(精选)The Changing Face of Stroke Care教学课件.pptVIP

NICE Stroke Rehabilitation Guidelines (1st stroke rehab guideline) Draft was circulated nationally for consultation last year Negatively received and strongly criticised by MDTs nationally mainly due to the limitations under NICE e.g. For some-one who has a stroke- consider offering physiotherapy!- significant implications for rehabilitation. Guideline to be reviewed and changed Hope for new guideline in 2013- vital to get it right! As a result a delay in publication of the RCP national Clinical Guidelines for Stroke- September instead of June 2012 26th March Therapy consensus day event with the RCP NICE Stroke Rehabilitation Guidelines Types of studies considered; Systematic reviews, double blinded and unblinded parallel RCTs, and cross over randomised studies. No qualitative studies were included- much rehabilitative care is qualitative in nature and cannot easily be captured in an RCT. Intensity of therapy after stroke consensus meeting- 26th March RCP, London Expert speakers Voting panel 45 minutes of therapy Appropriateness of therapy How to capture therapy Therapy research Patients perspectives in relation to therapy Limited places- ￡10- email:therapy.meeting@rcplondon.ac.uk Possible new inclusions to the 4th Edition of the RCP National Clinical Guidelines for Stroke Acupuncture should only be used if part of a clinical trial Do not routinely offer Functional Electrical Stimulation or TENS Pain control- offer amitryptyline, gabapentin or pregabalin for neuropathic pain SALT should be provided for more than 2 hours per week if patient is able to tolerate this Return to work enhanced section More emphasis on the timing and giving of information to carers Changes within the psychology section- stepped care and use of validated tools to screen and assess for mood and cognition More about post stroke fatigue *  The Changing Face of Stroke Care Amanda Jones Stroke Nurse Consultant Sheffield Teaching Hospitals NHS FT Aim of session Background about stroke Na