Stroke and Nursing Home care: a national survey of nursing homes.

Hdl Handle:
http://hdl.handle.net/10147/93863
Title:
Stroke and Nursing Home care: a national survey of nursing homes.
Authors:
Cowman, Seamus; Royston, Maeve; Hickey, Anne; Horgan, Frances; McGee, Hannah; O'Neill, Desmond
Affiliation:
Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, St Stephen's Green, Dublin 2, Ireland. scowman@rcsi.ie
Citation:
Stroke and Nursing Home care: a national survey of nursing homes. 2010, 10:4 BMC Geriatr
Journal:
BMC geriatrics
Issue Date:
2010
URI:
http://hdl.handle.net/10147/93863
DOI:
10.1186/1471-2318-10-4
PubMed ID:
20105313
Abstract:
BACKGROUND: Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency. METHODS: A cross-sectional survey research design was used. A total of 572 public and private nursing homes were identified nationally and a stratified random selection of 60 nursing homes with 3,239 residents was made. In half of the nursing homes (n = 30) efforts were made to interview all residents with stroke Survey instruments were used to collect data from residents with stroke and nursing home managers on demography, patient disability, and treatment. RESULTS: Across all nursing homes (n = 60), 18% (n = 570) of the residents had previously had a stroke. In homes (n = 30), where interviews with residents with stroke (n = 257), only 7% (n = 18) residents were capable of answering for themselves and were interviewed. Data on the remaining 93% (n = 239) residents were provided by the nursing home manager. Nurse Managers reported that 73% of residents with stroke had a high level of dependency. One in two residents with stroke was prescribed antidepressants or sedative medication. Only 21% of stroke residents were prescribed anticoagulants, 42% antiplatelets, and 36% cholesterol lowering medications. Stroke rehabilitation guidelines were lacking and 68% reported that there was no formal review process in place. CONCLUSIONS: This study provides seminal findings on stroke and nursing home services in Ireland. We now know that one in six nursing home residents in a national survey are residents with a stroke, and have a wide range of disabilities. There is currently little or no structured care (beyond generic care) for stroke survivors who reside in nursing homes in Ireland.
Language:
en
ISSN:
1471-2318

Full metadata record

DC FieldValue Language
dc.contributor.authorCowman, Seamusen
dc.contributor.authorRoyston, Maeveen
dc.contributor.authorHickey, Anneen
dc.contributor.authorHorgan, Francesen
dc.contributor.authorMcGee, Hannahen
dc.contributor.authorO'Neill, Desmonden
dc.date.accessioned2010-03-08T14:43:32Z-
dc.date.available2010-03-08T14:43:32Z-
dc.date.issued2010-
dc.identifier.citationStroke and Nursing Home care: a national survey of nursing homes. 2010, 10:4 BMC Geriatren
dc.identifier.issn1471-2318-
dc.identifier.pmid20105313-
dc.identifier.doi10.1186/1471-2318-10-4-
dc.identifier.urihttp://hdl.handle.net/10147/93863-
dc.description.abstractBACKGROUND: Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency. METHODS: A cross-sectional survey research design was used. A total of 572 public and private nursing homes were identified nationally and a stratified random selection of 60 nursing homes with 3,239 residents was made. In half of the nursing homes (n = 30) efforts were made to interview all residents with stroke Survey instruments were used to collect data from residents with stroke and nursing home managers on demography, patient disability, and treatment. RESULTS: Across all nursing homes (n = 60), 18% (n = 570) of the residents had previously had a stroke. In homes (n = 30), where interviews with residents with stroke (n = 257), only 7% (n = 18) residents were capable of answering for themselves and were interviewed. Data on the remaining 93% (n = 239) residents were provided by the nursing home manager. Nurse Managers reported that 73% of residents with stroke had a high level of dependency. One in two residents with stroke was prescribed antidepressants or sedative medication. Only 21% of stroke residents were prescribed anticoagulants, 42% antiplatelets, and 36% cholesterol lowering medications. Stroke rehabilitation guidelines were lacking and 68% reported that there was no formal review process in place. CONCLUSIONS: This study provides seminal findings on stroke and nursing home services in Ireland. We now know that one in six nursing home residents in a national survey are residents with a stroke, and have a wide range of disabilities. There is currently little or no structured care (beyond generic care) for stroke survivors who reside in nursing homes in Ireland.-
dc.language.isoenen
dc.titleStroke and Nursing Home care: a national survey of nursing homes.en
dc.contributor.departmentFaculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, St Stephen's Green, Dublin 2, Ireland. scowman@rcsi.ieen
dc.identifier.journalBMC geriatricsen

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