Aims: To gain a rich understanding of young stroke patients' lived experience one year after their first ischemic stroke. Methods: An interpretative phenomenological analysis design was used to explore the meaning of the lived experience of young stroke patients. Eight stroke survivors, aged 18-50, years took part in semi-structured qualitative interviews. Results: Stroke was not only perceived as a traumatic event that led to losses and limitations; for many participants, it was a "turning point" or a path of growth with new challenges and opportunities. Ten subthemes and three interconnected group experiential themes were generated: (i) Stroke as a sudden and unexpected event; (ii) Continuity and discontinuity of self; and (iii) Social participation. Conclusion: This research highlights several issues within current clinical services for young stroke patients one year after their first ischemic stroke. Implications for patient care - guidelines for special rehabilitation and occupational therapy programmes should be primarily concerned with overcoming residual problems after stroke. Practicing instrumental activities of daily living or skills needed for return to work is also important, as well as the existential aspects of recovery.

Comenius University in Bratislava Jessenius Faculty of Medicine in Martin Department of Nursing Martin

Palacký University Olomouc Faculty of Health Sciences Department of Nursing Olomouc

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