An evaluation of aftercare following discharge from a specialist in-patient rehabilitation service

Disability and Rehabilitation
Sue Rusconi, Lynne Turner-Stokes

Abstract

To evaluate the aftercare of patients discharged from specialist rehabilitation unit with respect to use of equipment and follow-up by therapy and care services and to assess change in dependency and care needs. Cross-sectional survey of a consecutive cohort of patients discharged from a regional rehabilitation unit with reference to the British Society of Rehabilitation Medicine (BSRM) standards for rehabilitation services. Fifty-three subjects with neurological disability were discharged during a 15-month period. Structured interviews conducted by telephone with the patient (n = 22) or carer (n = 31) between 8 and 21 (mean 15) months after discharge. Dependency and care needs were assessed using the Northwick Park Dependency Score (NPDS) and Care Needs Assessment (NPCNA) RESULTS: Approximately half the patients improved in dependency and care needs between discharge and follow-up, but a quarter deteriorated. Fifty-one (96%) were referred for continuing therapy of which 39% expressed dissatisfaction. There was a significant relationship between inadequate therapy follow-up and increased dependency (Chi Squared p = 0.002). However, where care packages were revised downwards this generally reflected improvement in independence a...Continue Reading

References

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Citations

Dec 20, 2008·Brain Injury : [BI]·Jennifer BeechamMartin Knapp
Dec 15, 2010·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Pauline M Pope
Jun 22, 2010·Clinical Rehabilitation·Lynne Turner-StokesDiana Jackson
Aug 29, 2019·Journal of Neuroengineering and Rehabilitation·Seok Hun KimKyle B Reed
Nov 2, 2019·Brain Injury : [BI]·Ciara HigginsChristine Linehan
Oct 3, 2009·British Journal of Nursing : BJN·Mark Baker
Apr 4, 2015·American Journal of Speech-language Pathology·Jaumeiko J ColemanDeborah G Theodoros

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Mild Traumatic Brain Injury
Community Health Services
Continuity of Patient Care
Prevalence Studies
Oral History as Topic
Orthopedic Equipment
Patient Discharge
Self-Help Devices
Post-Traumatic Myelopathy
Incidence Studies

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