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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Post-stroke consultation service: a nurse-managed model for care delivery
Marianne Shaughnessy1, Fay W Whitney
1Department of Veterans Affairs and Veterans Affairs Medical Center, Baltimore Geriatric Research, Education and Clinical Center, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Topics in Stroke Rehabilitation
|May 23, 2007
Summary
A 1989 home-based, nurse-managed Post-Stroke Consultation Service provided primary and rehabilitative care. This multidisciplinary approach optimized stroke survivor health and function for long-term sustainability.
Area of Science:
- Neurology
- Geriatrics
- Rehabilitation Medicine
Background:
- Established in 1989 at the University of Pennsylvania, the Post-Stroke Consultation Service aimed to enhance care for stroke survivors.
- The service focused on providing integrated primary and rehabilitative care within the patient's home environment.
- It addressed the need for sustained support and functional optimization post-stroke.
Observation:
- A multidisciplinary team, including nurse practitioners, geriatricians, physiatrists, physical therapists, and home health nurses, collaborated.
- The service involved stroke survivors and their families in developing and implementing the care plan.
- Expertise from specialty care providers was integrated into the service model.
Findings:
- The nurse-managed service successfully developed and implemented individualized plans of care.
- The collaborative approach facilitated optimized health and functional outcomes for stroke survivors.
- The service demonstrated potential for long-term sustainability in home-based post-stroke care.
Implications:
- Highlights the effectiveness of multidisciplinary, nurse-led home care models for chronic condition management.
- Suggests a sustainable framework for improving long-term functional recovery and quality of life in stroke survivors.
- Emphasizes the importance of integrating family and patient-centered approaches in rehabilitation services.
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