Best Practice Inpatient Rehabilitation

Stroke Education

“A Beautiful Min

Presenters:

Jamie Howes, RN, BS

Mary Milburn, DPT

Contributors Charlene Henderson, OTR/L

Dr. Jeffery Samuels, M.D.

Christina Sanford, DrOT, OTR/L

Cassandra Stevens-Jackson, RN, MSN

Kelly Vogel, M.S., CCC/SLP

Madelin Westerfeld, Psy.D.

Patient Calendar

Stroke Group Goals

Understanding warning signs and symptoms

Understand importance of exercise and mobility

Understand communication and swallowing disorders

Discuss community reasons and follow up therapies post discharge

Understand nutrition recommendations

Stroke Group Goals Cont

Identity barriers and ways to participate in leisure activities

Understand possible psychological effects

Understand medications frequently prescribed

Understand rehab process to regain daily living skills

To promote lifestyle changes that promote self management

Reasons

Build sense of community with stroke patients

Alternative mode of education bedsides 1-1

Maintain Commission on Accreditation of Rehabilitation Facilities (CARF) and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Certifications

Family involvement Open forum Prevention of future strokes

Physician

Overview CVA Dx Physiology of strokes Neuroplasticity TPA Procedures ie coiling Imaging Dx and Px

Nursing

Overview CVA Dx Common Comorbidities Different types of strokes Importance of medicine compliance Risks for repeat strokes Lifestyle changes to decrease stroke Patient and Family member

education of signs and symptoms

Pharmacy

Overview CVA Dx Medication HTN DM Blood Thinners

Psychology

Overview CVA Dx

What is Depression?

How are Depression and Stroke Linked?

What is Anxiety?

Treatment Options for Psychological Distress

Nutrition

Overview CVA Dx Foods to reduce BP and Cholesterol Renal diet Diabetic diet Decrease alcohol consumption PEG Tube Feedings Cardiac/Low Salt

Occupational Therapy (OT)

Overview CVA Dx

How will OT assist the pt with their stroke recovery

What is the focus of OT Therapy tx sessions

Types of Adaptive Equipment

Speech Therapy (ST)

Overview CVA Dx

What is Aphasia?

What is Dysarthria?

What is Apraxia?

What is Cognitive-Communication Deficits?

What is Dysphagia?

Case Mangers

Overview CVA Dx

Discharge Equipment

Family/Friend Involvement in Care

Out-Pt Therapy Needs

Placement Related Issues (i.e. Home vs. SNF)

Recreational Therapy*

Overview CVA Dx

Directs and organizes sports, dramatics, games, and arts and crafts

Helps develop content of program in accordance with patients' capabilities, needs and interests

Counsels and encourages patients to develop leisure activities that enhance their health, independence, and well-being

Physical Therapy (PT)

Overview CVA Dx Gait deviations and compensation Use of assistive devices, equipment, &

orthotics Strengthening and endurance exercises Home modification Healing time of stroke and functional

gains/progress of deficits Family involvement for additional

assistance Safety Community mobility

Cognitively Challenged & Foreign Language

Family/Friends Involvement

Language Line

1-1 Teaching

Documentation

Documentation