Transcript Best Practice Inpatient Rehabilitation

Best Practice Inpatient
Rehabilitation
Stroke Education
“A Beautiful Min
Presenters:
Jamie Howes, RN, BS
Mary Milburn, DPT
Contributors
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Charlene Henderson, OTR/L
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Dr. Jeffery Samuels, M.D.
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Christina Sanford, DrOT, OTR/L
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Cassandra Stevens-Jackson, RN, MSN
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Kelly Vogel, M.S., CCC/SLP
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Madelin Westerfeld, Psy.D.
Patient Calendar
Stroke Group Goals
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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
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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
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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
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Overview CVA Dx
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Physiology of strokes
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Neuroplasticity
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TPA
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Procedures ie coiling
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Imaging
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Dx and Px
Nursing
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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
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Overview CVA Dx
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Medication
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HTN
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DM
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Blood Thinners
Psychology
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Overview CVA Dx
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What is Depression?
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How are Depression and Stroke Linked?
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What is Anxiety?
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Treatment Options for Psychological
Distress
Nutrition
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Overview CVA Dx
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Foods to reduce BP and Cholesterol
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Renal diet
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Diabetic diet
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Decrease alcohol consumption
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PEG Tube Feedings
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Cardiac/Low Salt
Occupational Therapy (OT)
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Overview CVA Dx
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How will OT assist the pt with their
stroke recovery
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What is the focus of OT Therapy tx
sessions
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Types of Adaptive Equipment
Speech Therapy (ST)
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Overview CVA Dx
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What is Aphasia?
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What is Dysarthria?
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What is Apraxia?
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What is Cognitive-Communication Deficits?
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What is Dysphagia?
Case Mangers
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Overview CVA Dx
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Discharge Equipment
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Family/Friend Involvement in Care
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Out-Pt Therapy Needs
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Placement Related Issues (i.e. Home vs.
SNF)
Recreational Therapy*
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Overview CVA Dx
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Directs and organizes sports, dramatics,
games, and arts and crafts
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Helps develop content of program in
accordance with patients' capabilities, needs
and interests
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Counsels and encourages patients to develop
leisure activities that enhance their health,
independence, and well-being
Physical Therapy (PT)
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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
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Family/Friends Involvement
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Language Line
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1-1 Teaching
Documentation
Documentation