The conclusion is wrong, you need to stop the neuronal cascade of death resulting is much less disability. They can't think outside their own silo.
http://onlinelibrary.wiley.com/doi/10.1111/scs.12116/abstract;jsessionid=20D81ED08D41E6B1BCC06E1CA1A6F803.f04t03?deniedAccessCustomisedMessage=&userIsAuthenticated=false
Article first published online: 5 FEB 2014
DOI: 10.1111/scs.12116
© 2014 Nordic College of Caring Science
Issue
Scandinavian Journal of Caring Sciences
Additional Information(Show All)
- Abstract
- Article
- References
- Cited By
Keywords:
- stroke;
- quality of care;
- rehabilitation;
- patient participation;
- qualitative approaches;
- research in practice
Background
Despite
recent improvements in Swedish stroke care some patients still
experience a lack of support and follow-up after discharge from
hospital. In order to provide good care according to the National Board
of Health and Welfare, systematic evaluations of stroke care must be
performed. Quality indicators in the national guidelines could be useful
when measuring quality of care in all parts of the stroke care chain.
Aim
To
investigate how people with stroke experienced their care,
rehabilitation, support, and participation from hospital to community
care.
Method
Qualitative
interviews were performed with 11 people in 2009–2010 covering their
experiences of care, rehabilitation, support, and participation. The
interviews were analysed with qualitative content analysis.
Result
The
interviewees were satisfied with their hospital care, but reported both
positive and negative experiences of the continuing care. Most of them
appreciated intense, specific, and professional rehabilitation, and had
experienced these qualities in the rehabilitation they received in most
parts of the stroke care chain. Those who received support from the
community services expressed satisfaction with the staff, but also felt
that autonomy was lost. Several did not feel involved in the health care
planning, but instead relied on the judgement of the staff.
Conclusion
To
ensure high quality throughout the whole stroke care chain, people with
stroke must be invited to participate in the care and the planning of
care. To offer evidence-based stroke rehabilitation, it is important
that the rehabilitation is specific, intense, and performed by
professionals, regardless of where the rehabilitation is performed. A
changed view of the patient's autonomy in residential community services
should be developed, and this process must start from the staff and
residents.
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