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                                                                                                          Case Study

 

Sarah is a registered nurse working with Steve, a 66-year-old patient in a rehabilitation outpatient clinic. Steve experienced a stroke 2 months ago and has recently returned home. He is now physically able to live independently but is still working on his ability to communicate effectively with others. Since his stroke, Steve has had difficulty with finding words when speaking with others. As a retired human resources specialist, this communication barrier is frustrating to Steve.

 

During her initial interview with Steve, Sarah learns that he is hesitant to return to many of his former activities with friends and is feeling socially isolated. Steve feels that his only successful social Interactions since returning home are e-mail exchanges with family and friends in different parts of the country. Sarah realizes that because e-mails are written, asynchronous forms of communication, Steve has more time to find words when composing his messages than he would in a spoken conversation. She asks Steve if he has Internet access at home. He indicates that he has a high-speed Internet connection and computer in his living room that he uses daily.

 

Based on this preassessment of Steve’s ability and interest in this technology, Sarah asks him if he has found any online support groups for individuals who have experienced strokes. She explains that such groups would be an excellent resource for information about others’ experiences with stroke and would serve as a social venue and as another type of written activity to enhance his interaction with others. Sarah suggests that a support group could be educational and socially engaging and would offer a chance for Steve to continue building his communication skills during his rehabilitation. Steve expresses interest in this idea, and he and Sarah plan to seek out such groups online during their next therapy session.

 

Given Steve’s condition and age, how can technology be used to foster social participation? What is Sarah’s role in encouraging his social engagement? 
 Which potential problems might Steve face when trying to use the Web? 
As a healthcare educator, which criteria should Sarah use for evaluating health-related websites? Explain how she can apply each criterion to determine which websites are appropriate for Steve
SCIENCE
HEALTH SCIENCE
NURSING

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