Het generalist-plus-specialistische palliatieve zorgmodel wordt wereldwijd onderschreven. In Nederland zijn de competenties en het profiel van de generalistische aanbieder van palliatieve zorg beschreven op alle professionele niveaus in de verpleegkunde en geneeskunde.
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Het generalist-plus-specialistische palliatieve zorgmodel wordt wereldwijd onderschreven. In Nederland zijn de competenties en het profiel van de generalistische aanbieder van palliatieve zorg beschreven op alle professionele niveaus in de verpleegkunde en geneeskunde.
MULTIFILE
Falls are common after stroke. This article presents a literature review of the incidence and risk factors of falls and the consequences for professionals working with stroke patients. It is important to consider the specific problems after stroke. Depression and cognitive impairments were found to be risk factors for fall incidents after stroke. In the relevant literature many different risk factors and circumstances are described. When patients move from bed to chair, walk to the bathroom and the first few days after the patient is discharged to another setting, - all these circumstances showed high percentages of falling. A fall during hospital stay is a significant risk factor for future fall incidents. A reliable index to measure the fall risk is not (yet) available. But scores on the Barthel Index and the Timed-Up-and-Go test can be used as fall risk indicators. Fear of falling is an important complication after a fall and therefore it is recommended prior to discharge to inquire about the patients self efficacy in maintaining balance. Few intervention studies use the number of falls as an outcome measure. Exercising balance following a mass training protocol seems to diminish the risk of falling.
