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Common Assessment Tools Across the Continuum: An Interprofessional Collaborative Approach (Linkewich & Moscrip)

Gathering What Is Best Practice

  • A Best Practice for Stroke Care

    • Rehab Consensus Panel Report (2007) Standard 5 – “Stroke related impairments and functional status will be evaluated by rehabilitation professionals trained in stroke rehabilitation using standardized, valid assessments.”

    • Canadian Best Practice Recommendations for Stroke Care (2008, p E53, Table 8)

      • 5.1

        (iii) – “Clinicians should use standardized, valid assessment tools to evaluate the patient’s stroke-related impairments and functional status.”

Guiding Evidence for Post-Stroke Rehabilitation in Canada

Stroke Rehabilitation Consensus Panel Report MOHLTC 2000

Consensus Panel on the Management of the Hemiplegic Arm & Hand HSFO 2001

HSFO Best Practice Guidelines for Stroke Care 2003

Evidence Based Review of Stroke Rehab (EBRSR) CSN 10th Ed 2007 (current - 12th Ed, 2009)

Stroke Canada Optimization of Rehab through Evidence (SCORE) CSN (2003) 2007

CSN/HSF Best Practice Recommendations for Stroke Care 2006 (updated in 2008)

HSFO/OSS Consensus Panel on the Stroke Rehabilitation System “Time is Function” 2007

Gathering What Is Best Practice

  • Varied use of measures

  • Frequently used only at admission and not at discharge

  • Not necessarily using measures tested for responsiveness

  • Using measures with weak psychometric properties

(Korner-Bitensky et al, 2006)

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