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  11. Primary Care Management Of Mild Cognitive Impairment In A Stroke Survivor: A Case Report On Facilitating Return To Work

Primary care management of mild cognitive impairment in a stroke survivor: A case report on facilitating return to work

Afiza Hanun Ahmad Hamid1, Nor Shahrina Mohd Zawawi2, Mohd Fairuz Ali3

  • 1MD, MMed (Family Medicine), Klinik Kesihatan Sitiawan, Jalan Datuk Ahmad Yunus, Sitiawan, Perak, Malaysia.

Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia
|January 9, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Facilitating return to work for stroke survivors with cognitive deficits requires a tailored primary care approach. This case report highlights the importance of cognitive rehabilitation and addressing barriers for successful reintegration into the workforce.

Area of Science:

  • Neurology
  • Occupational Medicine
  • Rehabilitation Medicine

Background:

  • Stroke survivors often face challenges returning to work (RTW) due to cognitive deficits.
  • Mild cognitive impairment can significantly impact vocational capacity in working-age individuals post-stroke.

Observation:

  • A 42-year-old Malay man with multifocal lacunar infarctions experienced significant motor recovery but persistent subtle cognitive deficits.
  • Cognitive assessments revealed impairments across multiple domains, affecting his ability to RTW.

Findings:

  • A multidisciplinary primary care management plan was implemented, including cognitive rehabilitation.
  • Addressing patient-perceived barriers and enhancing the ability to RTW were key components of the intervention.

Implications:

Keywords:
Cognitive trainingRehabilitationReturn to work

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  • Tailored primary care interventions are crucial for optimizing cognitive recovery in stroke survivors.
  • Effective management strategies can improve quality of life and facilitate successful RTW for this population.