Research Article

Psychosocial Well-Being in Persons with Aphasia Participating in a Nursing Intervention after Stroke

Table 1

Topical outline of the intervention (guiding structure).

EncounterAimWorksheet

OneTo establish a relationship for collaboration in an early phase after the stroke.1a: Invitation to collaboration
1b: The stroke—what happened?

TwoTo gather knowledge about personal values, interests, and goals as a common platform for further collaboration. (Who are you (identity), which life is interrupted by the stroke?). To prepare for further collaboration after home coming.2a: Life line—Personal background, values and interests
2b: Metaphor—“The great trial of strength”

ThreeTo support the participant in their process of adjusting to a changed situation “from healthy to stroke survivor in everyday life.” To support the participant in clarifying setting goals (short terms) and opportunities.3a: Personal metaphor of your life as a stroke survivor
3b: Mood in everyday life (unfulfilled sentences)

FourInvitation to narrate about bodily experiences and changes. Support in making sense of the new experiences and mobilize available recourses. Renegotiate new roles and identity adjustment.4a: Me and my life (unfulfilled sentences)
4b: My body (graphical illustration of a woman/man)

FiveIdentify goals to focus and sort out what has to be done by whom to reach the goals. Support to identify personal resources and significant resources in their network.5a: Problem-solving process
5b: Daily activities in everyday life (unfulfilled sentences)
5c: Relationship with others (unfulfilled sentences)

SixHelp to integrate illness and life in a way that appear manageable for the participant. Support to promote health and build up resistance resources (i.e., sleep, social relationships, meaningful activities, food, physical activity). Support to develop new life skills that are necessary to live well with changes caused by the stroke.6a: Illness and life
6b: Choice of aims to focus
6c: Balance in everyday life
2b: Metaphor (How is the terrain you are moving in now? What kind of support do you need from the “escort car”)

SevenTalk about experiences and support the coping process. Assistance to be conscious about personal recourses and recourses in their network/environment.7a: Coping in everyday life
7b: Habits I need to change/should change
7c: Network

EightNegotiating perspectives and goals for the further recovery process. Summarizing the collaboration process.2b: Metaphor (past-present-future)