Please select the eligibility criteria that correspond to the clinical trial below.
Title: Nursing Home Care Educational Intervention for Family Caregivers of Older Adults Post Stroke
Brief Summary: Associated with the worsening of functional capacity of older adult and the lack of guidance on how to care of them after stroke, the family caregiver starts to fell burden related to the care, and the quality of life was affected by that burden. Besides that, the older adult began to use more frequently health services and had more hospitalizations by preventable conditionals with adequate care.

The aim of this study is to evaluate the effectiveness of educational interventions of care at home provide by nurses to family caregivers of older adult with stroke after hospital discharge, compared with usual care guidelines or no guidance, in one month follow up. The family caregivers of older adults post stroke with the first functional sequel from the Clinical Hospital of Porto Alegre (HCPA) will participate in the study.

The intervention will involve the systematic monitoring of nurses through home visits (HVs) during one month. Thus, will instrumentalize the family caregiver to care of older adult with stoke according the protocol developed in a research group and the needs of care of them. The control group won't receive the home visits and could have or not the usual care guidelines provide by health services that have access.


Options:
A: Inclusion Criteria:

* Family caregivers of older adults from the Special Care Unit - stroke (SCU-Stroke) at the moment of discharge;
* Older adults with diagnosis of stroke with the first sequel identified by minimum score of 2 points from the ranking scale;
* Older adults who live until 20 kilometers from HCPA;
* Caregiver will be a family member with consanguineous relationship or not;
* Caregiver will be responsible for the most part of the older adult's care;
* Caregiver without payment;
* Caregiver with 18 year old or more.

Exclusion Criteria:

* Older adults who live in a Long Term Care Services;
* Older adults who will be included in a governmental program for Home Care Service;
* Caregivers who don't accept receive the HV by nurses.
B: Inclusion Criteria:

* Veterans 18 years or older hospitalized with stroke or Transient Ischemic Attack at Indianapolis Veterans Administration Medical Center and Houston Veteran Administration Medical Center;
* willing to participate;
* access to telephone;
* speaks and understands English;
* no severe cognitive impairments;
* life expectancy of at least 6 mos;
* willingness to follow-up in Veterans Administration outpatient care.

Exclusion Criteria:

* Severe aphasia or cognitive impairment;
* active alcohol or substance abuse;
* cannot or unwilling to participate;
* does not speak or understand English;
* life expectancy less than 6 mos;
* no access to telephone;
* no Veterans Administration outpatient follow-up.
C: Inclusion Criteria:

* At high risk of stroke:

  * Already suffered a stroke or Transient Ischemic Attack (TIA) or
  * At least two risk factors for stroke:

    * High blood pressure
    * Overweight
    * Low physical activity
    * Smoking
    * Unhealthy diet

Exclusion Criteria:

* Inability to fill out or to understand the informed consent
* No signed informed consent
* Dementia
D: Inclusion Criteria:

Stroke Survivors

* One month to five years post ischemic or hemorrhagic event
* Minimal to moderate upper extremity deficits (ability to initiate wrist and finger extension)
* Mini-mental screening test score of greater than 24
* Presence of a care partner

Caregivers

* At least 18 years old
* Ability to read and write English
* Mini-mental screening test score of greater than 24

Exclusion Criteria:

Stroke Survivors

* Severe cognitive deficits

Caregivers

* Significant cognitive deficits

Answer: A