The continuation of post-stroke rehabilitation according to the model of Early Home Supported Discharge
Journal Title: Rehabilitacja Medyczna - Year 2009, Vol 13, Issue 3
Abstract
The growing costs of health care have enforced managers to look for new solutions of services which could enable them to reduce the costs of treatment. During recent years a promising alternative to conventional institutional post-stroke rehabilitation has appeared. Early Home Supported Discharge (EHSD) consists of many elements of the modern strategy of rehabilitation. It realizes the idea of early rehabilitation, its continuation after discharge from hospital, and for the first: social integration – participation. Many authors have published extended studies demonstrating the significant effect on poor final outcomes and the length of hospitalization. In 2006 these results were elaborated in a HTA of EHSD where the extra ‘H’ specifies that this intervention has to be delivered at the domicile of the patient. The HTA concludes that EHSD is a dominant intervention in comparison with conventional stroke unit rehabilitation. The biggest benefits of this model have been noticed in those survivals who displayed a middle-moderate level of disability. In this review article the contemporary state of art with regard to the post-stroke model of Early Home Supported Discharge is presented.
Authors and Affiliations
Józef Opara, Monika Błaszczyszyn, Jacek Barszcz
Keywords
Related Articles
- EP ID EP82027
- DOI -
- Views 64
- Downloads 0
The pathomechanism of visuo-spatial neglect within the context of therapies
This article reviews the most wide-spread theoretical underpinnings of the pathomechanism of hemineglect syndrome and their therapeutic implications. The most frequent and disabling form of the syndrome, left visuo-spati...
Demograficzne determinanty troski o siebie osób po zawale serca
Wstęp: Sposób w jaki człowiek troszczy się o swoje życie, jego jakość i kształt uzależniony jest od wielu czynników. Analizując ich wpływ na zachowania jednostki względem własnego zdrowia nietrudno dostrzec, że istotne z...
Spontaneous motility disorders and postural control in infants (0-6 months of life) with a history of perinatal disorders
Newborn infants with a history of perinatal neurological conditions require special monitoring. Their psychomotor development is determined by the potential damage to the structure of their immature nervous system, perin...
The stabilometric evaluation of the impact of neurophysiological physical methods on balance improvement in patients after a stroke
Introduction: Postural instability and difficulty in maintaining an upright position in patients after a stroke are connected with an impaired schema of the body. As a result, patients are not able to cope with daily act...
Zmiany stereotypu chodu u pacjentów z bocznym skrzywieniem kręgosłupa
Wstęp. Boczne skrzywienie kręgosłupa to najczęściej występujące wśród dzieci i młodzieży schorzenie ortopedyczne, stanowiące poważny problem społeczny. Wielopłaszczyznowa deformacja kręgosłupa zaburza mechanikę ciała. Ce...