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Stroke Patient PostDischarge Followup and
Data Collection Guide
STROKE PROGRAM
MINNESOTA DEPARTMENT OF HEALTH
10/1/2020For questions about transitions of care for stroke patients, contact:
Minnesota
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How to fill out stroke patient post-discharge follow-up
How to fill out stroke patient post-discharge follow-up
01
Make sure to review the patient's medical history and previous stroke care plans.
02
Schedule an appointment for the patient within two weeks after discharge.
03
Conduct a comprehensive physical assessment, including vital signs and neurologic examination.
04
Review the patient's medication schedule and make any necessary adjustments.
05
Assess the patient's ability to perform everyday activities and provide appropriate referrals to occupational or physical therapy if needed.
06
Discuss any post-stroke symptoms or concerns with the patient and provide education and support.
07
Collaborate with other healthcare providers involved in the patient's care to ensure continuity of care.
08
Regularly monitor the patient's blood pressure, cholesterol levels, and blood sugar levels to manage risk factors.
09
Promote lifestyle modifications, including a healthy diet, regular exercise, and smoking cessation.
10
Provide emotional support and counseling to the patient and their family members.
11
Document all findings, interventions, and recommendations in the patient's medical record.
Who needs stroke patient post-discharge follow-up?
01
Stroke patients who have recently been discharged from the hospital.
02
Patients at high risk for recurrent strokes.
03
Patients with residual deficits or disabilities following a stroke.
04
Patients who require ongoing management of stroke-related medications.
05
Patients who need assistance in adapting to lifestyle changes after a stroke.
06
Patients who require close monitoring of their blood pressure, cholesterol, and blood sugar levels.
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What is stroke patient post-discharge follow-up?
Stroke patient post-discharge follow-up refers to the set of procedures and assessments conducted by healthcare providers after a stroke patient has been discharged from a healthcare facility to monitor recovery, manage ongoing care, and prevent complications.
Who is required to file stroke patient post-discharge follow-up?
Healthcare providers, such as hospitals and physicians involved in the care of stroke patients, are required to file post-discharge follow-up reports.
How to fill out stroke patient post-discharge follow-up?
To fill out the stroke patient post-discharge follow-up, healthcare providers should collect relevant patient information, medical history, follow-up care plans, and any assessments conducted during the follow-up visit, then submit this information through the designated reporting system.
What is the purpose of stroke patient post-discharge follow-up?
The purpose of stroke patient post-discharge follow-up is to ensure continuous care, monitor recovery progress, identify any complications early, and provide necessary interventions to improve outcomes and quality of life for the patient.
What information must be reported on stroke patient post-discharge follow-up?
The information that must be reported includes patient demographics, discharge summary, follow-up visit outcomes, interventions provided, medication adherence, and any complications or new symptoms experienced by the patient.
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