Meeting the need for post-stroke vision care in Australia: a scoping narrative review of current practice.



Sorbello, Shanelle, Rose, Kathryn, French, Amanda, Rowe, Fiona ORCID: 0000-0001-9210-9131 and Lau, Sonia
(2023) Meeting the need for post-stroke vision care in Australia: a scoping narrative review of current practice. Disability and rehabilitation, 46 (10). pp. 1-8.

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Abstract

<h4>Purpose</h4>Determine current vision care pathways and practices for stroke survivors in Australia and internationally, focusing on identifying reoccurring gaps in these pathways and unmet care needs.<h4>Method</h4>A scoping narrative review was conducted to identify literature related to post-stroke vision care practices and perspectives of patients and health professionals.<h4>Results</h4>A total of 16193 articles were retrieved and 28 deemed eligible for inclusion. Six were Australian, 14 from the UK, four from the USA, and four from within Europe. Post-stroke vision care is largely unstandardized, with substantial inconsistency in the use of vision care protocols, who executes them and at what point in post-stroke care they are utilised. Health professionals and stroke survivors expressed that unmet care needs were primarily a result of lack of education and awareness regarding post-stroke eye problems. Other gaps in care pathways related to the timing of vision assessment, provision of ongoing support, and the integration of eye-care specialists into the stroke team.<h4>Conclusion</h4>Further research is needed into current Australian post-stroke vision care to accurately assess whether the needs of stroke survivors are being met. Available evidence indicates that in Australia, there is a requirement for well-defined protocols for vision screening, education, management, and referral of stroke survivors.Implications for RehabilitationPost-stroke vision care in Australia is unstandardised, which may cause inequities in vision care provision to Australian stroke survivors in different regions and/or care facilities.Education and training pertaining to stroke-related vision conditions for stroke healthcare professionals and the inclusion of eye-care professionals in stroke care teams is likely to improve gaps in care practice/pathways identified in the current evidence base.Management of stroke-related visual conditions should be inclusive of detailed information provision that is specific to the patients condition(s) and circumstances, as well as ongoing, long-term management strategies/support services to better aid stroke survivor"s reintegration into the community.

Item Type: Article
Uncontrolled Keywords: Stroke, vision rehabilitation, Australian healthcare, care pathways, visual impairment
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 31 May 2023 08:17
Last Modified: 25 May 2024 01:30
DOI: 10.1080/09638288.2023.2214743
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3170736