Abstract T P255: Post-Stroke Care In a Rural Community; Need For Improvement
Primary care evidence based literature contains quality care indicators covering general aspects of post-stroke care; but few of these are routinely implemented. As part of the ongoing process improvement program at our 180 bed primary stroke care center in rural northwestern Pennsylvania, we hypothesized the potential need for a comprehensive multidisciplinary long term post-stroke strategy. We used a sample population of 48 participants representing all those discharged with a diagnosis of stroke from January through June of 2013. Stroke survivors / caregivers were contacted by telephone and interviewed using the Global Stroke Community Advisory Panel 11 item post-stroke checklist. Results revealed that of the 11 long term areas assessed, three were identified as having the greatest need for intervention. In our community, 39.5% required advice on secondary prevention, 39.5% for evaluation of mood changes, and 37.5% for assessment of cognitive changes. In conclusion, we identified three post-stroke care issues which if effectively addressed, would potentially improve post-stroke quality of life. Our goal is to evaluate the availability of current resources and implement measures appropriate to this rural setting; including the potential to incorporate telemedicine as a resource to improve the standard of post-stroke care.
Author Disclosures: A.M. Kline: None. P. Rankin: None. C. Perry: None. J. McLaughlin: None.
- © 2014 by American Heart Association, Inc.