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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. Patient Calendar 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 Pharmacy Overview CVA Dx Medication HTN DM Blood Thinners 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 Cognitively Challenged & Foreign Language Family/Friends Involvement Language Line 1-1 Teaching Documentation Documentation