Table 2.
Procedure | Practice guidelines | Expert consensus |
---|---|---|
Duration, frequency and timing of assessments |
Stroke: Screen for impairment, activity limitations, participation restrictions, and environmental factors to direct treatment on admission and on transfer from hospital to community Stroke: Assessment within 48 h including: function, safety, physical readiness, and ability to learn and participate in rehabilitation Stroke: Medical and global outcomes, impairment and activity early post stroke, at 3 months and ideally at 6 and 12-months’ post stroke Stroke: Early assessment and planning of discharge Spinal Cord Injury: Pain, motor and sensory dysfunction assessment should be carried out within 24–48 h of admission and prior to discharge Stroke: NIHSS performed by trained, certified assessors within the first 24 h, and consider re-assessing prior to discharge from acute care Stroke: Measure at predefined times to monitor recovery e.g., within one week of admission and discharge (or when transferring care) end of the 1st week, 3rd and 6th month post-stroke. Consider measures before each multidisciplinary meeting |
Assessments should take no longer than three hours (92% agreement by clinicians) Four face-to-face patient assessments per treatment programme: beginning, during and end, and at a set period of time after the end of the programme Except for data collected automatically by technology (100% agreement for clinical practice) Assessment should take place separately from treatment (96% agreement by clinicians) |
Person who should conduct assessments |
Stroke: Clinicians should be trained in the use of measurement scales Stroke: Healthcare professionals who have appropriate skills and training Stroke: Assessment conducted by specialist staff Stroke: Recommends multi-disciplinary medical assessment Multiple Sclerosis: Assessment should be conducted by a “healthcare professional with appropriate expertise in rehabilitation and MS” Stroke: Standardized rater training needs to be developed Stroke: Multi-disciplinary team assessment should be undertaken to establish the patient’s rehabilitation needs and goals |