activities, filling leisure time, and facilitating transfer and assisting in financial issues.
  
  
  CONCLUSIONS
  Family has an important role in handling of elderly stroke patients' ADL dependency. Health practitioners can take benefit from the findings to help the stroke families play more active role in the handling ADL dependency of their patients after stroke.
authors.affiliation: Department of Nursing, The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Hesamzadeh
authors.affiliation: Department of Nursing, The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Asghar
authors.initials: A
authors.lastname: Dalvandi
authors.affiliation: Department of Nursing, The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Sadat
authors.initials: S
authors.lastname: Bagher Maddah
authors.affiliation: Department of Nursing, The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Masoud
authors.initials: M
authors.lastname: Fallahi Khoshknab
authors.affiliation: Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
authors.forename: Fazlollah
authors.initials: F
authors.lastname: Ahmadi
authors.affiliation: Central Library, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Nazila
authors.initials: N
authors.lastname: Mosavi Arfa
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D020521:Stroke / Q000503:physiopathology*; D055815:Young Adult
keywords: ADL handling; activities of daily living; caregiver's experience; cerebrovascular accident; content analysis; elderly stroke; family caregiver; family member; qualitative research; stroke patient care