Post-stroke consultation service: a nurse-managed model for care delivery.
In 1989, a multidisciplinary consultation service devoted to providing primary care and rehabilitative care services to stroke survivors in the home was developed and tested at the University of Pennsylvania. This nurse-managed service, Post-Stroke Consultation Service, used the expertise of a nurse practitioner, geriatrician, physiatrist, physical therapists, home health care nurses, specialty care providers, families, and stroke survivors to develop and implement a plan of care that optimized health and function and would be sustainable over time. The service and its impact are described.
Shaughnessy
Marianne
M
Department of Veterans Affairs and Veterans Affairs Medical Center, Baltimore Geriatric Research, Education and Clinical Center, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Whitney
Fay W
FW
D000368:Aged; D003152:Community Health Nursing / Q000458:organization & administration*; D005260:Female; D006801:Humans; D017146:Models, Organizational; D009722:Nurse Practitioners / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D015397:Program Evaluation; D012017:Referral and Consultation / Q000458:organization & administration*; D019145:Rehabilitation Nursing / Q000458:organization & administration*; D020521:Stroke / Q000451:nursing*; D000071939:Stroke Rehabilitation