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KMID : 1040520110010020031
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Journal of Korean Society of Community-Based Occupational Therapy
2011 Volume.1 No. 2 p.31 ~ p.43
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The Service of Community-Based Rehabilitation in Stroke Patient : A Case Study
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Kim Ji-Hyun
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Abstract
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Objective : The purpose of this case study was to proposed a introduction and result of the disabled with stroke in community using services of Community-Based Rehabilitation.
Methods : The subject was a 63-years old female patient with stroke who first visit to Public health center in July. She was evaluated on activity daily living action level by using the Modified Barthel Index(MBI) and depression level by using Beck Depression Inventory(BDI). The intervention that was suggested by WHO were Community-Based Rehabilitation(CBR) and general occupational therapy. We were applied from April, 27th 2011, to November 30th, 2011 by occupational therapist.
Results : The patient’s total MBI score increased from 35 to 55, it means that activity daily living performance capacity was improved. And BDI score decreased from 26 to 14, it means that depressed symptoms were in great decline. She could stand until 5-10 minutes at first, but later stand over 30minutes now. It means her muscle strength and endurance level was increased. The patient’s mood condition also was stabilized and then she often showed her smiling face during the therapy. And her protector feels the client’s change too.
Conclusion : We could know that function level and quality of life of the patient with stroke who return to the community was improved through service of community-based rehabilitation.
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KEYWORD
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Case study, Community-based rehabilitation, Occupational therapy, Stroke
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