Evaluation of patients with stroke monitored by home care programs

Abstract

The purpose of this study was to evaluate the patient with a stroke in home treatment, investigating physical capacity, mental status and anthropometric analysis. This was a cross-sectional study conducted in Fortaleza/CE, from January to April of 2010. Sixty-one individuals monitored by a home care program of three tertiary hospitals were investigated, through interviews and the application of scales. The majority of individuals encountered were female (59%), elderly, bedridden, with a low educational level, a history of other stroke, a high degree of dependence for basic (73.8%) and instrumental (80.3 %) activities of daily living, and a low cognitive level (95.1%). Individuals also presented with tracheostomy, gastric feeding and urinary catheter, difficulty hearing, speaking, chewing, swallowing, and those making daily use of various medications. It was concluded that home care by nurses is an alternative for care of those individuals with a stroke.

Atuação do enfermeiro na atenção domiciliar: uma revisão integrativa da literatura

“…Nurses that practice in-home care must be sensitive to client demands and, more so, demonstrate a willingness to teach and an interest in seeking well-being for those under their care. Thus, to take the most advantage of the home environment of patient learning, nurses must assess, project, develop, and implement teaching plans that are unique to each situation (61) . Moreover, health education is noted in this review as an important practice of HC nurses, a practice that helps patients, families, and caregivers to build knowledge and skills (58)(59)(60)(61)(62)(63) , thus ensuring their understanding of the therapy project (5) and continuity of care when the team is absent.…”

Intervenções de enfermagem ao paciente com acidente cerebrovascular em reabilitação

“…16 The prevention of falls is performed by identifying the risks of falls such as the use of rubber mats in the bathroom, the use of auxiliary devices, personal assistance, lighting and carpeting, as these topics are fundamental and, if not organized in an effective way, they promote the fall of the patients, harming the process of rehabilitation. 3, In summary, the Nursing interventions directed to the care of the patient involve actions ranging from an evaluation of the individual, such as the performance of activities directed to speech training, gait, voiding habit evaluation and exercise training of the pelvic floor, evaluation of the oral hygiene and assistance directed to the correct positioning of the patient, besides the evaluation of the risks of falls and prevention of a new stroke.…”

“…2 Dysfunctions such as anxiety, depression, sleep and sexual function disorders, motor, sensory, cognitive and communication disorders are prevalent changes in patients affected by stroke. [2][3][4] Such a situation makes them dependent on Nursing interventions.…”

“…8 The nurse collaborates with the other professionals in the multidisciplinary rehabilitation team, with other health sectors and with the community, building and sharing knowledge about the patient's condition so that the rehabilitation process reaches levels of excellence. 3,9 Nurses are recognized as members of the rehabilitation team, but their role remains undefined and their contribution still limited. Therefore, the role of the nurse in the rehabilitation process is questioned and the way in which the own nurses and the other members of the interdisciplinary team see the contribution of Nursing care in this process.…”

Strategies for self-management support by patients with stroke: integrative review

“…It is estimated that between 30 and 40% of stroke survivors develop some degree of functional dependence, which prevents them from reintegrating into the labor market and demand some kind of assistance in performing basic activities of daily living (ADLs) (5) . A study conducted with patients in the rehabilitation phase identified the location of the injury, recovery time, performance in instrumental activities of daily living and age were the most important determinants of quality of life of patients (6) .…”