Abstract P852: 'They Were Wonderful...They Helped a Great Deal': Patient and Caregiver Reports of Home Health Care as a Transition of Care Practice After Ischemic Stroke
| Autor: | Thomas V. Caprio, Ann M Leonhardt-Caprio, Craig R Sellers |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Stroke. 52 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.52.suppl_1.p852 |
| Popis: | Background: Transitions of care (TOC) following ischemic stroke (IS) are complex for patients and caregivers; the post-hospital discharge period is stressful, fragmented, and often carries with it a fear of new stroke. Improvements in education, medication management, and support for community integration following discharge to home could ease TOC challenges and assist in reducing hospital readmissions. Methods: Diagnosis-driven certified home health agency (CHHA) referrals for IS patients were initiated at a Comprehensive Stroke Center as a TOC improvement with a goal of decreasing “missed” referrals for patients not previously considered but eligible for CHHA services. Patients discharged to home (50 patient/caregiver dyads) were interviewed 30 days following hospital discharge to solicit feedback regarding CHAA services. Results: Of those contacted, 27 (54%) received CHAA services. Three patients/caregivers (11.1%) responded with neutral feelings regarding the visit, 24 (88.9%) responded that the visit was helpful. Eleven respondents had no comment/opinion when asked how the visit was/was not helpful. The remainder of patients had responses that could be grouped into domains including encouragement/concern for me ( n = 4), teaching/guidance ( n = 4), therapy/exercise ( n = 6), functional improvement/independence ( n = 2), medications ( n = 3), blood pressure management ( n = 3), and home health agency staff ( n = 2). There were multiple positive comments such as one patient who reported that the home care nurse was “very good... called right away and got the outpatient therapy transition arranged.” A patient with a new diagnosis of diabetes felt that education and concern for how things were going was very important to understanding and managing this new diagnosis. Multiple patients reported the importance of medication reconciliation after discharge and specific comments regarding the CHHA staff included, “Really helpful. They were wonderful... they helped a great deal.” Conclusions: Positive experiences regarding TOC practices strongly supported referral for CHHA services. Comments regarding the services suggest that increasing CHHA referrals could meet perceived needs of IS patients and caregivers in the transition from hospital to home. |
| Databáze: | OpenAIRE |
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