Rapid evidence assessment of approaches to community neurological nursing care for people with neurological conditions post‐discharge from acute care hospital

Abstract

Neurological conditions represent leading causes of non-fatal burden of disease that will consume a large proportion of projected healthcare expenditure. Inconsistent access to integrated healthcare and other services for people with long-term neurological conditions stresses acute care services. The purpose of this rapid evidence assessment, conducted February-June 2016, was to review the evidence supporting community neurological nursing approaches for patients with neurological conditions post-discharge from acute care hospitals. CINAHL Plus with Full Text and MEDLINE were searched for English-language studies published January 2000 to June 2016. Data were extracted using a purpose-designed protocol. Studies describing community neurological nursing care services post-discharge for adults with stroke, dementia, Alzheimer's disease, Parkinson's disease, multiple sclerosis or motor neurone disease were included and their quality was assessed. Two qualitative and three quantitative studies were reviewed. Two themes were identified in the narrative summary of findings: (i) continuity of care and self-management and (ii) variable impact on clinical or impairment outcomes. There was low quality evidence of patient satisfaction, improved patient social activity, depression scores, stroke knowledge and lifestyle modification associated with post-discharge care by neurological nurses as an intervention. There were few studies and weak evidence supporting the use of neurology-generalist nurses to promote continuity of care for people with long-term or progressive, long-term neurological conditions postdischarge from acute care hospital. Further research is needed to provide role clarity to facilitate comparative studies and evaluations of the effectiveness of community neurological nursing models of care. K E Y W O R D Scommunity neurological nursing, literature review, neuroscience nursing, post-discharge care, rapid evidence assessment

Care of the Patient With Acute Ischemic Stroke (Posthyperacute and Prehospital Discharge): Update to 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association

“…125 In addition, it is imperative to identify premorbid depression and PSD, to provide prompt and targeted treatment, and to make any necessary referrals for supportive mental health therapy. 126 With improved awareness of the presence of PSD, including its variability and detrimental effects among survivors, more tailored patient and family interventions can be applied to address immediate needs and to enhance stroke recovery. 56,126…”

Asmenų, Patyrusių Galvos Smegenų Insultą, Kvapų Suvokimo Sutrikimai Ir Jų Korekcija, Taikant Ergoterapiją

“…Higienos instituto Sveikatos informacijos centro duomenimis (2018), Lietuvos gyventojų sergamumas kraujotakos sistemos ligomis buvo vienas didžiausių -30 proc. [4]. Nepalankiausi išeminio GSI padariniai yra šlapimo nelaikymas, pusiausvyros sutrikimas, pažinimo funkcijų sutrikimai, motyvacijos stoka, regėjimo (erdvinio suvokimo) sutrikimai, giliųjų jutimų išnykimas bei ženklūs motorikos sutrikimai.…”

“…Kvapų suvokimo sutrikimams įvertinti buvo naudojamas Kvapų suvokimo sutrikimų testas, kurį sudaro 16 skirtingų kvapų (ang. SOIT -Scandinavian odor identification test) [8]. Pažinimo funkcijoms vertinti naudotas TPBT.…”

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Using an economic evaluation approach to support specialist nursing services for people with Parkinson's in a regional community

“…Recent reports have established clear evidence of increasing prevalence of Parkinson's as people age; around 80% of people living with the disease are 65 years and over, and the remaining 20% are of working age (Deloitte Access Economics, 2011 , 2015 ; Parkinson's Australia, 2014 ). For younger people diagnosed with the disease, the capacity to work and live independently is lost early in the disease trajectory, with each person becoming increasingly dependent over time, placing a very high burden on the person with the disease, on caregivers and families and on society (Mudiyanselage et al, 2017 ; Pugh et al, 2019 ). In Australia, an estimated 89% of people with Parkinson's live most of their years at home, with the remaining 11% living in residential facilities (Mudiyanselage et al, 2017 ).…”