Personal meaning in relation to daily functioning of a patient in physical therapy practice: narratives of a patient, a family member, and physical therapist

Authors Ellen Oosting, Jaap Dronkers, Thomas J. Hoogeboom, Nico L.U. van Meeteren, Willem Marie Speelman
Published in Disability and Rehabilitation
Publication date 2017
Research groups Innovation of Movement Care
Type Article


Purpose: To get insight into personal meaning of a person involved in a physical therapy intervention. Methods: Mrs. A, a 76-year-old woman is referred to a physical therapist (PT) for assessment of functioning and training before total hip arthroplasty (THA). The patient, her daughter, and PT were asked to write a story about their daily life. Stories were analyzed according to the narrative scheme based on a method to find meaning in daily life, which consists of four phases: 1. Motivation; 2. Competences; 3. Performance; and 4. Evaluation. Results: Mrs. A was mainly motivated by her will to do enjoyable social activities and stay independent. Although she tried her best to undertake activities (performance) that made her proud (evaluation), her pain and physical limitations were anti-competences that motivated her to attend healthcare. Although the PT seemed to be aware of personal participation goals, her main motivation was to improve and evaluate functions and activities. The daughter was motivated by good relationships and did not see herself as informal caregiver.

Language English
Published in Disability and Rehabilitation
Year and volume 40 10
Key words revalidatie, patiëntgerichte zorg, spiritualiteit, heupartroplastiek
Page range 1220-1226

Innovation of Movement Care