Geriatric Rehabilitation After Stroke: Is Condition on Admission Indicative for Discharge Destination?

2.50
Hdl Handle:
http://hdl.handle.net/10755/616382
Category:
Full-text
Type:
Presentation
Title:
Geriatric Rehabilitation After Stroke: Is Condition on Admission Indicative for Discharge Destination?
Other Titles:
Stroke Care in the Netherlands
Author(s):
Buijck, Bianca Ivonne
Lead Author STTI Affiliation:
Rho Chi-at-Large
Author Details:
Bianca Ivonne Buijck, RN, bianca.buijck@rotterdamstrokeservice.nl
Abstract:
Session presented on Sunday, July 24, 2016: Purpose: In the past decade, there has been increasing interest in stroke rehabilitation. Worldwide, every year more than 15 million people suffer a stroke. The expectation is that the number of patients with stroke will rise in the future, because of the ageing of the population. Consequently, there will be a growing demand for rehabilitation services. Therefore, the aim of this study was to investigate the condition on admission of patients after a stroke and the course of their rehabilitation in order to develop rehabilitation programs. Methods: This study is a longitudinal, multicenter, observational study. Data were collected on patient characteristics, comorbidity (Charlson Index), ADL (Barthel Index), arm function (Frenchay Arm Test), balance (Berg Balance Scale), walking (FAC score), neuropsychiatric symptoms (Neuropsychiatric Inventory: Nursing Home), depression (Geriatric Depression Scale). All measurements were performed on admission and at discharge. A cluster-analysis was used to reveal meaningful groups. Results: One ?hundred- twenty- seven patients participated in this study. Patients improved in balance, walking abilities, and arm function. A total of 84 patients (66%) were discharged to an independent/assisted-living situation, and 43 (34%) were referred for long-term care to a nursing home. Using cluster analysis, with relevant patient characteristics (age, gender, stroke type, first stroke, localization stroke), balance, arm function, walking abilities, activities of daily living, depressive complaints and neuropsychiatric symptoms, it was'possible to identify two clusters of patients: those in fair/good condition on admission and those in poor condition on admission. Conclusion: Stroke patients referred for rehabilitation to SNFs could be clustered on the basis of their condition upon admission. Although patients in poor condition on admission were more likely to be referred to a facility for long-term care, this was certainly not the case in all patients. Rehabilitation programs that provide algorithms for multidisciplinary collaboration and evaluation on the basis of continuous monitoring of the physical and psychological condition of patients can be helpful in providing optimal individually tailored rehabilitation care. '
Keywords:
stroke; rehabilitation; nursing home
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16L10; INRC16L10
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleGeriatric Rehabilitation After Stroke: Is Condition on Admission Indicative for Discharge Destination?en
dc.title.alternativeStroke Care in the Netherlandsen
dc.contributor.authorBuijck, Bianca Ivonneen
dc.contributor.departmentRho Chi-at-Largeen
dc.author.detailsBianca Ivonne Buijck, RN, bianca.buijck@rotterdamstrokeservice.nlen
dc.identifier.urihttp://hdl.handle.net/10755/616382-
dc.description.abstractSession presented on Sunday, July 24, 2016: Purpose: In the past decade, there has been increasing interest in stroke rehabilitation. Worldwide, every year more than 15 million people suffer a stroke. The expectation is that the number of patients with stroke will rise in the future, because of the ageing of the population. Consequently, there will be a growing demand for rehabilitation services. Therefore, the aim of this study was to investigate the condition on admission of patients after a stroke and the course of their rehabilitation in order to develop rehabilitation programs. Methods: This study is a longitudinal, multicenter, observational study. Data were collected on patient characteristics, comorbidity (Charlson Index), ADL (Barthel Index), arm function (Frenchay Arm Test), balance (Berg Balance Scale), walking (FAC score), neuropsychiatric symptoms (Neuropsychiatric Inventory: Nursing Home), depression (Geriatric Depression Scale). All measurements were performed on admission and at discharge. A cluster-analysis was used to reveal meaningful groups. Results: One ?hundred- twenty- seven patients participated in this study. Patients improved in balance, walking abilities, and arm function. A total of 84 patients (66%) were discharged to an independent/assisted-living situation, and 43 (34%) were referred for long-term care to a nursing home. Using cluster analysis, with relevant patient characteristics (age, gender, stroke type, first stroke, localization stroke), balance, arm function, walking abilities, activities of daily living, depressive complaints and neuropsychiatric symptoms, it was'possible to identify two clusters of patients: those in fair/good condition on admission and those in poor condition on admission. Conclusion: Stroke patients referred for rehabilitation to SNFs could be clustered on the basis of their condition upon admission. Although patients in poor condition on admission were more likely to be referred to a facility for long-term care, this was certainly not the case in all patients. Rehabilitation programs that provide algorithms for multidisciplinary collaboration and evaluation on the basis of continuous monitoring of the physical and psychological condition of patients can be helpful in providing optimal individually tailored rehabilitation care. 'en
dc.subjectstrokeen
dc.subjectrehabilitationen
dc.subjectnursing homeen
dc.date.available2016-07-13T11:11:16Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:11:16Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.