Towards meaningful occupational participation

As the population of Finland is aging there is a growing need for development of new forms of preventive and goal-directed home reablement. Home based rehabilitation has been seen strengthening the performance of the client... [ view full abstract ]

As the population of Finland is aging there is a growing need for development of new forms of preventive and goal-directed home reablement. Home based rehabilitation has been seen strengthening the performance of the client and preventing re-hospitalization. The Department of Social Services and Health Care of City of Helsinki is developing a multi-professional reablement-model for home care as a project with Rehabilitation Competence Center. This study is part of a triad of three theses called “Critical factors of Reablement-model” in collaboration with the project. The purpose of this case study is to bring new information by three client cases that open and describe the occupational participation and changes in it due to the reablement-process. The data was collected by semi-structured interviews with three clients after the reablement process, as well as with their home care nurses and occupational therapists taking part in the process. Social environment in the Canadian Model of of Occupational Performance and Engagement and Model of Human Occupation form the theoretical frame of reference. The result of the thesis is formed by the three client cases and the points made out of the changes in the performance of clients. As conclusion, referring to the recent studies and news articles, the question cannot be avoided: should the social networks and the influence of social environment on home care clients well-being be considered more systematically within the interventions as reablement.