marisa rose acute stroke lead nel cardiac and stroke network [email protected] sue winnall...
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Marisa Rose Acute Stroke Lead NEL Cardiac and stroke [email protected]
Sue Winnall Head Occupational therapist – Rehabilitation Mile End [email protected]
Key components of organised stroke care: Coordinated multidisciplinary team care;
Staff with special interest & skills in stroke;
Routine involvement of carers and; Continued education and training programs
▪ The Stroke Unit Trialists’ Collaboration (2007)
Imagine again you are the person in the hospital that has just had a stroke..
Key aspects Seamless serviceStaffingEducation & trainingPatient involvement and information Outcome measurement
SpecialismProfessionsLines of reporting RotationsCapacityCollaborative working MDT
InductionStroke specific trainingSpecialist staff Joint sessionsProfession specific trainingRehabilitation philosophy
Family meetingsWeekly information sessions Joint goal settingStroke specific informationKey worker
WhenHow WhatWhy
Unable to catch the bus Cant read a bedtime
story to the kids Cant work the computer Difficulty paying
electricity bills Difficulty using mobile
phone Not back to work
Able to do the shopping at ASDA
Able to take kids to school on the bus once a week
Back at part time employment
Barthel Index score 20
Modified Rankin score 2
Value for money? Quality? Measuring stroke services and outcomes
is challenging! Process and clinical measures Goal achievement is a key indicator of
quality stroke service Patient involvement
Quality stroke services can be achieved
Communication, team working and patient/care involvement are key
Measurement is essential but based on the purpose of the service