Multiprofessional follow up of patients after subarachnoid haemorrhage.
Subarachnoid haemorrhage (SAH) is a life-threatening illness that affects people suddenly and without warning. Previous research has estimated that only 7% of SAH survivors suffer physical deficits (Stegan and Freckmann, 1991), whereas two-thirds of those classed as having made a good recovery actually experience a range of debilitating cognitive or emotional difficulties (Bindschaedler et al, 1997); Buchanan et al, 2000). At Hope Hospitals, a structures system was set up to help support the survivors of SAH through follow-up via the neurovascular team providing patients with information, guidance and early intervention including screening for potential cognitive and emotional difficulties and fast-track referral to neuropsychology services. Behavioural indices demonstrated that patients experienced a range of difficulties in everyday functioning such as problems that prevent a return to work and excessive fatigue, among others. Although this innovative system does address follow-up need, improvements could be made to ensure that all patients receive an equitable service.
Jarvis
Anne
A
Department of Neurosurgery, Hope Hospital, Salford.
Talbot
Louise
L
D000328:Adult; D000359:Aftercare / Q000458:organization & administration*; D001294:Attitude to Health; D005260:Female; D018575:Home Care Services, Hospital-Based / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000458:organization & administration; D008875:Middle Aged; D017146:Models, Organizational; D020380:Needs Assessment; D009484:Neuropsychology; D009937:Organizational Objectives; D010348:Patient Care Team / Q000458:organization & administration*; D010351:Patient Discharge / Q000592:standards; D010353:Patient Education as Topic / Q000458:organization & administration; D015397:Program Evaluation; D020127:Recovery of Function; D012017:Referral and Consultation / Q000458:organization & administration; D012720:Severity of Illness Index; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000523:psychology / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D017741:Survivors; D017749:Total Quality Management