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Multidisciplinary recording and continuity of care for stroke patients with eating difficulties
Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Omvårdnad.ORCID-id: 0000-0002-3964-196X
2010 (Engelska)Ingår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 24, nr 3, s. 298-310Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Eating difficulties after stroke are common and can, in addition to being a risk for serious medical complications, impair functional capability, social life and self-image. Stroke unit care entails systematic multidisciplinary teamwork and continuity of care. The purpose of this study was to describe (i) multidisciplinary stroke care as represented in patient records for patients with eating difficulties, and (ii) the written information that was transferred from hospital to elderly care. Data from 59 patient records were analysed with descriptive statistics and by categorization of phrases. Signs of multidisciplinary collaboration to manage eating problems were scarce in the records. While two notes from physiotherapists were found, nurses contributed with 78% of all notes (n=358). Screening of swallowing and body weight was documented for most patients, whereas data on nutritional status and eating were largely lacking. The majority of notes represented patients' handling of food in the mouth, swallowing and lack of energy. Care plans were unstructured and few contained steps for managing eating. Discharge summaries held poor information on care related to eating difficulties. The language of all professionals was mostly unspecific. However, notes from speech-language therapists were comprehensive and entailed information on follow-up and patient participation.

Ort, förlag, år, upplaga, sidor
Informa healthcare , 2010. Vol. 24, nr 3, s. 298-310
Nyckelord [en]
Continuity of care, eating difficulties, multidisciplinary care, patient record, stroke
Nationell ämneskategori
Hälsovetenskaper
Forskningsämne
Hälsa och välfärd
Identifikatorer
URN: urn:nbn:se:du-4791DOI: 10.3109/13561820903011976ISI: 000276624100009PubMedID: 20178426OAI: oai:dalea.du.se:4791DiVA, id: diva2:520205
Tillgänglig från: 2010-06-07 Skapad: 2010-06-07 Senast uppdaterad: 2017-12-07Bibliografiskt granskad

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