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- Title
Enhancing patient-provider communication for long-term post-stroke spasticity management.
- Authors
Sunnerhagen, K. S.; Francisco, G. E.
- Abstract
Stroke is a major public health concern, with estimated 16 million people worldwide experiencing first-time strokes each year, a number that is expected to rise. Two-thirds of those experiencing a stroke are younger than 70 years of age. Stroke is a leading cause of disability in adults as a result of major sequelae that include spasticity, cognitive impairment, paresis, and depression. Disabling spasticity, defined as spasticity severe enough to require intervention, occurs in 4% of stroke survivors within 1 year of first-time stroke. The aim of this report is to focus instead on a discussion of patient-provider communication, and its role in post-stroke spasticity ( PSS) rehabilitation within the context of patient-centered health care. A discussion based on a review of the literature, mainly since 2000. Problems within communication are identified and suggestion to enhance communication are proposed thus improving patient-centered goal setting/goal achievement for the effective management of spasticity rehabilitation. These are as follows: (i) involving family members, (ii) educating patients and family members on stroke and rehabilitation, and (iii) establishing a common definition for long-term goals. Increased communication among physicians, patients, and payers may bridge some of the gaps and increase the effectiveness of PSS rehabilitation and management.
- Subjects
SPASTICITY diagnosis; STROKE diagnosis; PHYSICIANS; MEDICAL rehabilitation; GOAL setting in personnel management; MENTAL depression
- Publication
Acta Neurologica Scandinavica, 2013, Vol 128, Issue 5, p305
- ISSN
0001-6314
- Publication type
Article
- DOI
10.1111/ane.12128