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

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    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
    Issue Date
    2010
    
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    Citation
    Stroke and Nursing Home care: a national survey of nursing homes. 2010, 10:4 BMC Geriatr
    Journal
    BMC geriatrics
    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
    ae974a485f413a2113503eed53cd6c53
    10.1186/1471-2318-10-4
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