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CuidArte ”El Arte del Cuidado”

2022, Number 22

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CuidArte 2022; 11 (22)

Case series on home care for adults with cerebrovascular disease

Pratz AMT

Language: Spanish
References: 20
Page: 74-84
PDF size: 118.21 Kb.


ABSTRACT

Introduction. Cerebrovascular disease is one of the leading causes of mortality and disability in the world, people with this condition have various physical limitations that prevent them from performing activities of daily living. Therefore, the aim of this project was to implement a home care program for adults with cerebrovascular disease, which sought to achieve the highest possible level of functionality, reducing incapacity, and increasing independence, in collaboration with the family. Case presentations. The participants were patients who had presented a cerebrovascular event in the six months prior to admission to the care program, which was developed in the city of Guanajuato, where the participants allowed access to their homes to be provided with personal care, rehabilitation, occupational therapy, and prevention of pressure ulcers, in accordance with the code of ethics that governs the health professional. The program lasted ten weeks, in which eight people and their families participated, four of them could reduce their neurological deficit, two improved their score on the NIHSS scale; the functionality of the people improved and there was no presence of ulcers. Conclusion. Rehabilitation is a priority for the recovery of the patients, so it must start from the hospitalization period. Likewise, the intervention at home allowed the care to be personalized to each person and family needs, allowing to contribute to the recovery, rehabilitation, and reincorporation of the patient to their daily lives.


REFERENCES

  1. García-Alfonso C, Martínez Reyes A, García V, Ricaurte-Fajardo A, Torres I, Coral J. Actualización en diagnósticoy tratamiento del ataque cerebrovascular isquémico agudo. Univ. Med. 2019;60(3). DOI: https://doi.org/10.11144/Javeriana.umed 60-3.act

  2. Röther J, Alberts MJ, Touzé E, Mas JL, Hill MD, Michel P, et al. Risk factor profile and management of cerebrovascularpatients in the REACH registry. Cerebrovasc. 2008;25(1):366-74. DOI: 10.1159/000120687.

  3. Arauz A, Marquez-Romero JM, Barboza MA, Serrano F, Artigas C, Murillo-Bonilla LM, et. al. Mexican-NationalInstitute of Neurology and Neurosurgery-Stroke Registry: Results of a 25-Year Hospital-Based Study. Front Neurol.[Internet] 2018; 9:207. DOI: 10.3389/fneur.2018.00207.

  4. Global, regional and national age-sex specific all-cause and cause-specific mortality for 264 causes of death, 1980-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. [Internet] 2017; 390: 1151-510. DOI:https://doi.org/10.1016/S0140-6736(17)32152-9

  5. INEGI. Principales causas de mortalidad por residencia habitual, grupos de edad y sexo del fallecido. México: INEGI,2020. [Consultado 18 noviembre 2021]. Disponible en: https://bit.ly/2IpTodT

  6. Piloto-González R, Herrera-Miranda G, Ramos-Águila Y, Mujica-González D, Gutiérrez-Pérez M. Caracterizaciónclínica-epidemiológica de la enfermedad cerebrovascular en el adulto mayor. Rev. Ciencias Médicas [Internet].2015;19(6). Disponible en: https://bit.ly/3QoUBAA

  7. Pedrero NL, Pichardo FA. Concepto de funcionalidad, historia clínica geriátrica y evaluación funcional. En: GonzálezMJ, Pichardo FA, García L. Geríatria. McGrawHill; 2009, p. 32-54.

  8. Herazo-Beltrán Y, Quintero-Cruz MV, Pinillos-Patiño Y, García-Puello F, Núñez-Brav N, Suarez-Palacio D. Calidadde vida, funcionalidad y condición física en adultos mayores institucionalizados y no institucionalizados. RevistaLatinoamericana de Hipertensión [Internet]. 2017; 12 (5):174-181. Disponible en: https://bit.ly/3vZywQX

  9. Comisión Nacional de Bioética [Internet]. Código de Nuremberg. Disponible en: https://bit.ly/3SLsf5a

  10. The World Medical Association. Recommendations guiding physicians in biomedical research involving humansubjects. World Medical Association Declaration of Helsinki. J Med Liban. 1994;42(2):88-9. Disponible en: https://bit.ly/3pfZGzq

  11. Dancer S, Brown AJ, Yanase LR. National Institutes of Health Stroke Scale in Plain English Is Reliable for NoviceNurse Users with Minimal Training. J Emerg Nurs. [Internet] 2017; 17 (16): 30212-4. DOI: 10.1016/j.jen.2016.09.002.

  12. Olivato S, Nizzoli S, Cavazzuti M, Casoni F et al Expanded National Institutes of Health Stroke Scale Weighted forAnterior and Posterior Circulation Strokes. J Stroke Cerebrovasc Dis. [Internet] 2016; 25 (12): 2953-2957 DOI: 10.1016/j.jstrokecerebrovasdis.2016.08.011.

  13. Mahoney F, Barthel D. Functional evaluation: the Barthel Index. Md State Med. [Internet] 1965; 14: 61-5. Disponibleen: https://bit.ly/3QjRwSs

  14. Módica M, Sampayo M, Sciuto S, Heider G, Castellano J, Ángel MF, Cancino J, Pavón H, Toledo D, Di Yorio R.Resultados funcionales en sujetos post accidente cerebrovascular luego del alta de una clínica de neurorehabilitaciónde la Ciudad de Buenos Aires. Argentinian Journal of Respiratory & Physical Therapy [Internet] 2020; 2(1): 33-39.Disponible en: https://bit.ly/3QBkHRb

  15. Veerbeek JM, van Wegen E, van Peppen R, van der Wees PJ, Hendriks E, et al. What Is the Evidence for PhysicalTherapy Poststroke? A Systematic Review and Meta-Analysis. PLOS ONE. Internet] 2014; 9(2): e87987. https://doi.org/10.1371/journal.pone.0087987

  16. Hayward KS, Kuys SS, Barker RN, Brauer DG. Clinically important improvements in motor function are achievableduring inpatient rehabilitation by stroke patients with severe motor disability: a prospective observational study.NeuroRehabilitation. [Internert] 2014; 34: 773–9. DOI: https://doi.org/10.3233/nre-141076

  17. Pollock A, Baer G, Campbell P, Choo PL, Forster A, Morris J, Pomeroy VM, Langhorne P. Physical rehabilitationapproaches for the recovery of function and mobility following stroke. Cochrane Database Syst Rev. [Internet] 2014;(4). DOI: 10.1002/14651858.CD001920.pub3

  18. Alessandro L, Olmos LE, Bonamico L, Muzio DM, Ahumada MH, Russo MJ, et al. Rehabilitación multidisciplinariapara pacientes adultos con accidente cerebrovascular. Medicina (B Aires) [Internet] 2020; 80 (1): 54-68. Disponible en: https://bit.ly/3zUYp5u

  19. Lohse KR, Lang CE, Boyd LA. Is more better? Using metadata to explore dose-response relationships in strokerehabilitation. Stroke. [Internet] 2014; 45: 2053–8. DOI: https://doi.org/10.1161/STROKEAHA.114.004695

  20. Kuptniratsaikul V, Kovindha A, Suethanapornkul S, Massakulpan P, Permsirivanich W, Kuptniratsaikul P. Motorrecovery of stroke patients after rehabilitation: one-year follow-up studyInternational. Journal of Neuroscience[Internet] 2017; 127(1): 37–43. DOI: 10.3109/00207454.2016.1138




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