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Table 1 Post Stroke Care At Public Primary Care Healthcentres (Reproduced with permission from Aznida FAA, 2015)

From: The integrated care pathway for post stroke patients (iCaPPS): a shared care approach between stakeholders in areas with limited access to specialist stroke care services

Assessment/Treatment

Monitoring/screening procedure

Conventional Care

Stroke Risk factor(s) monitoring or NCD monitoring

Vital signs (blood pressure, pulse rate)

+

Fasting blood sugar

+

HbA1c

+

Fasting blood lipids

+

Renal function

+

eGFR

±

Screening for stroke-related complications

Functional status

-

IADL

-

Depression

-

Cognitive assessment

-

Rehabilitation intervention/assessment of progress

Physiotherapy

±

Occupational therapy

±

Speech/language therapy

-

  1. eGFR estimated (calculated) Glomerular Filtration Rate
  2. + done on a regular basis, ± occasionally done in some health centres
  3. - not done on a regular basis