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