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CVA Integrated Care

Integrated care CVA gives people their lives back after stroke

Since 1996 there has been CVA Integrated Care Maastricht. Over the years, chain highly developed and many patients benefit from this joint aftercare. Every year more than 41,000 people get a stroke. 10,000 people die this. It is number two cause of death and the leading cause of disability. In the Netherlands, approximately 500,000 people have to live with the consequences of stroke. Such effects may include: social dysfunction, depression or personality changes and overloading the carer. "The goal of integrated care is to guide the recovery process in the individual patient as well as possible and to support that quality of life is improved," said Miranda Hendrikx, stroke chain coordinator at Maastricht UMC +. At Maastricht UMC +.

In Maastricht UMC + 600 people with stroke recorded annually. Most patients who have had a stroke, after a period of hospitalization, an average of six to seven days, at home (65%). "Any follow-up occurs when therapists close to home, or outpatient in a rehabilitation center, or azM Recovery Care . 10% of patients eligible for intensive rehabilitation and will be included in a rehabilitation center (Adelante). In the remaining 25% is a nursing home indicated. This is due to the severity of the consequences of stroke, a less active life or other diseases that existed before the stroke. Some of these patients will recover in a slow pace and some will stay in a nursing home, "said physiatrist Geerie Winnubst.

Miranda Hendrikx: "In the hospital, every stroke patient within two to three days after ingestion seen by the rehabilitation physician and discussed in the multidisciplinary consultation (MDO). This team meets twice a week together and consists of a physiatrist, physical therapist, occupational therapist, logopodist, neurologist, neuropsychologist, transfer consultant and supply chain coordinator. Here, each patient is examined which aftercare is needed to set up the recovery process. As well as possible Depending on the restrictions that a person has maintained a stroke, there are three treatment options: inpatient or outpatient specialist rehabilitation medical care in collaboration with Adelante, geriatric rehabilitation care (azM rehabilitation care) or help in their own home together with Envida. After the rehabilitation period is at least 90% of these people
again able to live. "independently

Patients suffering from a stroke often with physical and mental symptoms. May include paralysis and incontinence. Physical effects May include emotional behavioral consequences: no brake on emotions, depression and cognitive effects; slower thinking, memory impairment, aphasia, apraxia, agnosia, and neglect. The patients go home, be visited by a home care coordinator Envida. "During a home visit, whether a follow-up is needed, together with the patient; physiotherapy, occupational therapy, speech therapy and / or psychological support. The GP will be informed in a letter after this first visit. In this intake uses the SIGEB procedure (signaling instrument for the long-term consequences of a stroke). The English name is ACAS (Assessment Tool for Long-Term Consequences After Stroke). The screening instrument was developed by the Maastricht UMC + and Maastricht University in the framework of the PhD research of Manon Fens. The purpose of the tool is to make the problems of patients with stroke who have returned to the home. General and rapid inventory The instrument can be used by specialist stroke nurses or nurse practitioners. For each patient contact this screening instrument can be used as an aid in identifying the problems and make the necessary care. On the basis of this inventory, a plan can be drawn up and are given adequate care. It looks at what restrictions there are and how they can be addressed. Together with the patient and the caregiver Are
goals and objectives. It can also be very practical things like shopping, make coffee, cook and serve the television, "explains Rita Fleur home care coordinator at Envida out.

CVA Integrated care makes the difference for many people. Both the patient and the caregiver get timely care they need. In addition, all disciplines that can contribute to adequate treatment and rehabilitation of the patient. Thus, the independence and quality of life of both the patient and the caregiver significantly improved. Without this service, many of these people end up in social isolation, would increase the pressure on the care depression lurk in short, the after effects of a stroke would have a much greater negative impact. Geerie Winnubst: "GPs that patients in practice
get those suffering the effects of a stroke, we recommend to send. these people A GP can sign a patient aftercare via mdo aftercare. Also, if someone a few years ago had a stroke and the doctor notices that the worse is he can send his patient through "

"Six weeks after discharge from the hospital, the patient returned to the stroke nurse or neurologist. Follows a consultation on the follow-up clinic after six months. It is discussed how it goes and if there are complaints, support is offered. It includes questions to move / walk, food and drinks, daily activities, work, social life and relationships, attention, concentration, communication and so on. Patients in the aftercare will be discussed once every two months by the team of professionals that provides support to the patient, "says Miranda Hendrikx.

Due to the aging population, the number of people affected by stroke will increase even annually. Yet it is not a disease of old age: almost a quarter of the patients are younger than 65 years. Partly due to stroke integrated care people are adequately supported to meet their life after a stroke again and teach them as well to cope with their limitations. A stroke is a live event.

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