Back to home May 2013
Stroke Program: Helps Prevent A Second Onset
“We see patients immediately,” says neurologist, Nima Mowzoon, M.D., medical director for stroke neurology at Lee Memorial Health System. “It’s what happens afterward that we want to address, as well.”
To help patients in the days and weeks following their discharge from the hospital, physicians at Florida Neurology Group developed a protocol known as Lee Prevention of Recurrent Vascular Events, or LEE PREVENT. All Lee Memorial Health System patients are involved in LEE PREVENT care from the moment physicians know that they have experienced a stroke.
“We are trying to close the gap in their treatment by making sure that they understand their diagnosis, the medication they are supposed to take and what they need to do once they go home,” Dr. Mowzoon says. “It’s not unusual for people not to understand the protocol, but many of them don’t ask questions.”
Patients who do not ask questions and do not follow the physician’s orders have a much higher chance of having a recurrence, and may end up back in the hospital.
Through LEE PREVENT, physicians coordinate with home health employees, who follow the patient closely after he or she goes home. “Home health makes sure they are taking the proper medication and if they have any concerns at all, they contact us,” Dr. Mowzoon says.
Through the program, a patient’s primary care physician is notified early to arrange an appointment with the patient two weeks after discharge from the hospital. If the patient does not have a primary care physician, care management can help connect them with a local physician.
If a patient follows the directions and does not require more attention, a neurologist meets with him or her 90 days after the stroke. “We are trying to make sure they are taking steps to prevent another stroke and to get back to their normal activities,” Dr. Mowzoon says.
Clinical analysts Tricia Meinel, LPN, and Debbie Koishal, RN, monitor patient progress from admission to discharge. “We want to follow best practice for all appropriate treatments,” Tricia says. “In the acute-care setting, there is so much going on that patients don’t always absorb the information. People don’t plan to have a TIA (transient ischemic attack) or stroke.”
“We are trying to make sure they are taking steps to prevent another stroke and to get back to their normal activities,” Dr. Mowzoon says.
Scanning for Strokes
Nima Mowzoon, M.D.
Florida Neurology Group
126790 Whitehall Drive
Fort Myers, FL 33907