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Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke

Background: As stroke can result in functional impairments that impact driving ability, many jurisdictions mandate a 30-day period of driving restriction post-stroke. However, between 26% and 38% of clients drive against medical advice during this period. Purpose: Informed by critical reflexivity of...

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Autores principales: Vander Veen, April, Laliberte Rudman, Debbie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709544/
https://www.ncbi.nlm.nih.gov/pubmed/35854415
http://dx.doi.org/10.1177/00084174221114670
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author Vander Veen, April
Laliberte Rudman, Debbie
author_facet Vander Veen, April
Laliberte Rudman, Debbie
author_sort Vander Veen, April
collection PubMed
description Background: As stroke can result in functional impairments that impact driving ability, many jurisdictions mandate a 30-day period of driving restriction post-stroke. However, between 26% and 38% of clients drive against medical advice during this period. Purpose: Informed by critical reflexivity of the literature and the first author's practice, this critical analysis paper (1) explicates and critiques how adherence to guidelines regarding driving after stroke in the first 30 days is conceptualized in individualistic, biomedically centred research and (2) argues for expanded understandings of driving based on a transactional occupational perspective. Key Issues: Individualistic, biomedical perspectives view driving against medical advice as an individually located phenomenon, generating partial understandings and individually focused solutions. Re-conceptualizing driving after stroke as a transactional occupational choice provides a productive basis for understanding and addressing driving within practice and research. Implications: Concepts from occupational science can generate new insights for research and client-centred practice regarding driving following stroke.
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spelling pubmed-97095442022-12-01 Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke Vander Veen, April Laliberte Rudman, Debbie Can J Occup Ther Original Articles / Articles originaux Background: As stroke can result in functional impairments that impact driving ability, many jurisdictions mandate a 30-day period of driving restriction post-stroke. However, between 26% and 38% of clients drive against medical advice during this period. Purpose: Informed by critical reflexivity of the literature and the first author's practice, this critical analysis paper (1) explicates and critiques how adherence to guidelines regarding driving after stroke in the first 30 days is conceptualized in individualistic, biomedically centred research and (2) argues for expanded understandings of driving based on a transactional occupational perspective. Key Issues: Individualistic, biomedical perspectives view driving against medical advice as an individually located phenomenon, generating partial understandings and individually focused solutions. Re-conceptualizing driving after stroke as a transactional occupational choice provides a productive basis for understanding and addressing driving within practice and research. Implications: Concepts from occupational science can generate new insights for research and client-centred practice regarding driving following stroke. SAGE Publications 2022-07-19 /pmc/articles/PMC9709544/ /pubmed/35854415 http://dx.doi.org/10.1177/00084174221114670 Text en © CAOT 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Articles / Articles originaux
Vander Veen, April
Laliberte Rudman, Debbie
Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke
title Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke
title_full Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke
title_fullStr Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke
title_full_unstemmed Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke
title_short Rethinking Driving Against Medical Advice: The Situated Nature of Driving After Stroke
title_sort rethinking driving against medical advice: the situated nature of driving after stroke
topic Original Articles / Articles originaux
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9709544/
https://www.ncbi.nlm.nih.gov/pubmed/35854415
http://dx.doi.org/10.1177/00084174221114670
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