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You are here: Care Programs ► Rehabilitation Care Programs ► Stroke Rehabilitation

Why Stroke Rehabilitation

The goal of rehabilitation is to restore a patient to the fullest medical, physical, mental, emotional, social, and vocational potential possible.

 

Rehabilitation helps stroke patients relearn skills that are lost when part of the brain is damaged. For example, these skills can include coordinating leg movements in order to walk or carrying out the steps involved in any complex activity.

 

Rehabilitation also teaches patients new ways of performing tasks to circumvent or compensate for any residual disabilities. Individuals may need to learn how to bathe and dress using only one hand, or how to communicate effectively when their ability to use language has been compromised.  Successful rehabilitation results in reduced healthcare costs and burden of care.

Stroke Rehabilitation

Rehabilitative therapy begins in the acute-care hospital after the patient's overall condition has been stabilised, often within 24 to 48 hours after the stroke and then moves over to a rehabiliation unit once the patient is assessed. The first steps involve promoting independent movement because many patients are paralyzed or seriously weakened. Patients are prompted to change positions frequently while lying in bed and to engage in passive or active range of motion exercises to strengthen their stroke-impaired limbs. For some stroke patients, rehabilitation will be an ongoing process to maintain and refine skills and could involve working with specialists for months or years after the stroke.

 

Benefits of Stroke Rehabilitation

The benefits of the stroke programme offered by Spescare include the following:

  • Prevention of prolonged stay in an inappropriate, acute environment.

  • All necessary rehabilitation services, medical and nursing care is offered under one roof.

  • Significantly decreased risk of complications during recovery phase.

  • Greatly improved patient outcomes over a shorter period.

  • Multidisciplinary team approach, addressing all issues comprehensively.

  • Patient centered, outcomes driven rehabilitation.

  • Simulation of a home environment, where the patient has the opportunity to practice tasks under supervision with increasing confidence.

  • Focused and appropriate caregiver training on all aspects of home care. 

 

Admission Criteria

The criteria for rehabilitation admissions include the following:

  • Patients with unilateral weakness, sensory loss, loss of language or loss of vision.

  • Patients must be over 18 years.

  • Medically stabilised, with all surgical interventions completed.

  • Ability to benefit from rehabilitation and tolerate a comprehensive and intensive rehabilitation programme.

Program

The stroke rehabilitation programme is focused on providing time limited, patient centered, outcomes based intervention early in the recovery process; thereby ensuring that all medical, physical and psychosocial needs are addressed. The multidisciplinary programme consist of individual sessions. Therapy and other interventions by the multidisciplinary team, are structured in accordance with the needs identified in the initial assessments, which measure functioning across all functional areas. Appropriate referrals are made after discharge and resources are provided. A follow-up assessment will be arranged to ensure maintenance of improved health status.

 

Program Overview

The program components includes the following:

  • Strengthening motor skills with focused exercises to improve muscle strength and coordination.

  • Patient and family education on the correct and safe performance of activities of daily living, movement and exercise in order to minimise the risk of complications.

  • Mobility and independence retraining with self-care tasks in an adapted environment.

  • Speech therapy.

  • Addressing psychosocial needs of adjustment and coping.

  • Training of caregivers, if required.

 

Outcomes

Outcomes of orthopaedic rehabilitation in patients after joint replacement show the following benefits:

  • Increased muscle strength.

  • Improved mobility.

  • Enhanced speech capabilities.

  • Safety in ambulation.

  • Ability to perform activities of daily living.

Multidisciplinary Team

Our multidisciplinary team consist of the following members:

  • Rehabilitation doctors take overall responsibility for the patient’s safety and wellbeing by specifically managing the patient’s medical problems.

  • Nurses provide daily support, medical care and assist in functional retraining.

  • Physiotherapists provide daily physical and mobility training.

  • Occupational therapists provide functional and cognitive training.

  • Speech therapists monitor swallowing and provides communication training.

  • Psychologists provides counselling and cognitive training.

  • Social workers liaise with homes and family, they also assist with discharge planning.

  • Dieticians provide nutrition services.

  • Case managers are responsible for overall care coordination including pre-authorisation, arrangements with acute hospitals, updates to funders and discharge planning.

  • Patient relations officer is responsible for patient, family, clinical and funder relations coordination as well as managing family concerns.

Orthopaedic Rehabilitation

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