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dc.contributor.authorO'NEILL, DESMONDen
dc.date.accessioned2010-04-27T17:01:10Z
dc.date.available2010-04-27T17:01:10Z
dc.date.issued2010en
dc.date.submitted2010en
dc.identifier.citationCowman S, Royston M, Hickey A, Horgan F, McGee H, O'Neill D, Stroke and Nursing Home Care: a national survey of nursing homes., BMC Geriatrics, 10, 1, 2010, 4en
dc.identifier.issn1471-2318en
dc.identifier.otherYen
dc.identifier.urihttp://hdl.handle.net/2262/39221
dc.descriptionPUBLISHEDen
dc.description.abstractBACKGROUND: Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency. METHODS: A cross-sectional survey research design was used. A total of 572 public and private nursing homes were identified nationally and a stratified random selection of 60 nursing homes with 3,239 residents was made. In half of the nursing homes (n = 30) efforts were made to interview all residents with stroke Survey instruments were used to collect data from residents with stroke and nursing home managers on demography, patient disability, and treatment. RESULTS: Across all nursing homes (n = 60), 18% (n = 570) of the residents had previously had a stroke. In homes (n = 30), where interviews with residents with stroke (n = 257), only 7% (n = 18) residents were capable of answering for themselves and were interviewed. Data on the remaining 93% (n = 239) residents were provided by the nursing home manager. Nurse Managers reported that 73% of residents with stroke had a high level of dependency. One in two residents with stroke was prescribed antidepressants or sedative medication. Only 21% of stroke residents were prescribed anticoagulants, 42% antiplatelets, and 36% cholesterol lowering medications. Stroke rehabilitation guidelines were lacking and 68% reported that there was no formal review process in place. CONCLUSIONS: This study provides seminal findings on stroke and nursing home services in Ireland. We now know that one in six nursing home residents in a national survey are residents with a stroke, and have a wide range of disabilities. There is currently little or no structured care (beyond generic care) for stroke survivors who reside in nursing homes in Ireland.en
dc.format.extent4en
dc.language.isoenen
dc.relation.ispartofseriesBMC Geriatricsen
dc.relation.ispartofseries10en
dc.relation.ispartofseries1en
dc.rightsYen
dc.subjectClinical Medicine
dc.titleStroke and Nursing Home Care: a national survey of nursing homes.en
dc.typeJournal Articleen
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/doneillen
dc.identifier.rssinternalid63294en
dc.identifier.doihttp://dx.doi.org/10.1186/1471-2318-10-4en
dc.subject.TCDThemeNeuroscienceen
dc.identifier.orcid_id0000-0002-5542-9897en


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