The management of patients with spinal cord injury by a hospital-based home care programme

Steinberg, Franz U.

doi:10.1038/sc.1974.39

Cited by 12 publications

(17 citation statements)

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“…Several care programmes regarded persons with SCI and their partners or families. 19,[21][22][23][24][25]27,32,33 Responsible care disciplines Almost half of the follow-up care programmes were performed by nurses. [10][11][12][13][14]16,22,[24][25][26]33 The remaining programmes were performed by several care disciplines.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…Except for the follow-up care described by Steinberg, 32 the programmes did not include home therapy or home health aid, for simple nursing procedures such as baths, enemas, etc. Most follow-up care programmes had a supportive, consultative and educative character.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…Designs of evaluation In all, 11 evaluations were preexperimental, 10,12,16,20,[22][23][24][25][30][31][32] three studies were quasi-experimental, 13,17,18 and two studies were experimental in design. 14,28 Number of patients The number of patients included in the evaluation studies varied from 1 to 519 persons with SCI.…”

Section: Evaluation Characteristicsmentioning

confidence: 99%

“…25 (e) Miscellaneous types of follow-up care consisting of several of the following methods: outpatient consulting hours, home visits, peer teaching and support, outings, ongoing support, therapy from several care disciplines, SCI education, providing SCI expertise and support to community health-care providers, coordination of care with community nursing agencies. [26][27][28][29][30][31][32][33] Aims of follow-up care programmes Prevention and/or treatment of secondary impairments was the most frequently mentioned aim of the follow-up care programmes. Two-thirds of the follow-up care programmes included this in their aims.…”

mentioning

confidence: 99%

“…16 Beside this, several of these programmes also had a broader aim like the promotion of well-being and community reintegration. 12,18,22,25,26,[28][29][30] In several publications 13,[18][19][20][21][22]28,29,32 the aim of the follow-up care was not stated explicitly, although in most cases an aim could be derived from the text.Target population of follow-up care programmes The target population in all follow-up care programmes was persons with SCI recently discharged from rehabilitation and living in the community. Some care programmes also involved in-patients.…”

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confidence: 99%

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Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

2005

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Study design: Systematic review. Objectives: (1) To describe and compare follow-up care programmes, performed by rehabilitation centres, for persons with spinal cord injury (SCI) and (2) to describe the effects of these programmes regarding the occurrence of secondary impairments, well-being, the quality and costs of care. Methods: A systematic literature search was conducted in MEDLINE (1972MEDLINE ( -2003 and CINAHL (1982CINAHL ( -2003. Publications were selected about medical and/or nursing follow-up care to SCI patients living in the community performed by or with rehabilitation facilities for SCI patients. The aim of the follow-up care should be a decrease of secondary impairments, an improvement of well-being, an improvement of the quality and/or a decrease of the costs of care. Results: The search resulted in 24 papers. The descriptions of the programmes in these papers were sometimes rather scattered, vague or brief. The most important methods were telemedicine (six programmes; of which five were performed in the same rehabilitation centre), outpatient consulting hours (six programmes), home visits (three programmes, and case management (one programme). Eight other programmes combined several methods (ie outpatient consulting hours, home visits, peer teaching and support, outings, ongoing support, therapy from several care disciplines, SCI education, providing SCI expertise and support to community health-care providers, coordination of care with community nursing agencies). In all, 16 programmes have been evaluated to some degree. In general the quality of the studies was low. Most evaluations were pre-experimental in design. Only three were quasi-experimental, and two programmes were experimental in design. Although several studies claimed positive effects, it was not possible to draw conclusions on the effect of follow-up care on the occurrence of secondary impairments, well-being, the quality and costs of care. Conclusion: There is a need for the development, the publication and the well-designed evaluation of follow-up care programmes for persons with SCI. IntroductionSince persons with spinal cord injury (SCI) are confronted with all kinds of short-and long-term problems in functioning after discharge from initial rehabilitation, the need for continuing care for persons with SCI living in the community has been emphasised in several reports. [1][2][3][4][5][6][7][8] Until recently follow-up care provided by the Dutch rehabilitation centres has consisted of periodical outpatient visits to a physiatrist. During these visits a comprehensive assessment of total functioning is performed and, if necessary, interventions or other support is given. After discharge from clinical rehabilitation, daily medical and nursing care for persons with SCI is usually given by primary care professionals. As a result of the low prevalence of persons with SCI, primary health-care professionals only sporadically have persons with SCI in their practice. Consequently, they do not www.nature.com/sc often have much opportuni...

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Section: Intervention Characteristicsmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

Section: Evaluation Characteristicsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

2005

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The operation of a hospital based specialty home health team: activities and associated costs *

Fine¹,

Better²,

Engstrand³

1978

Rehabilitation Nursing

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Since 1972 a hospital based specialty home health team consisting of a Registered Nurse, a Registered Physical Therapist, and a Vocational Rehabilitation Counselor has been serving spinal cord injury patients hospitalized previously in a University affiliated Rehabilitation Center. This paper presents the preliminary findings resulting from a study examining the appropriateness, costeffectiveness, and efficiency of this unique rehabilitation facility service component.

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Maslow's Needs and the Spinal Cord Injured Client

Starck¹

1980

Rehabilitation Nursing

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The management of patients with spinal cord injury by a hospital-based home care programme

Cited by 12 publications

References 1 publication

Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

The operation of a hospital based specialty home health team: activities and associated costs *

Maslow's Needs and the Spinal Cord Injured Client

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