Municipal Cross-Disciplinary Rehabilitation following Stroke in Denmark and Norway: A Qualitative Study
Table 1
Included cases. -patient days at acute stroke wards and rehabilitation hospitals/institutions.
Pt
Sex
Age
Pre injury vocation
Dwelling
Days at
Citizes in municipality
Functional impairment at discharge from hospital (described by professionals in epicrisis, interdisciplinary status or rehabilitation plan)
1/DK
Fe
<60
pension
cohabiting
3
61.000
Sensomotor right-sided impact: Muscle strength and muscle tone slightly reduced, slightly reduced balance control. Leg lagging behind and impaired arm swing. Cognitively: Reduced executive and memory function. Fatique. Linguistic: Clearness in speech, but easy difficulty in steering the tongue.
2/DK
Ma
≤65
flexijob
cohabiting
57
61.000
Sensormotor: No functional changes. Cognitively: Reduced concentration and attention, especially persistent attention, reduced memory and cognitive language difficulties. Distinct executive difficulties with impaired idea generation, reduced work memory, lack of overview and problem solving ability. Reduced recognition and insight into own situation.
3/DK
Ma
<50
Full time
cohabiting
51
61.000
Sensomotor right sited impact: Slightly reduced strength. Reduced fitness and endurance. Cognitively: Lightly reduced memory function, lightly reduced problem solving ability, lightly troubles in word finding and left-sided lateral quadrant anopsy. Fatigue.
4/DK
Fe
<40
Full time
cohabiting and children
91
48.000
Sensomotor left sited impact: Increased tone, reduced strength as well as light changes in fine motor function in shoulder, arm and hand, increased tone in cheek and tongue. Reduced endurance. Cognitively: Difficulties in divided attention challenging to rest and maintain activity. Slightly reduced memory function and easy dysarty. Fatigue.
5/DK
Fe
<55
Part time at night
cohabiting
2
48.000
Sensomotor right sited impact: Heaviness of extremities, sensory disturbances around the mouth. Able to walk independently, but she fells a bit insecurity. Some fatigue. Cognitive. No changes
6/DK
Ma
<55
unemployed
cohabiting
37
48.000
Sensomotor left sited impact: Slight reduced control and reduced strength of the hand and leg. Left foot lags behind Balance problems, especially in the case of change of direction. Cognitive: Uncertain whether habitually or expression of cognitive change when sudden changing subject of conversation. Minor challenged in problem solving. Fatigue.
7/N
Ma
<50
Full time
cohabiting with sister and his son
28
4.800
Sensomotor right sited impact: Paralytic arm. Non-functional activation of arm and hand, but can easily activate both flexors and extensors in arm as well as supination and pronation. Incipient hand grip and dorsal reflection by hand. Reduced strength 3-4 / 5 in leg but walks without support indoors. Slight facial paresis. Cognitive: No disturbances.
8/N
Ma
≤65
Partial pension
Single
37
72.000
Sensomotor right sited impact: Reduced strength in the leg, but is able to walk with support, Reduced strength and fine motor movement in hand and fingers but has an important support function. Dysarthria. No cognitive disturbances
9/N
Fe
<50
pension
single
57
9.500
Sensomotor: Slightly tense right arm. Going independently indoor and with surveillance also outdoor. Dizziness, double vision. Cognitive: Reduced memory. Slight word finding difficulty, not fluent speech. Easily distracted by noise, other people and mess, but manage to move on in activity. Easily tired and need small breaks
10/N
Ma
<45
Full time
Cohabiting and children
56 +14 in a later rehabilitation course
3.500
Sensomotor right sited impact: Reduced stability in hip, knee, reduced quadriceps activation. Reduced strength and stability in shoulder and elbow. Walks short distances in-door. Reduced fine motor precision in hand. Cognitive: Suspected but not assessed due to language problems. Has aphasia, word finding challenges. Reduced memory. Possibly neglect in right site of his environment, still double vision forward and toward left.
11/N
Ma
<60
Partial pension
Cohabiting and child
29
5.500
Sensomotor left sited impact: Reduced sensitivity in hand/arm. Reduced attention to and stability in shoulder. Unimpressive walk without fall risk No evidence of cognitive difficulties in daily activities. Identified reduced attention to the left and in the center of view.
