Key Physiotherapy Indicators for Quality of Stroke Care

Sheila Lennon, M Hastings

    Research output: Contribution to journalArticle

    23 Citations (Scopus)

    Abstract

    This paper was produced for the intercollegiate Stroke Working Party organised by the Royal College of Physicians. Quality indicators are highlighted which identify minimum performance standards for a physiotherapy service in stroke care in any environment. These indicators have been selected from the standards of practice published by the Chartered Society of Physiotherapy and the Specific Interest Groups representing community physiotherapy, elderly care, and neurology.In the first section of this paper the role of physiotherapists is identified followed by a discussion of structure, process and outcome in stroke rehabilitation. Two stages in stroke care are recognised: an initial acute stage focused on impairment, and a second stage focused on disability and handicap. This paper emphasises that neither specific approaches nor techniques should be prescribed in stroke rehabilitation, as evidence to support the superiority of one approach over another is lacking.Standards have been identified in the areas of assessment, goal setting, teamwork, treatment, education of patients and carers and expected outcomes. Each standard is followed by criteria: the key clinical activities that demonstrate that the standard is being achieved. Some of these standards are integrated into an interdisciplinary audit tool; others which are more profession-specific are included in a physiotherapy audit tool. Both of these tools will be published by the Royal College of Physicians following a consensus exercise and pilot phase.A consensus of good practice in stroke care is essential to improve the organisation and provision of services for patients following stroke. Physiotherapists are encouraged to adopt these quality standards on a national level.
    LanguageEnglish
    Pages655-664
    JournalPhysiotherapy
    Volume82
    Issue number12
    DOIs
    Publication statusPublished - 1996

    Fingerprint

    Quality of Health Care
    Stroke
    Physical Therapists
    Physicians
    Public Opinion
    Patient Education
    Neurology
    Caregivers
    Organizations
    Exercise

    Keywords

    • Physiotherapy
    • standards
    • stroke rehabilitation
    • audit

    Cite this

    Lennon, Sheila ; Hastings, M. / Key Physiotherapy Indicators for Quality of Stroke Care. In: Physiotherapy. 1996 ; Vol. 82, No. 12. pp. 655-664.
    @article{67cafd95c3cc451a9da9aaed8c67abbe,
    title = "Key Physiotherapy Indicators for Quality of Stroke Care",
    abstract = "This paper was produced for the intercollegiate Stroke Working Party organised by the Royal College of Physicians. Quality indicators are highlighted which identify minimum performance standards for a physiotherapy service in stroke care in any environment. These indicators have been selected from the standards of practice published by the Chartered Society of Physiotherapy and the Specific Interest Groups representing community physiotherapy, elderly care, and neurology.In the first section of this paper the role of physiotherapists is identified followed by a discussion of structure, process and outcome in stroke rehabilitation. Two stages in stroke care are recognised: an initial acute stage focused on impairment, and a second stage focused on disability and handicap. This paper emphasises that neither specific approaches nor techniques should be prescribed in stroke rehabilitation, as evidence to support the superiority of one approach over another is lacking.Standards have been identified in the areas of assessment, goal setting, teamwork, treatment, education of patients and carers and expected outcomes. Each standard is followed by criteria: the key clinical activities that demonstrate that the standard is being achieved. Some of these standards are integrated into an interdisciplinary audit tool; others which are more profession-specific are included in a physiotherapy audit tool. Both of these tools will be published by the Royal College of Physicians following a consensus exercise and pilot phase.A consensus of good practice in stroke care is essential to improve the organisation and provision of services for patients following stroke. Physiotherapists are encouraged to adopt these quality standards on a national level.",
    keywords = "Physiotherapy, standards, stroke rehabilitation, audit",
    author = "Sheila Lennon and M Hastings",
    year = "1996",
    doi = "10.1016/S0031-9406(05)66370-5",
    language = "English",
    volume = "82",
    pages = "655--664",
    journal = "Physiotherapy",
    issn = "0031-9406",
    publisher = "Elsevier",
    number = "12",

    }

    Key Physiotherapy Indicators for Quality of Stroke Care. / Lennon, Sheila; Hastings, M.

    In: Physiotherapy, Vol. 82, No. 12, 1996, p. 655-664.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Key Physiotherapy Indicators for Quality of Stroke Care

    AU - Lennon, Sheila

    AU - Hastings, M

    PY - 1996

    Y1 - 1996

    N2 - This paper was produced for the intercollegiate Stroke Working Party organised by the Royal College of Physicians. Quality indicators are highlighted which identify minimum performance standards for a physiotherapy service in stroke care in any environment. These indicators have been selected from the standards of practice published by the Chartered Society of Physiotherapy and the Specific Interest Groups representing community physiotherapy, elderly care, and neurology.In the first section of this paper the role of physiotherapists is identified followed by a discussion of structure, process and outcome in stroke rehabilitation. Two stages in stroke care are recognised: an initial acute stage focused on impairment, and a second stage focused on disability and handicap. This paper emphasises that neither specific approaches nor techniques should be prescribed in stroke rehabilitation, as evidence to support the superiority of one approach over another is lacking.Standards have been identified in the areas of assessment, goal setting, teamwork, treatment, education of patients and carers and expected outcomes. Each standard is followed by criteria: the key clinical activities that demonstrate that the standard is being achieved. Some of these standards are integrated into an interdisciplinary audit tool; others which are more profession-specific are included in a physiotherapy audit tool. Both of these tools will be published by the Royal College of Physicians following a consensus exercise and pilot phase.A consensus of good practice in stroke care is essential to improve the organisation and provision of services for patients following stroke. Physiotherapists are encouraged to adopt these quality standards on a national level.

    AB - This paper was produced for the intercollegiate Stroke Working Party organised by the Royal College of Physicians. Quality indicators are highlighted which identify minimum performance standards for a physiotherapy service in stroke care in any environment. These indicators have been selected from the standards of practice published by the Chartered Society of Physiotherapy and the Specific Interest Groups representing community physiotherapy, elderly care, and neurology.In the first section of this paper the role of physiotherapists is identified followed by a discussion of structure, process and outcome in stroke rehabilitation. Two stages in stroke care are recognised: an initial acute stage focused on impairment, and a second stage focused on disability and handicap. This paper emphasises that neither specific approaches nor techniques should be prescribed in stroke rehabilitation, as evidence to support the superiority of one approach over another is lacking.Standards have been identified in the areas of assessment, goal setting, teamwork, treatment, education of patients and carers and expected outcomes. Each standard is followed by criteria: the key clinical activities that demonstrate that the standard is being achieved. Some of these standards are integrated into an interdisciplinary audit tool; others which are more profession-specific are included in a physiotherapy audit tool. Both of these tools will be published by the Royal College of Physicians following a consensus exercise and pilot phase.A consensus of good practice in stroke care is essential to improve the organisation and provision of services for patients following stroke. Physiotherapists are encouraged to adopt these quality standards on a national level.

    KW - Physiotherapy

    KW - standards

    KW - stroke rehabilitation

    KW - audit

    U2 - 10.1016/S0031-9406(05)66370-5

    DO - 10.1016/S0031-9406(05)66370-5

    M3 - Article

    VL - 82

    SP - 655

    EP - 664

    JO - Physiotherapy

    T2 - Physiotherapy

    JF - Physiotherapy

    SN - 0031-9406

    IS - 12

    ER -