| Autor: |
Isabelle Bonan, C. Bethuel, G. Silvestre-Beccarel, E. Le Beguec, Simon Butet, F. Leblanche |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Annals of Physical and Rehabilitation Medicine. 61:e199 |
| ISSN: |
1877-0657 |
| Popis: |
Introduction/Background “The lack of formalised monitoring following in the year after the stroke establishes a reduction of likelihood in the course of patient care.” (DGOS instruction 2015) A third of the patients return home at best with only a single follow-up neurological consultation. Within the context of this reality establishing the deficits is therefore held up, favouring a negative socio-professional impact. To overcome this, a Multidisciplinary Consultation Post-stroke program (CM post-stroke) was developed at the University Hospital of Rennes in 2016 (French National Stroke Program 2010–2014). The particular characteristic of our consultation was to single out those patients who neither went through the neurovascular pathway. Material and method Patients hospitalized in the CHU for stroke were extracted from the Program For Medicalization of Information Systems. Patients who neither went through the neurovascular pathway were selected. Neurologist and PMR physician cheeked together the medical history of these patients. During a telephone interview, our occupational therapist coordinator filled out a questionnaire orienting the choice of professionals met at the consultation. The consultation was personalized and centred on the patient specific needs. A feedback was made for the treating physician permitting for continuous follow-up of the patient. Results On the basis of a sample of patients selected over 6 months, we study 80 patient files, they were interviewed and 40 consultations were organized (including 25 with 2 professionals and 15 with more 2 professionals), 9 were directed towards the physical medicine and rehabilitation department, 30 to a liberal professional and only 1 did not have any change in his Physical Medicine and Rehabilitation care. This tends to show interest in the follow-up of these patients. Conclusion The CM post-stroke appears as a link filling a deep in the follow-up of the care of post-stroke patients and a transversal work between neurologic and PMR departments. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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