Using Multicontext Approach to Improve Instrumental Activities of Daily Living Performance after a Stroke: A Case Report
Nicole Denise Nagelkop, Milagros Rosselló, Isabel Aranguren, Vanina Lado, Melania Ron, Joan Toglia
Abstract
Cognitive deficits constitute one of the greatest challenges for independence achievement after a stroke. This paper provides an in depth view of the application of the Multicontext approach within routine Occupational Therapy care for a 41-year-old who demonstrated limited participation in activities of daily living as a consequence of executive function impairments and limited self-awareness. Results indicated improved online self-awareness, strategy use and functional performance, however, no changes were observed on a standard Awareness Questionnaire. This suggests that awareness within activities may be more important in contributing to effective strategy use and functional performance compared to verbal acknowledgment in an interview. Results also support the feasibility of the Multicontext approach within inpatient settings in Argentina.