CASTILON: Care for Stroke in Long term care facilities in the Netherlands (WC2007-071)

CASTILON: Care for Stroke in Long term care facilities in the Netherlands

Background

Starting date: 01/12/2007

There is much attention for improving integrated care for stroke patients, for example shown by the Helsingborg Declaration 2006 on Stroke Strategies. However, service development and research are mainly focused on prevention, acute care and rehabilitation after stroke, whereas relatively little attention is paid to the improvement of care for chronic stroke patients. Although the continuity of services for chronic stroke patients discharged to the community has gained interest, there has not been an equivalent research focus on the needs of chronic stroke patients who are dependent of institutional care.

Institutionalization after stroke occurs frequently. Previous research showed that approximately 15-20% of stroke survivors in developed countries are dependent on institutional long-term care.

In Dutch nursing homes, 40% of residents has stroke as the main cause of dependency. Currently, the care offered to them focuses mainly on physical disabilities, although many of them also suffer from cognitive, emotional and/or behavioural changes, that may result in unmet needs. In addition, they may also need assistance with regard to the planning and decision making concerning their care and (medical) treatment.