Stroke Rehabilitation


    Stroke Clinical Care Pathway Program

    Rehab Select’s Clinical Care Pathway program aims to promote evidence and guideline based care in order to maximize patient outcomes. By improving the organization, direction, and efficiency of care, while reducing cost of service, we are able to support effective education delivery, patient transition, and discharge planning services.

    What is Stroke Rehabilitation?

    Stroke rehabilitation is a process that patients go through to assist them in returning to their prior level of function (PLOF) by regaining and relearning the skills of everyday life.

    Our Processes

    Our processes for our stroke rehab program include evaluation, observations, and measurements delivered in the following ways:

    • Initial evaluation completed within 24 hour
    • Supervisory visits weekly with updated POC as needed
    • Transfer status identification for our DOT program to communicate with nursing staff
    • Ongoing monitoring of vital signs with nursing consult as appropriate
    • Observation of changes in medical status with nursing consultation as appropriate
    • ADL training with nursing for optimal patient function and carryover of skills

    Discipline Specific Interventions

    Our discipline specific interventions include, physical therapy, occupational therapy, and speech language pathology.


    Physical Therapy Services

    1. Abnormal tone management via neuromuscular and E-Stim techniques
    2. Ambulation with ongoing assessment of assistive device needed
    3. Coordination and strength training for Lower Extremity
    4. Transfer skills to include bed, chair and car transfers
    5. Adaptive equipment and Lower Extremity orthotic needs
    6. Static and Dynamic sitting and standing balance needs for mobility
    7. Patient/Caregiver Education
    8. Pain Management
    9. Multi surface training for community reintegration
    10. Discharge planning for successful transition to home environment

    Occupational Therapy Services

    • Adaptive wheelchair/bed positioning for function/safety
    • ADL techniques – one handed strategies/ adaptive equipment
    • Abnormal tone management via neuromuscular and E Stim techniques
    • Edema management
    • Perceptual training; hemiparetic neglect, field deficits, blurred vision
    • Cognitive development; sequencing, problem solving, new learning for ADL tasks
    • Patient/Caregiver education
    • UE coordination, strength and balance training
    • Pain management
    • Discharge planning for successful transition to home environment

    Speech Language Pathology Services

    Cognition

    • Orientation
    • Problem solving
    • Safety awareness
    • Insight, reasoning, judgement

    Swallowing

    • FEES testing – dysphagia
    • Neuromuscular re-education via VitalStim
    • Alternative diets
    • Adaptive feeding equipment

    Communication

    • Expressive language skills – articulation and coordination
    • Receptive language skills – understanding and processing
    • Alternative language skills – communication board and trach speaking valves

    PT and Caregiver Education

    We also work with families to ensure they understand how to care for their loved ones after they leave the inpatient rehabilitation program and provide any training necessary.


    Education, Transition, and Discharge Planning

    Finally, when it comes to education, transition, and discharge planning, we work with families and everyone involved with the care of the patient in the following ways.

    • Day 7 care plan meeting with patient, family, nursing, therapy
    • Day 14 care plan meeting with patient, family, nursing, therapy
    • Additional care plan meeting as needed
    • Weekly meeting with physiatrist
    • Consultation with CRNP 3 days per week
    • Individual training with restorative CNA for FMP

    Want to learn more about our program? Contact Rehab Select at 334-272-0171.

    Understanding Stroke

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