Stroke Rehabilitation

Improved Essays
Recommendations
Many recommendations have been identified to implement the guidelines. Patient who develop disability after a stroke should receive rehabilitation in a stroke unit and subsequently receive care from a stroke team within the community. A multidisciplinary stroke rehabilitation team consists of professionals with expertise in rehabilitation should provide care to the stroke patients. In order to ensure the social care assessment, health and social care professionals should work collaboratively before discharging the patient to the community. Offer early discharge for patients who are able to transfer themselves from bed to chair as long as a safe environment can be provided. During the rehabilitation process, ensure the goal setting
…show more content…
According to the Guideline Development Group (GDG) early supported discharge can place a burden on carers. Therefore, it is also important to assess the equipment and care needs by health and social care team to make care plan which is beneficial for the patient and family. The study on physical activity participation did not made any comment on harm or potential side effects. Adverse events need to be reported as it is a serious consideration. Some health professionals have made some concerns on strength training as it may lead to deterioration in function. In order to use the splint correctly and prevent adverse effects, patients and carers need to get adequate information and training. There are risks associated with the use of electronic stimulation such as skin reaction. During a constrained induced movement therapy, special attention to be made to prevent adverse events such as falling and decline in mood. When using an ankle foot orthoses, there should be a bio-mechanical rationale as well as it should be comfortable and well fitted to prevent pressure sores and pain. The literature review of cost analysis found that intensity of rehabilitation as the utmost priority area for an original economic model. Intensity of rehabilitation services can vary from hours per day and duration of therapy. More intensive rehabilitation was found to be cost-effective compared to less intensive rehabilitation. The …show more content…
The objective of this guide line was to provide evidence based advice on the care of patients older than sixteen years who have had a stroke with ongoing impairment, activity and participation limitation. It also provided a clinical and social care guideline on the long term rehabilitation to support the stroke patients. Stroke is a leading cause of disability and by implementing effective rehabilitation intervention can improve the recovery process and minimize the functional disability. Improved functional outcome can contribute to patient satisfaction and reduce the costly long term care expenditure. A well-organized multidisciplinary team approach in stroke care can provide better outcomes. A better algorithm and implementation of these guideline can bring better outcomes through appropriate methods. The Advanced Practice Nurse (APN) can utilize these guidelines when providing care to the patient. These guidelines will guide the APNs to identify the best interventions and care plan based on the individual needs and functional

Related Documents

  • Improved Essays

    Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional July 5, 2015 Journal 8 Performing a thorough examination and well-document neurological assessments are integral part of nursing care. The sequence of neurological examination is: mental status, cranial nerves, motor system, sensory system, and reflexes (Jarvis, 2012). A nurse should be a keen observer to recognize abnormal changes of patients. I agree, organize and simplify assessments could help nurses perform assessments much easier.…

    • 533 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Q32: What is important PSW’s responsibility? First, provide personal care to assist client with ADL. Second, provide for the client’s safety and physical comfort. Third, support nurses and other health care professionals by following the established care plan Q33:…

    • 743 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Stroke Alert Team Paper

    • 550 Words
    • 3 Pages

    The implementation of a Stroke Alert Team at St. Vincent’s Medical Center is a cost-effective way to ensure patients who present with symptoms of an acute stroke are quickly assessed and treated. It also assures that the organization will continue to sustain high performance for the stroke Core Measure sets. The Stroke Coordinator will play a vital role in the workflow discovery and the plan to develop an interprofessional Stroke Alert Team. The Stroke Alert Team members include: A designated ED MD and Charge RN, the ED Radiologist, the Neurologist on call, and the Stroke Coordinator. EMS will notify the ED of a possible stroke.…

    • 550 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Telehealth Case Study

    • 220 Words
    • 1 Pages

    The mission of any healthcare system is to provide uniform high-quality care to all patients regardless of geography, distance, or financial statuses. To achieve this mission, the healthcare services should reach patients regardless of barriers to care providing, such as long travel times and expense. These barriers are significant for patients with disabilities who require rehabilitation services. These individuals must spend extra time, and resources in order to reach distant rehabilitation centers. Many rehabilitation protocols consist of repeated therapy sessions.…

    • 220 Words
    • 1 Pages
    Decent Essays
  • Great Essays

    Running Head: PICOT and Scholarly Project - Elderly Falls in the Nursing Home 1 PICOT and Scholarly Project - Elderly Falls in the Nursing Home NSG- 603: Application of Nursing Research Maneca Jean-Baptiste, MSN, FNP-C Wilkes University PICOT and Scholarly Project - Elderly Falls in the Nursing Home 2 PICOT and Scholarly Project - Elderly Falls in the Nursing Home Introduction One of the major issues faced by healthcare organizations is elderly falls. They account for the largest number of adverse events reported in various practice care settings and are the second most common cause of harm to patients. A fall is an event that results when an individual inadvertently comes to rest on…

    • 1606 Words
    • 7 Pages
    Great Essays
  • Great Essays

    Case Study: Nursing Management of a patient with Stroke Introduction This essay will consider the case of John, a stroke patient. Biological as well as psycho-social aspects of his condition will be presented and the impact on his health condition; He is an active smoker and occasionally drinking over the weekend (2 bottles of wine), recently retired and used to work as a lorry driver for Ford. He lives alone, independently.…

    • 1412 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    This artifact of professional practice demonstrates the ability to effectively communicate a patient safely concern and introduce a solution in a clear and concise manner. This executive summary reviews the core measures for stroke and introduces the concept of a Stroke Alert Team. The summary details the incidence of stroke, the current core measure performance for the organization, and a plan for improving the measure and patient outcomes.…

    • 68 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Hsc Reflective Account

    • 268 Words
    • 2 Pages

    Often these patients need time to regain strength and ability to the affected area of their body. Dependent on various characteristics of the individuals themselves…

    • 268 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Post Stroke Therapy Essay

    • 1974 Words
    • 8 Pages

    Cerebrovascular accidents (CVA) have been documented throughout the histories of medicine, science, and philosophy, dating as far back as 400 B.C. Despite having hundreds of years of research and the help of medical advancements, the outlook for a patient post-stroke has extremely poor up until the last 100 years (Galindez, Sanabria, & Borroto, 2014). Coincidentally, within the last 100 years, the field of occupational therapy has also been growing, developing, and advancing rehabilitation treatment itself, especially in the area of stroke therapy. A century ago a stroke would produce severe, long-lasting deficits. However, today a stroke patient is more likely than ever to recover both mentally and physically, and go on to live a healthy and productive life (Yomkovenko, 2010). Although some of this can be credited to earlier diagnoses and breakthroughs in neurological treatments, occupational therapy theories and developments have greatly improved functional outcomes and reduced post-stroke rehabilitation time.…

    • 1974 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Another larger determinant of quality of care in this setting is reimbursement. The classification system known as Resource Utilization Groups (RUGS) help to assign the number of minutes of treatment a patient receives per week which in turn determines the amount of reimbursement the facility receives. PT’s usually assign patients under the Ultra High category of the RUG scale because this allows for maximal reimbursement. Ultra High is defined at 600-650 minutes of physical therapy per week. Healthy, orthopedic patients often tolerate the Ultra High number of minutes fairly well, while long-term rehabilitation patients may only tolerate moderate levels of treatment…

    • 603 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Evaluating Organizational Change A fall is the loss of an upright position, producing an uncontrolled and unintentional placement of an individual’s body from one surface to another. Many times serious injuries can result in the frail geriatric population. According to the Centers for Disease Control and Prevention (n.d.), lacerations, hip fractures, head traumas, and death can result from a fatal fall.…

    • 1324 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Sitting in the exam room after a stroke: frightened, isolated, and uncertain of the future. The doctor enters the room to discuss the prognosis and rehabilitation plan, including occupational therapy. She refers the patient to me, a caregiver, a daughter, a friend, and most importantly, a person who has compassion for others. I can positively change the patient’s life and advocate for them. Helping others will always be an enriching experience.…

    • 842 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    The therapist was aware and focused on the response of the patient throughout treatment and his constant encouragement created a positive environment in the centre. By teaching the patient’s husband how to perform several exercises that could be repeated at home, the patient receives additional support from her husband. As suggested by Kalra et al. (2004), stroke patients whose caregivers were involved in their rehabilitation reported improved quality of life and mood…

    • 1609 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Before beginning any type of treatment there is a four step planning process that needs to be accessed. First, set priorities following examination of the client 's needs. Second, formulation of goals and general objectives, thirdly, determining strategies. Lastly, selecting the proper methods for that particular client, notify that this will vary as the client varies. Depending on the client’s particular complication many forms of rehabilitation can be used through several different programs, such as; arts, sports, music, outdoor activities, even various classes can help (DRM genesis).…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    A Biopsychosocial Model: Stroke This essay explores how stroke can be caused by referring to the biopsychosocial model and its strength and weakness is evaluated in terms to health. It also address how risk of getting stroke can be significantly decreased by changing our lifestyle behaviour. The links between broader aspects of health with biological or psychological aspect of health is also explored. The biopsychosocial (BPS) model explains that cause of an illness is due to complex interaction between biological, social and psychological factor (Nursing theories, 2013).…

    • 1095 Words
    • 5 Pages
    Improved Essays