Date post: | 19-Dec-2015 |
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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.
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
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