This article describes the impact of the nursing home environment on the quality of life (QOL) of six persons
with a traumatic spinal cord injury (SCI). The data resulted from serial in-depth interviews starting soon after
injury. Study participants were aware that nursing home placement was inevitable due to their lack of
financial and social resources. Multiple nursing home “moves” were punctuated by periodic
rehospitalizations for SCI complications. Self-rated QOL was at a low shortly after injury, rose during the
rehabilitation stay, declined by the first nursing home interview, and improved somewhat thereafter.
Characteristics of the physical and social environment of the nursing home provide explanations for
fluctuations in QOL. Key words: longitudinal study, nursing home, spinal cord injury, quality of life,
qualitative research
This article describes the impact of the nursing home environment on the quality of life (QOL) of six personswith a traumatic spinal cord injury (SCI). The data resulted from serial in-depth interviews starting soon afterinjury. Study participants were aware that nursing home placement was inevitable due to their lack offinancial and social resources. Multiple nursing home “moves” were punctuated by periodicrehospitalizations for SCI complications. Self-rated QOL was at a low shortly after injury, rose during therehabilitation stay, declined by the first nursing home interview, and improved somewhat thereafter.Characteristics of the physical and social environment of the nursing home provide explanations forfluctuations in QOL. Key words: longitudinal study, nursing home, spinal cord injury, quality of life,qualitative research
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