Advertisement

Therapeutic Climate

  • B. I. Buijck
  • T. Bushnik
Chapter

Abstract

Postacute stroke rehabilitation may be either in in- or outpatient rehabilitation clinics, skilled nursing facilities or community based. Therapy intensity is important but may depend on availability of resources and comorbidity of the patient. Further differences in national legislation, heath care regulation and reimbursements policies may explain differences between countries and even outcomes. This chapter highlights the differences between skilled nursing facilities, rehabilitation centers and the importance of a dedicated interdisciplinary stroke rehabilitation team.

Keywords

Postacute rehabilitation Skilled nursing facilities Rehabilitation centre Interdisciplinary stroke team 

References

  1. Buijck BI, Zuidema SU, Spruit-van Eijk M, Bor H, Gerritsen DL, Koopmans RT. Is patient-grouping on basis of condition on admission indicative for discharge destination in geriatric stroke patients after rehabilitation in skilled nursing facilities? The results of a cluster analysis. BMC Health Serv Res. 2012a;12:443.CrossRefGoogle Scholar
  2. Buijck BI, Zuidema SU, Spruit-van Eijk M, Geurts AC, Koopmans RT. Neuropsychiatric symptoms in geriatric patients admitted to skilled nursing facilities in nursing homes for rehabilitation after stroke: a longitudinal multicenter study. Int J Geriatr Psychiatry. 2012b;27(7):734–41.CrossRefGoogle Scholar
  3. Buijck BI, Zuidema SU, Spruit-van Eijk M, Bor H, Gerritsen DL, Koopmans RT. Determinants of geriatric patients’ quality of life after stroke rehabilitation. Aging Ment Health. 2014;18(8):980–5.CrossRefGoogle Scholar
  4. Schuurmans M, Hafsteinsdóttir T. Rehabilitation directive stroke for nurses. Maarssen: Elsevier Gezondheidszorg; 2008.Google Scholar
  5. Spruit-van Eijk M, Zuidema SU, Buijck BI, Geurts ACH, Koopmans RTCM. Determinants of rehabilitation outcome in geriatric patients admitted to skilled nursing facilities after stroke: a Dutch multicenter cohort study. Age Ageing. 2012;41(6):746–52.CrossRefGoogle Scholar
  6. Vermeulen CJAHR, Buijck BI, van der Stegen JCGH, van Eijk MS, Koopmans RT, Hafsteinsdóttir TB. Time use of stroke patients admitted for rehabilitation in skilled nursing facilities. Rehabil Nurs. 2013;30(6):297–305.CrossRefGoogle Scholar
  7. Wissink KS, Spruit-van Eijk M, Buijck BI, Koopmans RT, Zuidema SU. Therapy-intensity and rehabilitation participation of geriatric CVA patients in Dutch nursing homes. J Gerontol Geriatr. 2014;45(3):144–53.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Erasmus MC University Medical Center, Department of Neurology & Rotterdam Stroke ServiceRotterdamThe Netherlands
  2. 2.Rusk Rehabilitation at NYU Langone HealthNew YorkUSA

Personalised recommendations