Exploring changing needs following minor stroke
Corresponding Author
Emma Finch PhD, BSpPath(Hons), CPSP
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
Speech Pathology Department, Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
Centre for Functioning and Health Research, Metro South Health
Correspondence
Emma Finch, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia Campus QLD 4072, Brisbane, Australia.
Email: [email protected]
Search for more papers by this authorMichele Foster PhD, BSocWK(Hons)
The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
Search for more papers by this authorJennifer Fleming PhD, BOccThy (Hons), FOTARA
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
Search for more papers by this authorTegan Cruwys PhB(Sci) (Hons), PhD(Clin Psych), MAPS FCCLP
Research School of Psychology, Australian National University, Canberra, Australia
Search for more papers by this authorIan Williams MBBS RACGP
Camp Hill Healthcare, Brisbane, Australia
Search for more papers by this authorDarshan Shah MBBS FRACP
Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
School of Medicine, The University of Queensland, Brisbane, Australia
Search for more papers by this authorKatherine Jaques BN, GradDipCritCare, MPH
Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
Search for more papers by this authorPhilip Aitken MBBS FRACP
Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
Search for more papers by this authorLinda Worrall PhD, BSpThy
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
Search for more papers by this authorCorresponding Author
Emma Finch PhD, BSpPath(Hons), CPSP
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
Speech Pathology Department, Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
Centre for Functioning and Health Research, Metro South Health
Correspondence
Emma Finch, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia Campus QLD 4072, Brisbane, Australia.
Email: [email protected]
Search for more papers by this authorMichele Foster PhD, BSocWK(Hons)
The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
Search for more papers by this authorJennifer Fleming PhD, BOccThy (Hons), FOTARA
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
Search for more papers by this authorTegan Cruwys PhB(Sci) (Hons), PhD(Clin Psych), MAPS FCCLP
Research School of Psychology, Australian National University, Canberra, Australia
Search for more papers by this authorIan Williams MBBS RACGP
Camp Hill Healthcare, Brisbane, Australia
Search for more papers by this authorDarshan Shah MBBS FRACP
Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
School of Medicine, The University of Queensland, Brisbane, Australia
Search for more papers by this authorKatherine Jaques BN, GradDipCritCare, MPH
Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
Search for more papers by this authorPhilip Aitken MBBS FRACP
Princess Alexandra Hospital, Metro South Health, Brisbane, Australia
Search for more papers by this authorLinda Worrall PhD, BSpThy
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia
Search for more papers by this authorAbstract
Medical advances have led to many of the severe consequences of stroke being averted. Consequently, more people are being discharged from hospital following treatment for what is classed as minor stroke. The needs of people with minor stroke have received little research attention. The aim of the current study was to conduct an exploratory prospective needs analysis to document the unmet health, rehabilitation and psychosocial needs of a recently hospitalised minor stroke cohort approximately 2 weeks (T1) and 2 months (T2) post-hospital discharge. An exploratory cohort design was used to explore the unmet health, service and social needs of 20 patients with minor stroke. Participants completed questionnaires (Survey of Unmet Needs and Service Use, Mayo-Portland Adaptability Inventory-4, Exeter Identity Transition Scales, RAND 36-Item Health Survey 1.0) at T1 and T2. Nine participants reported unmet needs at T1 and seven participants reported unmet needs at T2. Between T1 and T2, there was a significant improvement in perceived role limitations due to physical health. Participation in society was significantly better at T2. In conclusion, patients with minor stroke report health, service and social needs that are unmet by existing services. This patient cohort urgently requires co-ordinated services to detect and manage these unmet needs.
CONFLICT OF INTEREST
The authors have no conflict of interest to declare.
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