Community Stroke and Neurological Rehabilitation Team, Salford Royal NHS Foundation Trust, Salford, UK
Community Stroke and Neurological Rehabilitation Team, Salford Royal NHS Foundation Trust, Salford, UK.
BMJ Case Rep. 2021 Nov 23;14(11):e245544. doi: 10.1136/bcr-2021-245544.
A 62-year old man attended accident and emergency in June 2020 with dense right sided weakness, aphasia and confusion. Investigations revealed a left middle cerebral artery infarct, and he was admitted under the stroke team for ongoing inpatient rehabilitation. He was discharged home in September 2020 and received community stroke rehabilitation from physiotherapy, nursing, occupational therapy and speech and language therapy. He is now working towards a graded discharge from the Community Stroke and Neuro Rehab Team, after achieving his rehabilitation goals. In this case, the multidisciplinary team adopted different ways of working to accommodate the patients' priorities while also negotiating the COVID-19 pandemic. This included taking a transdisciplinary approach to rehabilitation and considering alternative supported self-management strategies. This case highlighted several learning points, particularly the potential benefits of shared goal setting for patients with communication difficulties and transdisciplinary approaches to community stroke rehabilitation.
一位 62 岁男性于 2020 年 6 月因右侧重度无力、言语障碍和意识混乱就诊于急诊。检查发现左侧大脑中动脉梗死，入住卒中团队进行住院康复治疗。他于 2020 年 9 月出院回家，并接受来自物理治疗、护理、职业治疗和言语治疗的社区卒中康复治疗。在实现康复目标后，他正在努力从社区卒中与神经康复团队中逐步出院。在这种情况下，多学科团队采取了不同的工作方式，以适应患者的优先事项，同时应对 COVID-19 大流行。这包括采用跨学科的康复方法，并考虑替代性的支持性自我管理策略。该病例强调了几个学习要点，特别是对于有沟通困难的患者，共同设定目标和采用社区卒中康复跨学科方法可能带来的益处。
