Table 1 Clinical Scenarios and Available Actions to be Ranked
Clinical Scenarios Presented to Each Delphi Participant in Round 1 | Clinical Actions to be Ranked For Each Scenario |
|---|---|
CASE 1: Please prioritise the following actions for all stroke-survivors presenting with new post-stroke cognitive deficits reported at their six month review | Access to psychological services Additional communication with the GP Cognitive screen e.g. MoCA during six-month stroke clinic review Direct access to memory clinic services Ensuring allied health professional community follow-up e.g. occupational therapist for additional follow-up review in the community Ensuring compliance to secondary prevention is in place Follow-up in stroke-services GP to perform cognitive screen following discharge from specialist services Screening for a mood disorder Signposting individuals to other sources of information e.g. Stroke Association |
CASE 2: Please prioritise the following actions for young stroke-survivors (under the age of 60) who are currently working presenting with new post-stroke cognitive deficits at their six-month review | |
CASE 3: Please prioritise the following actions for stroke-survivors presenting with new post-stroke cognitive deficits after a severe stroke resulting in dependence on others at their six-month review. | |
CASE 4: Please consider the following scenario. A 72 year stroke-survivor who presents with new subjective memory complaints. On further assessment using a risk prediction tool, she was found to be at high risk of developing cognitive failure/dementia in the next 2 years. Please prioritise the actions below based on this scenario. | |
CASE 5: Please consider the following scenario. A 67 year stroke-survivor who presents with new subjective memory complaints. On a screening assessment using a risk prediction tool, he was found to be at low risk of developing cognitive failure/dementia in the next 2 years. Please prioritise the actions below based on this scenario. |