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Journal of Applied Gerontology, Vol. 24, No. 4, 319-336 (2005)
DOI: 10.1177/0733464805277976
© 2005 Southern Gerontological Society

Quality of Life Following Stroke: Negotiating Disability, Identity, and Resources

Philippa Clarke

Duke University

Sandra E. Black

University of Toronto

Residual physical and cognitive impairments following a stroke can pose a significant threat to a survivor’s quality of life. Yet, there is not always a direct one-to-one correlation between functional disability and subjective quality of life. This research investigated the complexity of factors that influence quality of life after stroke, using qualitative interviews. Results indicate that a stroke has a significant impact on the quality of life of survivors, but some individuals find ways to adapt to their functional disabilities and report a high quality of life. Common elements of this process consist of reordering priorities to focus on those activities considered most salient to an individual’s identity; then drawing on existing resources, including health services and social supports, to maintain a customary activity, even in a modified form, retaining salient aspects of the individual’s identity and maintaining a sense of continuity in his or her life.

Key Words: stroke • disability • adaptation • quality of life • social support


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