Modelo de triagem: avaliação, orientação e encaminhamento fisioterapêutico para pacientes pós-AVC em lista de espera por atendimento

Abstract

The health care of survivors of Cerebral Vascular Accident (CVA) has become a challenge for developing countries like Brazil. It is believed that individuals with post-stroke sequelae who are awaiting physiotherapeutic care can benefit from a screening model with assessment, guidance and referral. The main objective of the study is to develop a triage model for assessment, guidance and physiotherapeutic referral to meet the repressed demand of poststroke patients waiting for care at the Neurological Physiotherapy League. This is a methodological study for the development of an intervention model for post-stroke patients, in the subacute and chronic phases, recruited and evaluated by the Liga de Fisioterapia Neurológica - FisioNeuro in Fortaleza- Ceará. The construction of the model was based on three main actions: Evaluation, guidelines and referrals. For this purpose, the most current references recommended by the Ministry of Health in the Line of Care for Stroke, national and international guidelines, Canadian and American, and scientific articles published for rehabilitation and secondary prevention along with the experience of professionals and teachers working in care for stroke were sought. this audience. In the evaluation, validated instruments were chosen for this population, which include aspects of the International Classification of Functioning (ICF). Once evaluated, the data collected will serve as a basis for guidance and referral, when necessary. The results present the triage model, which aims to give continuity to patients' access to health services, strengthening what is recommended by the guidelines for better care for people with post-stroke sequelae at different levels of care. This model could be useful to other health services and, in addition, guide the practice of physical therapists who also suffer from the same challenges to manage the flow of these patients.