Introduction:

The constant development of local strategies for prevention, promotion, curative and rehabilitation actions for people with Vascular Brain Accident, can reduce lethality, disability and complications.

Objective:

to develop an Integral Intervention Plan for the post-hospital care of patients with Vascular Brain Accident in a Chilean Family Health Center.

METHODS:

to design the plan it was necessary to develop a situational diagnosis, identify the risk factors, and characterize the population during the period 2009-2013. Next, along with managers, technical referents and cardiovascular health team, the education, care and treatment strategies that shaped the plan were identified.

Results:

between 40% and 50% of people with Vascular Brain Accident have sequelae that require some degree of support, which is why the Integral Intervention Plan integrates different health professionals, who through therapies and techniques collaborate To achieve a functional, family and social situation as close as the patient had before the accident.

CONCLUSIONS:

a comprehensive and interdisciplinary approach from primary care allows reducing preventable complications, supporting and integrating the patient and his family in the treatment process, reducing the degree of disability, optimizing functional outcomes and social reintegration.

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