E14: Review
Those affected by stroke are offered a review of their health and social care status and secondary prevention needs from primary care services, typically within around six weeks and six months of leaving hospital.
Key: e = element | k = knowledge | s = skill
Knowledge and understanding of…
e14k_1:
the assessment and management of the physiological, neurological, and psychological effects of stroke at review
e14k_2:
ways to assess and meet the needs and aspirations of those affected by stroke during review
e14k_3:
the full range of local and national resources and services available to address the physiological, neurological, and psychological needs of those affected by stroke, including: health, social, voluntary, and independent; how to facilitate access and length of referral time
e14k_4:
the range of potential impacts of stroke on the patient, carer, and family, the need to assess these, and assessment methods
e14k_5:
the implications of stroke for lifestyle; driving; occupation, including voluntary work or education; and social participation
e14k_6:
risk factors for further vascular events
e14k_7:
pharmacological and non-pharmacological interventions for secondary prevention and to promote recovery after stroke, and their potential adverse effects
e14k_8:
the range of methods, resources, and approaches available to facilitate communication with those affected by stroke when conducting a review
e14k_9:
medication adherence: how to assess it; how it is affected by individual preference; how to motivate; and how to facilitate improved engagement
Skills and ability to...
e14s_1:
take and interpret a thorough medical history, including information from carers, family and other agencies where possible, and carry out decision-specific mental capacity assessments as appropriate
e14s_2:
recognise stroke-related communication difficulties and adapt methods of communication to discuss with the patient, carer, and family: current event; risk of future vascular event; need for and timeframes of assessments and investigations; rationale for interventions and treatments, their timeframes, and possible side effects; and provide timely information, advice and support
e14s_3:
monitor progress and agree or change a maintenance or management plan in conjunction with those affected by stroke, identifying resources to facilitate participation and inclusion
e14s_4:
assess, discuss, and review goal-setting and outcomes with those affected by stroke
e14s_5:
assess medication adherence and facilitate improved engagement
e14s_6:
plan appropriate assessments and treatments based on outcome of review
e14s_7:
identify need and when to refer for more specialist or differing interventions and treatments where necessary
e14s_8:
evaluate the review process in your service and act on the results
