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Mood disturbance and cognitive impairments

Quality statement

All patients after stroke are screened within 6 weeks of diagnosis, using a validated tool, to identify mood disturbance and cognitive impairment.

Quality measure

Structure

Evidence that patients with stroke are screened within 6 weeks of diagnosis, using a validated tool, to identify mood disturbance and cognitive impairment.

Process

Proportion of patients with stroke who have been screened within 6 weeks of diagnosis, using a validated tool, to identify mood disturbance and cognitive impairment.

(a) Numerator: the number of patients with stroke screened for mood disturbance using a validated screening tool within 6 weeks of a diagnosis of stroke.

Denominator: the number of patients diagnosed with a new episode of stroke.

(b) Numerator: the number of patients with stroke who have been screened for cognitive impairment within 6 weeks of diagnosis.

Denominator: the number of patients diagnosed with a new episode of stroke.

Description of what the quality statement means for each audience

Service providers ensure that there are agreed local policies and guidelines for screening patients with stroke within 6 weeks of diagnosis, using a validated tool, to identify mood disturbance and cognitive impairment.

Healthcare professionals ensure patients with stroke are screened for mood disturbance and cognitive impairments using a validated screening tool within 6 weeks of diagnosis.

Commissioners ensure that services are in place to enable the screening of all stroke patients for mood disturbance and cognitive impairments using a validated screening tool within 6 weeks of diagnosis.

Patients with stroke can expect to be screened for mood disturbance and cognitive impairments using a validated screening tool within 6 weeks of diagnosis.

Definitions

This standard applies in both hospital and community settings. Administration of the screening tools should be conducted by trained staff.

When using validated tools to identify mood disturbance or cognitive impairments, healthcare professionals should be mindful of the need to secure equality of access to treatment for patients from different ethnic groups (in particular those from different cultural backgrounds) and patients with disabilities.

Data source

Structure

Local data collection.

Process

Local data collection. Trusts can collect data via the Sentinel Stroke Audit, SINAP and local data collection.

Stroke
Ambulance screening and transfer to an acute stroke unit
Neuro-imaging
Admission of patients with suspected stroke
Swallowing screening and nutrition management
Assessment and management of patients with stroke
Ongoing inpatient rehabilitation
Ongoing rehabilitation
Continence management
Mood disturbance and cognitive impairments
Ongoing outpatient rehabilitation assessment
Carer provisions

This page was last updated: 04 May 2012

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Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.