11th, October, 2009IntroductionStroke rehabilitation programs are meant to help patients who have survived stroke and have lost normal body function due to brain damage. The brain controls all functions of the body and its damage affects the activities of various body parts that it controls. If for example a patient suffers stroke and movement of limbs is impaired, regaining movement requires rehabilitation. The kind of services offered in each rehabilitation program is however dependent on the patient, the severity of the condition and the availability of stroke rehabilitation resources.
Post stroke rehabilitation has two different settings. It can be hospital based or home based. Home based stroke rehabilitation can also be classified into two; that is continued rehabilitation at home with stroke rehabilitation specialists visiting and monitoring the patient at home and making use of community stroke rehabilitation resources. Hospital based is also in two different forms, that is in patient rehabilitation and out patient rehabilitation. Rehabilitation begins after a patient is found to be stable enough to participate in the rehabilitation. Admission to any rehabilitation program requires assessment which will determine if a patient should be admitted or not.
A second assessment is also done after initial rehabilitation to find out if the patient is stable enough to continue with the rehabilitation at home or in the hospital. There are advantages and disadvantages associated with these settings and this paper aims to describe the two different stroke rehabilitation program settings, giving their benefits and disadvantages, then giving a recommendation on which is best for the patient. REHAB A (Hospital)Rehab A GuidelinesRic’s Rehabilitation centre is a unit meant for stroke rehabilitation and caters for neurological patients.
It receives patients from Ric’s Hospital and from any other hospitals provided they meet the admission criteria. The first guideline in this rehabilitation is working according to the clinical guidelines for acute stroke management which ensures the services provided are up to standard, the facilities are efficient and caters for all stroke patients’ requirements and the unit has all the required specialists. Based on the available facilities and the rehabilitation specialists, this unit only accepts a total number of 35 patients. This is for effective management and provision of quality services.
This unit has specific criteria for selecting patients to be admitted. The patients must have neurological disorders, they must have good control of their bowels and bladders, they must have required cognition levels and sitting balance and they must not be using internal or external catheters. The inpatients are taken care of by the multidisciplinary team which have to ensure that they receive standard care. The team has to meet every week to review the progress of each patient, their accomplishments and set new goals. Assessment Tools/Outcome Measures Used in Rehab AEffective treatment of patients needs assessment to find out if the set goals are being accomplished.
The goals work towards good health of the patient. In this rehabilitation unit, there are several assessment tools used to determine the patients’ progress the tools are as follows: