The Hospital to Home Transition Following Acute Stroke

DaiWai M Olson; Shannon B Juengst

doi:10.1016/j.cnur.2019.04.007

The Hospital to Home Transition Following Acute Stroke

Nurs Clin North Am. 2019 Sep;54(3):385-397. doi: 10.1016/j.cnur.2019.04.007. Epub 2019 Jun 8.

Authors

DaiWai M Olson¹, Shannon B Juengst²

Affiliations

¹ Neurology and Neurotherapeutics, University of Texas Southwestern, 5323 Harry Hines Boulevard, Dallas, TX 75390-8897, USA. Electronic address: DaiWai.Olson@UTSouthwestern.edu.
² Physical Medicine and Rehabilitation, University of Texas Southwestern, 5323 Harry Hines Boulevard, Dallas, TX 75390-9055, USA.

PMID: 31331625
DOI: 10.1016/j.cnur.2019.04.007

Abstract

Advances in stroke detection and treatment have increased the number of patients discharged home following an index stroke admission. Unfortunately, the science of how to facilitate transition of care (TOC) from hospital to home has not kept pace with decades-long focus on restoring cerebral perfusion. This article examines TOC interventions in stroke populations published after the 2011 Agency for Healthcare Research and Quality report. Early supported discharge is the leading TOC intervention. Diversity of outcome measures and use of poorly defined comparators limits generalizability. There is no clear best practice to define interventions targeted at the hospital to home transition.

Keywords: Neuroscience nursing; Patient transfer; Stroke; Transitional care.

Publication types

Review

MeSH terms

Adult
Aged
Aged, 80 and over
Continuity of Patient Care / standards*
Female
Home Care Services / standards*
Humans
Male
Middle Aged
Patient Discharge / standards*
Practice Guidelines as Topic*
Stroke Rehabilitation / standards*
Transitional Care / standards*