Evaluation of a long-term community based rehabilitation program for adult stroke survivors

2007 ◽  
Vol 22 (4) ◽  
pp. 295-301 ◽  
Author(s):  
Adina Hartman-Maeir ◽  
Yafit Eliad ◽  
Rachel Kizoni ◽  
Irit Nahaloni ◽  
Hagit Kelberman ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
Stroke Survivors ◽  
Community Based ◽  
Community Based Rehabilitation

Abstract WP408: Tacls: Taking Action for Optimal Community and Long Term Stroke Care

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Theresa L Green ◽  
Patrice Lindsay
Keyword(s):  
Health Care ◽  
Acute Stroke ◽  
Health Care Providers ◽  
Stroke Care ◽  
Residential Aged Care ◽  
Stroke Survivors ◽  
Care Providers ◽  
Community Based ◽  
Taking Action

Introduction: In Canada, approximately 12% of acute stroke patients are admitted to long-term care (LTC; or residential aged care) facilities following an acute stroke event. An additional 20-30% of patients are discharged home from hospital with referral for community-based homecare. Training programs for health care providers in these settings is variable and at times inconsistent with best practices. Internationally, focus is now shifting from a predominant inpatient acute care focus, to one encompassing ongoing care and support in the community for people living with stroke. In 2015, an educational resource called Taking Action for Optimal Community & Long Term Stroke Care (TACLS) was launched across Canada to ensure the appropriate knowledge and skills of front line care providers for stroke survivors in community and LTC facilities; the focus of this resource is on rehabilitation and recovery. Methods: The purpose of this interactive session is to introduce the TACLS resource and to engage health professionals in an examination of current international community based rehabilitation and recovery programs. The discussion/workshop will allow participants to examine, compare and contrast components of the TACLS program with programs being developed or offered elsewhere. Results: As health care providers helping stroke survivors live well and longer means investing in the use of best practice tools and resources that fit the local context and organizational practices. Bringing together international opinions and observations around post-stroke community care will allow cross-collaboration and inter-professional networking opportunities that ultimately will benefit patients living with stroke in community based settings. Discussion: As care shifts from hospital to community based settings, the importance of tools available to support stroke survivors in this area of the care continuum is essential. In Canada, utilizing the HSF education resource (TACLS) provides information to support community based health care providers working with people who have had a stroke in helping them achieve optimal outcomes, regain their best level of functioning, and live meaningful lives.

Estimating the Prevalence of Sleep-Disordered Breathing in Community-Based, Long-Term Stroke Survivors Using a Validated Predictive Model

2008 ◽  
Vol 26 (4) ◽  
pp. 441-446 ◽  
Author(s):  
Dora C. Pearce ◽  
Dominique A Cadilhac ◽  
Robert J. Pierce ◽  
Amanda G. Thrift ◽  
Stephen David ◽  
...  
Keyword(s):  
Predictive Model ◽  
Sleep Disordered Breathing ◽  
Stroke Survivors ◽  
Community Based ◽  
Disordered Breathing

Enhancing Community-Based Rehabilitation for Stroke Survivors: Creating a Discharge Link

2014 ◽  
Vol 21 (6) ◽  
pp. 510-519 ◽  
Author(s):  
Caryn Langstaff ◽  
Cally Martin ◽  
Gwen Brown ◽  
Don McGuinness ◽  
Jo Mather ◽  
...  
Keyword(s):  
Stroke Survivors ◽  
Community Based ◽  
Community Based Rehabilitation

Return to work after spinal cord injury: a Singaporean pilot community-based rehabilitation program

Spinal Cord ◽  
2020 ◽  
Vol 58 (10) ◽  
pp. 1096-1103
Author(s):  
Kalya M. Kee ◽  
Nizar Z. Mohamad ◽  
Pauline P. W. Koh ◽  
Joanna P. T. Yeo ◽  
Yee Sien Ng ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Return To Work ◽  
Rehabilitation Program ◽  
Community Based ◽  
Community Based Rehabilitation ◽  
Cord Injury

Abstract WP188: Community-Based Outpatient Stroke Rehabilitation Program Achieves Excellent Outcomes Including Return to Work, Driving, Stroke Knowledge, and Other Rehabilitation Outcomes

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Joan C Breen ◽  
Jeanne Andrusin ◽  
Julie DiCarlo ◽  
Julia Keenan ◽  
Paula Fortuna ◽  
...  
Keyword(s):  
Risk Factor ◽  
Return To Work ◽  
Self Efficacy ◽  
Rehabilitation Program ◽  
Outpatient Rehabilitation ◽  
Stroke Survivors ◽  
Patient Centered ◽  
Community Based ◽  
Percent Improvement ◽  
Stroke Knowledge

Background: Return to driving and employment are goals for many stroke survivors. There are few reports of patient centered outcomes including return to employment, driving, self-efficacy, functional outcomes, stroke knowledge or characteristics of survivors who achieve these goals. Methods: Prospective observational study of stroke patients treated in an interdisciplinary outpatient rehabilitation program addressing physical, cognitive, communicative, risk factor/stroke knowledge, self-efficacy, psychosocial, driving and vocational issues. Results: 190 consecutive patients(117 men, 73 women, average age 62(18-90), 66 aphasic) with baseline modified Rankin Scores of 5(1%); 4(25%); 3(56%); 2(15%); 1(3%), and average NIHSS score of 6(range 0-18) were treated between 12/2011-7/2019. 136 Patients suffered ischemic strokes and 54 had hemorrhages. Locations were: 65 left, 69 right, 26 bilateral hemisphere, 30 brainstem. 41% had MCA territory strokes. Of 104 patients working pre-stroke, 50% returned to work and an additional 7% were work capable upon completion of program. 95% of patients driving pre-stroke could not drive on admission. After training, 43%(67/157) returned to driving. Patients had improvements in all 9 domains of Stroke Impact Scale with SIS total score improving an average of 23%. Patients received an average of 33 physical therapy visits with average percent improvement of 72% and 41% on 6” walk and Berg Balance scores. Average percent improvement in Stroke Self Efficacy Scores was 29%. After individualized cardiovascular risk, stroke and medication education sessions with the Nurse Practitioner based on AHA guidelines and Life’s Simple 7’s curriculum, stroke and risk factor knowledge quiz scores improved an average of 29%. Average length of stay was 5(range .5-24) months. Multiple other demographic and outcome measures are collected. Conclusions: Outcome data show a community-based team rehabilitation program can successfully combine CV/stroke education with rehabilitation services to maximize patient centered outcomes including return to work, driving, overall stroke recovery, physical functioning, stroke knowledge, and self-efficacy for many types of stroke survivors with moderate to severe disability.

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