A nursing care intervention consistsing of a holistic evaluation by stroke nurse soon after patient discharge which considered: patient and caregiver physical functioning, knowledge of consequences and implications of stroke, abilities to cope emotionally with aftermath of stroke, the potential of the home environment to support recovery, medication adherence, appropriateness and effectiveness, transfer of care arrangements, and health promotion, including education, stroke prevention and use of resources to support recovery. Follow-up visits over several months as needed (average # visits =3) Telephone # for stroke nurse distributed.
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Stroke information packet distributed at rehab discharge, with 3 1-hr home visits from family counselor (1st session 3 weeks post-discharge, follow-ups at 2 & 5 months) Information packet contained general stroke information; counseling focused on stroke-related distress and was modeled after family systems theory.
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Social Problem-Solving Telephone Partnerships: Caregivers taught to use a positive problem orientation and 4 systematic steps when solving cg problems: (1) identify and define problem, (2) decide what needs to be accomplished and list possible solutions, (3) choose and test the best solution(s), and (4) evaluate outcomes of problem solving. There was an initial 3-hr session w/ nurse in home after patient discharge followed by weekly (weeks 2, 3, and 4) and biweekly (weeks 6, 8, 10, 12) phone contacts to develop/ maintain skills over 12 weeks.
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Instruction (3-5 sessions, 30-45 min. each, depending on needs) by appropriate professionals on common stroke related problems.
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Nature of Family Support Organizer "FSO" contact varied by needs of caregiver. FSO group received 8 stroke leaflets w/ stroke info. (e.g. causes, effects) and community resources distributed one week post-stroke. 6-mo follow-up home visit
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Part of a national program in the UK, the role of the family support organizer (FSO) was to offer information, emotional support and prevention advice to families and stroke patients, aimed to cover the gap in support when formal treatment or therapy ends.
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Compared 2 interventions based on stress & coping model; weekly group support program and home visits.
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