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Acute stroke clinical care standard indicators: 6b-Carer training

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 6b-Carer training
METeOR identifier:Help on this term627821
Registration status:Help on this termHealth, Candidate 04/04/2017
Description:Help on this term

Proportion of patients with a final diagnosis of acute stroke who require assistance with activities of daily living, and whose carer(s) received relevant training prior to separation from hospital.

Rationale:Help on this term

Evidence suggests that carers benefit from training in a range of activities related to patient care prior to the separation from hospital (Kalra et al. 2004). Such training has produced long-term benefits for stroke patients such as reduced institutionalisation and mortality (Grasel et al. 2006).

Indicator set:Help on this termClinical care standard indicators: acute stroke Health, Candidate 14/03/2017
Outcome area:Help on this termCarer training and support Health, Candidate 14/03/2017

Collection and usage attributes

Computation description:Help on this term

Both the numerator and the denominator include patients with a final diagnosis of acute stroke. The final diagnosis is made at the hospital where the patient is admitted for the acute phase of management of their stroke.

Both the numerator and the denominator only include patients who require assistance with activities of daily living following their acute stroke.

Both the numerator and the denominator only include patients separated to their usual residence, own accommodation or welfare institution following the acute episode of care, that is, where Episode of admitted patient care—separation mode, code N = 9 Other.  Welfare institutions includes prisons, hostels and group homes providing primarily welfare services.

Both the numerator and denominator exclude:

  • Acute stroke patients separated from hospital who do not have a carer.
  • Patients whose carers do not want training in personal care.

For the numerator, carer training should have the following components:

  • personal care techniques
  • communication strategies
  • physical handling techniques
  • ongoing prevention and other stroke-specific problems
  • safe swallowing
  • dietary modification
  • management of behaviours and psychosocial issues (NSF 2010).

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients with a final diagnosis of acute stroke who require assistance with activities of daily living and whose carer or carers received training prior to the patient's separation from hospital.

Denominator:Help on this term

Number of patients with a final diagnosis of acute stroke requiring assistance with activities of daily living upon seperation from hospital and who have a carer or carers.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Grasel E, Schmidt R, Biehler J & Schupp W 2006. Long-term effects of the intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients. Clinical Rehabilitation 20(7): 577–583

Kalra L, Evans A, Perez I, Melbourn A, Patel A, Knapp M et al. 2004. Training carers of stroke patients: randomised controlled trial. BMJ 328(7448):1099

NSF (National Stroke Foundation) 2010. Clinical guidelines for stroke management. Melbourne: NSF

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