Poor Functional Status of Stroke Patients after Hospital Discharge: Scope for Intervention?

Abstract

In a follow-up study of stroke patients discharged from hospital after inpatient rehabilitation in a stroke unit, day-to-day functioning was assessed using the Barthel Index and the Frenchay Activities Index. Levels of dependency recorded at discharge tended to persist or worsen over the subsequent 7 to 12 months and very few patients returned to any domestic, leisure or outdoor activities once they were back in the community. Those in residential care were especially disadvantaged. Contact with health and social services was minimal. The findings suggest that there is considerable need for continuing support and intervention for stroke patients after in-hospital rehabilitation. The occupational therapist would seem potentially well-suited to this role.