Five Star’s nurses are well-trained in stroke prevention. We provide head-to-toe assessment and guide patients through an
established physician plan of care.
Respiratory diseases, such as Chronic Obstructive Pulmonary Disease (COPD), can cause serious illness or death. The Five Star Home Health care team implements four key actions to help improve our patients’ conditions.
American Heart Association / American Stroke Association Recommend Dyad Interventions for Stroke Survivors
Stroke ranks as one of the leading causes of severe, long-term disability in the United States, and the majority of stroke survivors require the ongoing assistance of a family caregiver to avoid institutionalization.¹ Eventual institutionalization of the stroke survivor is often associated with caregiver stress.²⁻⁴ Caregiver stress has also been shown to interfere with rehabilitation, result in social isolation, cause declining health, cause caregiver depression at rates exceeding stroke survivor depression, and increase caregiver mortality.⁵⁻¹⁰ Fortunately, a systematic review and scientific statement for healthcare professionals from the American Heart Association and the American Stroke Association (AHA / ASA) reports that dyad interventions consisting of only five to nine visits can significantly improve the health outcomes of both the stroke survivor and the family caregiver.¹¹
A study recently published in Mayo Clinic Proceedings confirms that medication discrepancies continue to be a dangerous problem for older patients discharged from the hospital.¹ Amanda Mixon, MD and colleagues followed 471 patients (mean age 59 years) hospitalized for acute coronary symptoms and/or acute decompensated heart failure. In post-discharge interviews, patients were asked to report the medications they were taking. More than half (51.4%) either reported a medication that was not on their list or failed to take a medication that was on their list. On average, those who had such discrepancies had two discordant medications. Additionally, 59.2% of these patients demonstrated a misunderstanding in indication, dose, or frequency of a cardiac medication. These results are consistent with older studies finding 30% to 70% medication errors among patients discharged from the hospital with various diseases - not just cardiovascular.²⁻⁶ Inasmuch as Dr. Mixon et al. used telephone follow-up, it is possible that the medication discrepancies are understated in the current study. A previous study found that when in-home nursing visits followed telephone follow-up, the in-home nursing visits detected additional medication discrepancies that were not detected in the telephone follow-up.⁷