Phinoj K. Abraham
Occupational therapist in neurorehabilitation, with 15 years of work alongside stroke survivors.
Rehab Program Coordinator at Qatar Rehabilitation Institute, Doha, and PhD research scholar.
Scroll to follow the day as it begins
Hope
A stroke can take movement, speech, or part of what a person sees. Hope does not wait for those to return. It begins when someone can picture a next step and a therapist takes that picture seriously.1
Sometimes the first step is finding what was hidden. Visual loss is common after stroke, and European guidance suggests screening every survivor.2
Independence
Therapy should not stop at reach, grasp and release. It should arrive at the buttoned shirt, the cup of tea and the walk to the door.
Sometimes a skill returns. Sometimes it is relearned. Sometimes the task changes, with one hand or a better tool.3 Each of these is independence.
Participation and quality of life
The ICF defines participation as involvement in a life situation.4 In practice it is the roles and routines that make a day someone's own.
That ordinary day is the outcome I work towards.
- Getting up
- Getting dressed
- Breakfast
- Going to work
- Lunch with colleagues
- Collecting the children
- A walk outside
- Dinner with family
- A quiet hour