Date of Conferral

2022

Degree

Ph.D.

School

Human Services

Advisor

Barbara Benoliel

Abstract

One-third of patients with chronic consequences from traumatic brain injury (TBI) are reported to receive inadequate care for their ongoing functional, cognitive decline, and advanced pathophysiology. The quality-of-life (QOL) for older adults living with TBI may be reduced due to unequal access to resources and a lack of coordinated, holistic treatment plans. Recently, authors suggested that QOL for older adults with TBI depends on feelings of autonomy and cognitive functioning and requires holistic approaches to care. This generic qualitative study explored the experiences and perceptions of human service professionals (HSPs) working in mild traumatic brain injury (mTBI) related to holistic, patient-inclusive, and quality care for older adults. Maslow’s QOL theory formed the framework for this study. The research question focused how HSPs perceive patient-inclusive and quality care for older adults with mTBI. Data were collected using semi structured interviews with 10 HSPs in the southwestern United States with 6 months or more experience working with older adults with mTBI and analyzed using narrative content analysis to identify themes. Emergent themes from the data analysis included inconsistencies in clients’ daily care and management practices, challenges communicating with older adults with mTBI, the need for rehabilitation support practices for mental, physical, and social well-being, and more education for better caregiving practices. The findings of this study may contribute to positive social change by informing health administrators of the need for procedures and training to advance social connections, identify pre-existing conditions, develop patience, and expand value-added communication to benefit older adults with mTBI.

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