Understanding Cognitive Impairment after Stroke: Stories from a Middle-Income Country

Yap, Kwong Hsia, Warren, Narelle, Reidpath, Daniel D. and Allotey, Pascale, (2020). Understanding Cognitive Impairment after Stroke: Stories from a Middle-Income Country. Journal of Population Ageing, 1-20

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  • Sub-type Journal article
    Author Yap, Kwong Hsia
    Warren, Narelle
    Reidpath, Daniel D.
    Allotey, Pascale
    Title Understanding Cognitive Impairment after Stroke: Stories from a Middle-Income Country
    Appearing in Journal of Population Ageing
    Publication Date 2020-06-12
    Place of Publication USA
    Publisher Springer
    Start page 1
    End page 20
    Language eng
    Abstract Cognitive impairment (CI) is a common aftermath of stroke and associated with higher stroke burden due to its strong relationship with dementia and functional dependence. However, CI is usually underreported due to the prominence of physical disability represented by stroke. Cross-cultural studies on dementia have also demonstrated that the interpretations of dementia symptoms in different communities resulted in different ways of reporting and management strategies when confronted with symptoms. This study presents findings from a community of Malaysian-Chinese stroke survivors living in Malaysia on their understandings of cognitive deficits after stroke. The way stroke survivors thought about CI was also mediated by the cultural and social context that surrounded them. Of interest was the primacy of physical health over the cognitive which resultedintheinvisibilityofCI withinthiscommunity,regardlessofwhetherthe deficits were mild or severe. Based on these findings, there is a need to rethink how cognitive decline should be observed in realistic community settings.
    Keyword Stroke
    Ethnography
    Cognitive decline
    Copyright Holder The Authors
    Copyright Year 2020
    Copyright type Creative commons
    ISSN 18747884
    DOI https://doi.org/10.1007/s12062-020-09289-0
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    Created: Mon, 15 Jun 2020, 15:33:38 JST by Nor Sazlin Said on behalf of UNU IIGH