PMID: 12194624Aug 27, 2002Paper

A completed audit cycle and integrated care pathway for the management of depression following brain injury in a rehabilitation setting

Clinical Rehabilitation
Nibras HassanFrances Clegg

Abstract

To develop an evidence-based multidisciplinary integrated care pathway (ICP) for the management of depression following brain injury in a rehabilitation setting, and to assess its impact on standards of care and documentation. A regional rehabilitation unit providing inpatient rehabilitation for young patients (16-65) with complex disabilities mainly resulting from brain injury. A completed cycle of audit including: standards set for documentation, assessment, management and review; an initial retrospective audit of documented patient management against those standards during a five-year period (26 patient records); ICP development by a multidisciplinary team of doctors, psychologists and nurses based on clinical opinion and systematic review of the literature; re-audit from the ICP documentation (48 patient records) over a period of 15 months. The initial audit demonstrated borderline acceptable documentation of baseline mood state and start of medication (54-61%), but poor documentation of review (29%) and subsequent treatment (27%). Introduction of the ICP improved all standards of documentation to 94-100%, except for assessment using a validated measure (84%) and follow-up assessment (76%). This ICP raised staff awareness o...Continue Reading

References

Jul 1, 1995·Southern Medical Journal·K J Black
Jun 1, 1995·Stroke; a Journal of Cerebral Circulation·L KalraP Roots
Sep 22, 1993·Nursing Standard·A Layton
Jan 1, 1995·International Psychogeriatrics·J L Gonzalez-TorrecillasA Lobo
Nov 22, 1997·Stroke; a Journal of Cerebral Circulation·G GainottiC Razzano
Apr 29, 1998·Stroke; a Journal of Cerebral Circulation·C S KaseR B D'Agostino
May 30, 1998·Archives of Internal Medicine·S A EversonG A Kaplan
Feb 20, 1999·Archives of Physical Medicine and Rehabilitation·J L InglesS J Phillips

Citations

Jun 5, 2003·Lancet·L Turner-Stokes
Jan 9, 2009·Journal of the International Neuropsychological Society : JINS·Richard J SiegertLynne Turner-Stokes
Aug 19, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·L Turner-StokesFrances Clegg
Nov 18, 2003·Disability and Rehabilitation·Sue Rusconi, Lynne Turner-Stokes
Jun 11, 2004·Journal of Clinical Nursing·Rosie Kneafsey, Dawn Gawthorpe
Feb 19, 2005·Health & Social Care in the Community·Gwyneth ReesL McKechnie
Jan 21, 2006·Journal of Evaluation in Clinical Practice·Laura A HansonG William MacEwan
Oct 27, 2010·Journal of Evaluation in Clinical Practice·Melissa PetrakisDavid Castle
Aug 2, 2007·The Journal of Head Trauma Rehabilitation·Kyaw NyeinLynne Turner-Stokes

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.