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Initial Post-hospital Course and After-Care

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Subarachnoid Hemorrhage in Clinical Practice

Part of the book series: In Clinical Practice ((ICP))

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Abstract

A third of patients with a subarachnoid hemorrhage from a ruptured aneurysm die within the first few weeks after the event. Typically, patients remain hospitalized during the initial 1 or 2 weeks, even those who are in good clinical condition and have undergone aneurysm occlusion during the first days after the hemorrhage. The reason for this prolonged stay is the risk of complications that need urgent treatment such as delayed cerebral ischemia and hydrocephalus. Most patients are discharged home after hospitalization, but many of them have cognitive, emotional and social problems, which often interfere with reassuming premorbid social and occupational roles and reduce quality of life. The most common complaints in patients discharged home are fatigue, anxiety and depression. A third of the patients who survive the initial weeks after the hemorrhage are still dependent on help at discharge and transferred to a rehabilitation facility or nursing home. It is important that patients and their family receive proper information and aftercare after discharge by a multidisciplinary team where a specialized nurse or physician assistant can play a central role.

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Authors and Affiliations

  1. Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus, University Medical Center, Utrecht, The Netherlands

    Gabriel J. E. Rinkel & Paut Greebe

Authors
  1. Gabriel J. E. Rinkel
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  2. Paut Greebe
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© 2015 Springer International Publishing Switzerland

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Rinkel, G.J.E., Greebe, P. (2015). Initial Post-hospital Course and After-Care. In: Subarachnoid Hemorrhage in Clinical Practice. In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-17840-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-17840-0_5

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17839-4

  • Online ISBN: 978-3-319-17840-0

  • eBook Packages: MedicineMedicine (R0)

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