Navigating the Poststroke Continuum of Care

Wissel, Jörg; Olver, John; Sunnerhagen, Katharina Stibrant

doi:10.1016/j.jstrokecerebrovasdis.2011.05.021

Cited by 104 publications

(107 citation statements)

References 42 publications

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“…8,9 There are several scales commonly used to assess spastic paresis. The Modified Ashworth Scale (MAS) is most often used to assess muscle tone; 10 however, it cannot measure either the severity of spasticity or the loss of function that impacts the lives of patients and their families.…”

Section: Spastic Paresis and The Concept Of Rehabilitationmentioning

confidence: 99%

“…15 Targeted individual interventions are required; these should be tailored according to whether the spastic paresis is caused by stroke, trauma, MS or CP, and to where the specific impairment is within the body and the central nervous system. 8,9,12 Educating physicians and patients regarding appropriate goal setting as well as available therapeutic modalities including pharmacotherapy and non-pharmacotherapy treatment (e.g. physiotherapy or guided self-rehabilitation programmes) is a key requirement to improving patient outcomes.…”

Section: Spastic Paresis and The Concept Of Rehabilitationmentioning

confidence: 99%

“…30 In goal setting, it has been established that at least one standardised outcome measurement should be used. 8 …”

Section: Special Report Spastic Paresismentioning

confidence: 99%

“…In some countries, patients who are suitable for treatment are receiving mixed messages as, despite information stating that BoNT-A treatment for spastic paresis is covered by insurance plans, they do not actually receive the treatment because there are not enough specialist centres. 8 This may have serious consequences, as it has been found that frustrated patients and caregivers who are not receiving enough information on accessing rehabilitation options seek out, and pay for, inappropriate services. 8 Although reimbursement for BoNT-A is limited in many countries due to perceived cost barriers, it has been shown that it may actually be more cost-effective than oral regimens.…”

Section: Brain Trauma/ Scimentioning

confidence: 99%

“…8 This may have serious consequences, as it has been found that frustrated patients and caregivers who are not receiving enough information on accessing rehabilitation options seek out, and pay for, inappropriate services. 8 Although reimbursement for BoNT-A is limited in many countries due to perceived cost barriers, it has been shown that it may actually be more cost-effective than oral regimens. 26 The lack of information on the global impact of spastic paresis (as measured in terms of morbidity, mortality, quality of life and economic burden) is largely due to a lack of robust data addressing these topics.…”

Section: Brain Trauma/ Scimentioning

confidence: 99%

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Spastic Paresis and Rehabilitation – The Patient Journey

Bowers¹,

Fheodoroff²,

Khan³

et al. 2016

European Neurological Review

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S pastic paresis is a complex condition associated with damage to the upper motor neurons, typically caused by cerebral palsy, multiple sclerosis, stroke or trauma. Despite substantial impact on patients' independence and burden on caregivers, there is a lack of consensus on optimal management of this condition and the patient journey remains unclear. A group of physicians, experienced in spasticity management, recently convened with the objective of analysing the patient journey from a care pathway perspective in different geographical regions and under different conditions from acute phase to long-term/chronic disease status. The experts reviewed results from recent patient and healthcare practitioner surveys on the subject and assessed how current patient pathways could be improved, using their own experiences to highlight the issues related to management deficiencies in their individual countries. The group divided the patient journey into steps, considering the evidence from the point of view of healthcare practitioners, patients, caregivers and funders/payors. This paper is a response to the lack of consensus on the optimal management of spastic paresis, and acts as a call to action to develop a consistent care pathway that could be applied across a broad range of illnesses, using an interdisciplinary approach. KeywordsSpastic paresis, patient rehabilitation, patient journey, patient care, care pathway Disclosure: David Bowers has participated in an advisory board for Ipsen and has been a trainer for Allergan and Medtronic. Klemens Fheodoroff has received unrestricted research grants from Ipsen and Merz, and honoraria for instructional courses from Ipsen, Allergan and Merz. Patricia Khan has participated in advisory boards for Ipsen, and has received honoraria for instructional courses from Ipsen and Allergan. Julian P Harriss has received research funding into current practice in spasticity management (the SPACE study, supported by Merz Pharma) and expenses for participation in expert panels (Ipsen). Khashayar Dashtipour has received compensation/honoraria for services as a consultant or an advisory committee member or speaker from Allergan, Inc., Ipsen Biopharmaceuticals, Inc., Lundbeck Inc., Merz Pharmaceuticals, Teva Pharmaceutical Industries Ltd., UCB Inc., Impax Pharmaceutical and US World Meds. Laxman Bahroo has received personal compensation from Teva Neuroscience, UCB pharma, Impax, Allergan, Ipsen, US World Meds, AbbVie, Lundbeck and Acadia for consulting, serving on a scienti c advisory board or speaking activities, and research support from Ipsen and Teva Neuroscience. Michael Lee has participated in an advisory board for Ipsen. Denis Zakharov has received personal compensation from Ipsen and Merz for consulting, serving on a scienti c advisory board or speaking activities. Jovita Balcaitiene is an employee of Ipsen Pharma. Virgilio Evidente has received research support from Ipsen and honoraria for consulting and/or speaking from Ipsen, Merz, Solstice, US WorldMeds, Lundbeck, UCB, Xenoport, Te...

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Section: Spastic Paresis and The Concept Of Rehabilitationmentioning

confidence: 99%

Section: Spastic Paresis and The Concept Of Rehabilitationmentioning

confidence: 99%

“…30 In goal setting, it has been established that at least one standardised outcome measurement should be used. 8 …”

Section: Special Report Spastic Paresismentioning

confidence: 99%

Section: Brain Trauma/ Scimentioning

confidence: 99%

Section: Brain Trauma/ Scimentioning

confidence: 99%

See 3 more Smart Citations

Spastic Paresis and Rehabilitation – The Patient Journey

Bowers¹,

Fheodoroff²,

Khan³

et al. 2016

European Neurological Review

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The Competency Model for Professional Rehabilitation Nursing

Vaughn

Mauk

Jacelon

et al. 2016

Rehabilitation Nursing

109

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Background: Rehabilitation nursing is practiced in various settings along the healthcare continuum. No framework is noted in the literature that defines the necessary competencies of the rehabilitation nurse. Purpose: To develop a Competency Model for Professional Rehabilitation Nursing and its application to clinical and educational practice. Method/design: A seven-member Association of Rehabilitation Nurses (ARN) task force was convened; conducted a literature review, reviewed current and historical ARN documents, including the Strategic Plan, and developed a Competency Model for Professional Rehabilitation Nursing practice. Findings: The Competency Model for Professional Rehabilitation Nursing delineates four domains of rehabilitation nursing practice and essential role competencies. Conclusion: The Competency Model for Professional Rehabilitation Nursing addresses this diverse specialty practice in the current healthcare arena. This framework can be used to guide nurses practicing at different levels of proficiency in various settings. Clinical Relevance: The Competency Model can be used as a structure for staff orientation, evaluation tools, clinical ladder components, role descriptions and rehabilitation nursing courses.

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