The Post Stroke Checklist (PSC): Improving Life After Stroke

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The Post Stroke Checklist (PSC) and the Global Stroke Community Advisory Panel (GSCAP)

The Post Stroke Checklist (PSC) was developed by an international multi-disciplinary group of stroke experts, including several WSO leaders, convened to focus on the need for improved long-term stroke management across the continuum of care. Professor Michael Brainin (Austria), GSCAP Chair, stated that "the need for practical tools to support clinicians in identifying long-term stroke complications and referring appropriately, with the goal of improving quality-of-life for stroke survivors, had prompted the GSCAP to focus on PSC development as a priority".

Professor Stephen Davis (Australia), President of the World Stroke Organization (WSO), added that "we need to continue to improve long-term care and support after stroke. The WSO is keen to support the availability of tools that will improve stroke survivor follow-up and ensure that treatable complications are identified and referred for appropriate managment." He continued that "the WSO Board was delighted to endorse the PSC on 5th February 2013 and urged clinicians caring for stroke survivors to integrate the PSC into regular follow-up."

The PSC is a simple, easy-to-use checklist of 11 key questions that helps health care professionals identify post-stroke problems amenable to treatment and/or referral. The key questions focus on:

  • 1) Secondary stroke prevention
  • 2) Activities of daily living
  • 3) Mobility
  • 4) Spasticity
  • 5) Pain
  • 6) Incontinence
  • 7) Communication
  • 8) Mood
  • 9) Cognition
  • 10) Life after stroke
  • 11) Relationship with family

The questions included in the checklist support productive clinician-patient dialogue and it is envisaged that the PSC will be administered during regular stroke follow-up at designated time intervals i.e. 3-months, 6-months, 12-months post stroke and annually thereafter. The twelfth point which should not be forgotten is the strain of patient´s next-to-kin and caregivers. Their professional support when needed will improve the well-being of the patient.

Professors Christopher Chen (Singapore) and Anthony Ward (UK) carried out PSC feasibility and utility pilots during 2012. Professor Chen highlighted that "the pilots confirmed that the PSC is simple and easy to use with strong content validity, and demonstrated that the checklist supported the identification of a wide range of unmet stroke survivor needs". He also noted that "clinicians and patients expressed high overall satisfaction with the PSC, that the checklist was generally well understood, and that the asking of appropriate questions was highly valued by stroke survivors and caregivers".

World Stroke Organization

logo-world-strokeDedicated to improve care for stroke survivors worldwide. 

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The Post Stroke Checklist
Improving Life After Stroke

Developed to focus on the need for improved long-term stroke management.

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