Coping strategies and resilience

How do I cope with the changes

Disability often has a profound impact on daily living, routines, and relationships. The impact of a disability may be moderated by different coping strategies. Individuals who were interviewed coped with their stroke and associated lifestyle changes in many different ways. Some people felt frustrated, short tempered or emotional and took out their anger on those closest to them although they did not always realise that they are doing this until later. In other cases, a ‘tug-of- war’ occurred between feeling down and frustrated versus feeling grateful for surviving and hopeful for the future. Some individuals noted, that there is ‘ a danger in life being too easy’ and in hindsight, feel that their initial and ongoing struggles with stroke have made them stronger individuals.

Whilst most people discussed the negative impact on their lives some said that they had changed in positive ways too. This included becoming a better person with more humility, looking out more for people with disabilities or older people and having more enthusiasm for life. Other things that helped people with the emotional side of stroke included a determination to get better, or not to let the stroke beat them, and having supportive family and friends.

He feels his wife has been there for him 100% but he has taken out a lot of his frustration at…

Age at interview 69

Gender Male

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He was frustrated because he could not speak and sometimes was impatient with his young daughter.

Age at interview 44

Gender Male

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Although the frustration often did not go away many people felt that as time passed they coped better and were less likely to get upset.

She has problems with her speech and with daily activities which limit her life and can make her…

Age at interview 34

Gender Female

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Some people alluded to sources of inspiration including people who have demonstrated exceptional resilience after a health crisis. In these cases, observing what others overcame created a motivating drive in rehabilitation. Further, an upcoming event such as the birth of a grandchild or an anticipated holiday served as important goal posts.

Douglas Bader, a famous spitfire pilot in the Second World War was a source of inspiration for…

Age at interview 47

Gender Male

Age at diagnosis 45

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David referred to others who have overcome great odds to make important contributions to the…

Age at interview 62

Gender Male

Age at diagnosis 54

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Setting manageable goals in care

Some individuals spoke about the important of managing expectations and setting reasonable goals in care.

Susan talks about the importance of setting small manageable goals in recovery.

Age at interview 67

Gender Female

Age at diagnosis 63

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David talks about the importance on focusing on one thing at a time during the recovery process.

Age at interview 62

Gender Male

Age at diagnosis 54

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Personalising rehabilitation

In some cases ‘personalised’ rehabilitation techniques (e.g. rehabilitation tied to a hobby or interest) served as a useful coping strategy and facilitated recovery.

She visualised a piano keyboard in her mind. By pressing notes she would visually send signals to…

Age at interview 54

Gender Female

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Gavin spoke about his determination to get better and how incorporating his interests into his…

Age at interview 47

Gender Male

Age at diagnosis 45

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