Implementing a care pathway for spatial neglect to improve stroke outcomes

Visual-spatial neglect, assessment, functional outcomes. This study evaluated basic functional mobility in 25 patients with stroke and visual-spatial neglect during inpatient rehabilitation and early follow-up. Seven patients with neglect and 12 patients without neglect were discharged home and the rest to institutions.

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By developing and implementing a standardised, evidence based set of metrics that incorporate all NICE standards for stroke across the region, there should be more effective and comprehensive assessment of the the care provided to stroke patients to inform improvement in services and ensure equity of access to high quality care.

Spatial neglect, a common cause of functional disability after stroke, affects more than half of survivors, and 30 percent of individuals with traumatic brain injury. The authors recommend that best practices in stroke rehabilitation include spatial neglect care, which can improve stroke outcomes, including motor recovery.

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In the initial months following right hemisphere stroke, there are wide-ranging differences in the rate and amount of functional recovery in patients, with and without hemi-inattention. Practitioners should not limit the aspirations of their patients based on the presence or absence of hemi-inattention.

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Feasibility and Effectiveness Study of Implementing Prism Adaptation as a Treatment for Spatial Neglect After Stroke. These intervention sessions will involve a novel and simple computerized prism adaptation, Peg-The-Mole (PTM). Outcome measures will be collected before and after each treatment, as well as at baseline, and a three month follow-up over the phone.

Stroke Research Researchers at Kessler Foundation strive to improve stroke rehabilitative care by implementing new interventions during inpatient rehabilitation, exploring ways of improving mobility, and finding ways to detect and treat spatial neglect.

The authors recommend that best practices in stroke rehabilitation include spatial neglect care, which can improve stroke outcomes, including motor recovery.

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Drs. Barrett and Houston suggest in this article that there is sufficient evidence to support implementation of a care pathway for spatial neglect care. This may raise the standard of care, by raising awareness of the importance of integrating spatial neglect assessment in stroke rehabilitation.

It is common after a stroke; however, it is vastly underdocumented and undertreated. This article addresses the implementation gap in identifying and treating spatial neglect, to reduce disability and improve healthcare costs and burden. RECENT findings: professional organizations published recommendations to implement spatial neglect care.