Here are my answers to your questions. I hope they are of some use to you!
Ruth
MCSP
>-Could you give an estimation on the amout of strokepatients you've treated
so far or on annuelbasis? In a four month rotation in a "rehab" setting
approximately 50.
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>-In which field of physical therapy are you working? (Hospital,
nursinghome, stroke-unit, rehabcentre, private practice etc.) Rotational,
acute hospital based.
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>-Do the CVApatients you've treated, belong to a specific category of
strokepatients based on Impairment, Disability and Handicap? Not really
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>-Did you specialize in treating strokepatients? No
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>-What is the most common route that your patients already followed before
they ended up with you? Who makes the referral to you? Immediate referral
from nurses on the ward that the patient is admitted to, whether it be for
respiratory physio or to begin rehab.
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>-Do you receive a standard referral/transference-form? What information is
given to you in the form? Are there in your opinion points missing or
needless? How would you prefer it? No standard referral criteria are set,
acceptance of referral is usually by discussing with the nurses. (Does this
answer your question??)
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>-With what information do you make a plan and aim for treatment? Usually
based on the patients previous abilities and what they want to achieve in
accordance to what I find on assessment.
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>-On the basis of which figures do you state your prognosis of functional
recovery? (ADL based) sorry, dont understand the question. Do you mean
measurement scales??
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>-Do you treat your patients according to a certain concept? (NDT,
conventional, intensity, etc) Not really
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>-Do you involve/implicate a patients partner or beloved one, in the
treatment? When appropriate, yes.
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>-Are you familiar with the possibilities for strokepatients and their
support figure/ partner, to seek support and counselling in the form of
patients-support-programmes,in your surrounding? Yes
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>-Do you discuss the neuro-psychologicaldisorders that may occur after
stroke, with your patient and partner? To some extent
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>-Were you tought how to regonize these neuro-psychologicaldisorders? Not
really
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>-What is in general, the next step CVApatients have to take on their way to
recovery, after they have been treated by you? (home, nursinghome, futher
treatment in different medical specialisme, etc.) Either, (1) home, (2)
cottage rehab hospital, (3) Young Disabled Unit (YDU) for under 65 year
olds, (4) nursing home / residential home. It depends on recovery. In the
acute hospital where I work patients are not expected to stay longer than 6
weeks.
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>-Do you have regular, returning consultations about these strokepatients?
Does this happen in mono-disciplinair or multi-disciplinair context? Multi
disciplinary team meetings are usually weekly.
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>-To whom do you refer? What is the contents of your referral/transference?
>The nurses often make all the necessary referrals to occupational therapy,
speech therapist, dietician etc.
>Last but not least,
>-Do you have any remarks or suggestions that could contribute to the
improvement of the care and aftercare of strokepatients?
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>Thanks!!!!
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