[Cognition problems during rehabilitation of stroke patients in a nursing home].
In many regions in the Netherlands the care for stroke patients is organised in a coordinated stroke service. Within these stroke services, each year more patients are referred to nursing homes for a period of rehabilitation. A stroke leads to lasting cognitive and emotional consequences in more than half of the stroke patients. These consequences interfere with the daily life of the patients and their caregivers. Due to the nature and severity of these problems specific care is needed in the nursing home. In the present article a procedure for cognitive screening in a nursing home is described and data of a large group of patients are presented. These data clearly show the magnitude of the cognitive problems: high percentages of impairments are found in many cognitive domains. In the discussion therefore arguments are given for specialised care - assessment as well as treatment - in the nursing home for stroke patients with cognitive deficits.
van Heugten
C M
CM
Universiteit Maastricht, Psychiatrie en Neuropsychologie, locatie DRT12, Postbus 676, 6200 MD Maastricht. c.vanheugten@np.unimaas.nl
Smit
R A
RA
Schols
J M G A
JM
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000453:epidemiology*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009730:Nursing Assessment; D010043:Outcome and Process Assessment, Health Care; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D012866:Skilled Nursing Facilities / Q000706:statistics & numerical data*; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation