|Home > RNJ > 2006 > March/April > Commentary: Access to the World After Myocardial Infarction: Experience the Recovery Process|
Commentary: Access to the World After Myocardial Infarction: Experience the Recovery Process
Hildingh et al. have shown the process of recovery from the perspective of the client who suffered a Myocardial Infarction (MI). This rich data may be utilized in the rehabilitation setting to assist clients to reach a level of healthy adaptation and optimum level of functioning—a goal for all patients in rehabilitation.
This qualitative research design was utilized to describe the recovery experiences for clients who have suffered a MI. The sample of 16 informants, who had suffered a MI 8 or 9 months earlier, was interviewed using a partially structured format. Data were analyzed using the content analysis process and revealed three themes to the recovery process.
According to Lazarus (1999), coping begins with a primary and secondary appraisal of the meaning of the event at that time. Factors that influence the appraisal include the clients’ beliefs and commitments, past experiences, values and unique personality traits (temperament, self esteem, body image, age, and resiliency). The appraisal of this life-threatening experience will differ with each client, validating that for some the response may not be in accordance to the severity of the illness.
As post-MI acute care time shortens, it is crucial that nurses provide the client with information about both the physical and emotional changes that may occur. Taking time to listen to the client for subtle clues of difficulty in coping is a critical part of a nurse’s care. Cardiac rehab nurses, in particular, need to provide information but also assess each client’s coping and recovery progress. “Reorientation” signals that clients have reestablished a new body image and integrated these changes into their lifestyle. The client re-enters the world after finding a balance, a new meaning in life. Some authors speak to this resocialization as the goal of rehabilitation.
Three points for practice in rehabilitation