抄録
In Japan, practice of cerebral vascular disorder could be grouped into three categories; acute, convalescence and maintenance phase. We introduce the method how we practice the acute phase in our institution. Our basic concept is comprehensive medical care, and to carry out efficient operation, Clinical Pathway (CP) has been introduced since 1999. CP is a multidisciplinary management tool based on evidence-based practice, in which the different tasks by the professionals involved in the patient care are defined. From the point of view of nurses, this enabled to intervene in patients’ early ambulation, preventing complications and preventing disuse syndrome. CP alone is not fully functional for patient care in daily practice since the aim is weighted mainly in treatment, and assistant tool is required to complete this. For example, we use assistant tool such as evaluation sheet of activity of daily life to set the goal of activity in each patient. Final evaluation of patients before discharge is discussed in a conference held once a week participated with doctor, nurse, therapist and medical society worker. In summary, for the treatment of acute phase, training of each professional is important, and team approach is required.
