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Communication: The Need for Inclusive Algorithm and Multi-Disciplinary Approach in Managing Long-Term Stroke Care Patients the Community, Focusing on Primary Care

Received: 27 June 2022     Accepted: 28 July 2022     Published: 5 August 2022
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Abstract

Post stroke care is ever evolving from the acute in-hospital stroke unit approach to the long-term stroke rehabilitation process that extends beyond the hospital settings. This is in accordance with the recent development in the neuroplasticity process which now believed to continue beyond the six months sub-acute recovery phase. A long-term comprehensive stroke care beyond in-hospital treatment through a multidisciplinary approach has been practiced in developed nations and proven to have favorable outcome for post stroke patients. This has lessened the stress in the medical system which has become increasing exhausted due to the increasing prevalence of stroke cases and the over burden in handing the COVID-19 pandemic. The lockdowns during the COVID-19 pandemic have disrupted the usual stroke care in countries with an already scarce resource like Malaysia. Therefore, a more practical approach in utilizing resources available in the community can be a solution to optimize stroke care in the community. In this review, we shared our experience in managing post stroke patients using a comprehensive primary care team approach in providing a holistic multi component post stroke management in the community settings. The model integrates various disciplines that combine preventive and rehabilitation treatment for post stroke patients in a coordinated systematic approach.

Published in Journal of Family Medicine and Health Care (Volume 8, Issue 3)
DOI 10.11648/j.jfmhc.20220803.12
Page(s) 56-61
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Stroke, Primary Care, Long Term Stroke Care, Multidisciplinary Approach, Malaysia

References
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Cite This Article
  • APA Style

    Noor Azah Abd Aziz, Nor Shahrina Mohd Zawawi, Wan Nur Sabrina Wan Manshol, Saw Mei Mei, Mohd Fairuz Ali. (2022). Communication: The Need for Inclusive Algorithm and Multi-Disciplinary Approach in Managing Long-Term Stroke Care Patients the Community, Focusing on Primary Care. Journal of Family Medicine and Health Care, 8(3), 56-61. https://doi.org/10.11648/j.jfmhc.20220803.12

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    ACS Style

    Noor Azah Abd Aziz; Nor Shahrina Mohd Zawawi; Wan Nur Sabrina Wan Manshol; Saw Mei Mei; Mohd Fairuz Ali. Communication: The Need for Inclusive Algorithm and Multi-Disciplinary Approach in Managing Long-Term Stroke Care Patients the Community, Focusing on Primary Care. J. Fam. Med. Health Care 2022, 8(3), 56-61. doi: 10.11648/j.jfmhc.20220803.12

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    AMA Style

    Noor Azah Abd Aziz, Nor Shahrina Mohd Zawawi, Wan Nur Sabrina Wan Manshol, Saw Mei Mei, Mohd Fairuz Ali. Communication: The Need for Inclusive Algorithm and Multi-Disciplinary Approach in Managing Long-Term Stroke Care Patients the Community, Focusing on Primary Care. J Fam Med Health Care. 2022;8(3):56-61. doi: 10.11648/j.jfmhc.20220803.12

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  • @article{10.11648/j.jfmhc.20220803.12,
      author = {Noor Azah Abd Aziz and Nor Shahrina Mohd Zawawi and Wan Nur Sabrina Wan Manshol and Saw Mei Mei and Mohd Fairuz Ali},
      title = {Communication: The Need for Inclusive Algorithm and Multi-Disciplinary Approach in Managing Long-Term Stroke Care Patients the Community, Focusing on Primary Care},
      journal = {Journal of Family Medicine and Health Care},
      volume = {8},
      number = {3},
      pages = {56-61},
      doi = {10.11648/j.jfmhc.20220803.12},
      url = {https://doi.org/10.11648/j.jfmhc.20220803.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20220803.12},
      abstract = {Post stroke care is ever evolving from the acute in-hospital stroke unit approach to the long-term stroke rehabilitation process that extends beyond the hospital settings. This is in accordance with the recent development in the neuroplasticity process which now believed to continue beyond the six months sub-acute recovery phase. A long-term comprehensive stroke care beyond in-hospital treatment through a multidisciplinary approach has been practiced in developed nations and proven to have favorable outcome for post stroke patients. This has lessened the stress in the medical system which has become increasing exhausted due to the increasing prevalence of stroke cases and the over burden in handing the COVID-19 pandemic. The lockdowns during the COVID-19 pandemic have disrupted the usual stroke care in countries with an already scarce resource like Malaysia. Therefore, a more practical approach in utilizing resources available in the community can be a solution to optimize stroke care in the community. In this review, we shared our experience in managing post stroke patients using a comprehensive primary care team approach in providing a holistic multi component post stroke management in the community settings. The model integrates various disciplines that combine preventive and rehabilitation treatment for post stroke patients in a coordinated systematic approach.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Communication: The Need for Inclusive Algorithm and Multi-Disciplinary Approach in Managing Long-Term Stroke Care Patients the Community, Focusing on Primary Care
    AU  - Noor Azah Abd Aziz
    AU  - Nor Shahrina Mohd Zawawi
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    AU  - Saw Mei Mei
    AU  - Mohd Fairuz Ali
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    DO  - 10.11648/j.jfmhc.20220803.12
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
    SP  - 56
    EP  - 61
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20220803.12
    AB  - Post stroke care is ever evolving from the acute in-hospital stroke unit approach to the long-term stroke rehabilitation process that extends beyond the hospital settings. This is in accordance with the recent development in the neuroplasticity process which now believed to continue beyond the six months sub-acute recovery phase. A long-term comprehensive stroke care beyond in-hospital treatment through a multidisciplinary approach has been practiced in developed nations and proven to have favorable outcome for post stroke patients. This has lessened the stress in the medical system which has become increasing exhausted due to the increasing prevalence of stroke cases and the over burden in handing the COVID-19 pandemic. The lockdowns during the COVID-19 pandemic have disrupted the usual stroke care in countries with an already scarce resource like Malaysia. Therefore, a more practical approach in utilizing resources available in the community can be a solution to optimize stroke care in the community. In this review, we shared our experience in managing post stroke patients using a comprehensive primary care team approach in providing a holistic multi component post stroke management in the community settings. The model integrates various disciplines that combine preventive and rehabilitation treatment for post stroke patients in a coordinated systematic approach.
    VL  - 8
    IS  - 3
    ER  - 

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Author Information
  • Department of Family Medicine, Faculty of Medicine, National University of Malaysia (UKM), Kuala Lumpur, Malaysia

  • Department of Medical Rehabilitation Services, Hospital Canselor Tuanku Muhriz UKM, Kuala Lumpur, Malaysia

  • Department of Family Medicine, Faculty of Medicine, National University of Malaysia (UKM), Kuala Lumpur, Malaysia

  • Department of Family Medicine, Faculty of Medicine, National University of Malaysia (UKM), Kuala Lumpur, Malaysia

  • Department of Family Medicine, Faculty of Medicine, National University of Malaysia (UKM), Kuala Lumpur, Malaysia

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