Increasing stroke patients' success in self-medication programs using an interdisciplinary cognitive rehabilitation approach.
Rehabilitation programs strive to help patients become more independent in all aspects of daily living. Therefore, management of a patient's healthcare requirements should be an integral part of the rehabilitation program, including management of medications. Some rehabilitation programs implement self-medication programs (SMP); however, patients with cognitive deficits are often excluded. This study explored whether patients with cognitive deficits due to stroke could successfully complete an SMP using an interdisciplinary cognitive rehabilitation approach. Twenty-seven stroke patients and 36 debilitated patients with cognitive deficits participated in an SMP. A nurse and a pharmacist educated patients on their medications, and a speech-language pathologist provided cognitive rehabilitation to the stroke patients, which incorporated information from the SMP. Eighty-one percent of the stroke patients successfully completed the SMP, compared to 36% of the debilitated patients. Thus, an interdisciplinary approach to medication management for cognitively impaired stroke patients holds promise.
Purdy
Mary
M
Southern Connecticut State University, Department of Communication Disorders, USA. purdym1@southernct.edu
D000368:Aged; D000704:Analysis of Variance; D016022:Case-Control Studies; D003072:Cognition Disorders / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation*; D003479:Curriculum; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008875:Middle Aged; D020380:Needs Assessment; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D010348:Patient Care Team / Q000458:organization & administration*; D010353:Patient Education as Topic / Q000458:organization & administration*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration; D011340:Problem Solving; D015397:Program Evaluation; D019145:Rehabilitation Nursing / Q000458:organization & administration; D012646:Self Administration / Q000379:methods / Q000523:psychology; D012720:Severity of Illness Index; D013066:Speech-Language Pathology / Q000458:organization & administration; D020521:Stroke / Q000150:complications*; D016896:Treatment Outcome