Wockhardt Hospitals Speciality Information Series - Stroke rehabilitation


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This presentation answers all your questions about Brain Care and Stroke rehabilitation - procedures, treatment, and post-stroke care.
This presentation is a part of the speciality information series published by Wockhardt Hospitals for patient education.

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Wockhardt Hospitals Speciality Information Series - Stroke rehabilitation

  1. 1. Stroke Rehabilitation A lifeline back to a healthy and active life..!
  2. 2. Wockhardt Hospitals Ltd <ul><li>Wockhardt Hospitals - One of the leading super specialty healthcare networks in India. </li></ul><ul><li>Pan India presence with 8 multi-specialty hospitals: </li></ul>Wockhardt Hospitals Ltd, India <ul><li>NUSI Wockhardt Hospital, Goa </li></ul><ul><li>Wockhardt Heart Hospital, Nagpur </li></ul><ul><li>Wockhardt Super Speciality Hospital, Nagpur </li></ul><ul><li>Wockhardt Hospitals, Nashik </li></ul><ul><li>N M Virani Wockhardt Hospital, Rajkot </li></ul><ul><li>Adventist Wockhardt Heart Hospital, Surat </li></ul><ul><li>Wockhardt Hospitals, Bhavnagar </li></ul><ul><li>Sterling Wockhardt Hospital, Vashi </li></ul><ul><li>Wockhardt Hospitals, South Mumbai </li></ul><ul><li>Speciality care in: </li></ul><ul><li>Cardiology </li></ul><ul><li>Cardiac Surgery </li></ul><ul><li>Neurology </li></ul><ul><li>Neurosurgery </li></ul><ul><li>Minimal Access Surgery </li></ul><ul><li>Aesthetic Surgery </li></ul><ul><li>Urology </li></ul><ul><li>Nephrology </li></ul><ul><li>Oncology </li></ul><ul><li>Orthopaedics </li></ul><ul><li>Endocrinology </li></ul><ul><li>Gynecology </li></ul><ul><li>Paediatrics </li></ul><ul><li>Critical Care </li></ul><ul><li>Emergency & Preventive Healthcare </li></ul>
  3. 3. Rehabilitation medicine intervention after stroke <ul><li>When do you start rehabilitation medicine intervention after stroke? </li></ul><ul><ul><li>Rehabilitation should start immediately after a stroke, during acute admission, and even at the ICU. </li></ul></ul><ul><ul><li>At this stage, early assessment, planning, and initial management are done. </li></ul></ul><ul><ul><li>Many of the clinical problems that are faced by the stroke patients are related to the immobility and reconditioning imposed by prolonged bed rest during acute stroke care. </li></ul></ul><ul><ul><li>Once the stroke is completed (not in evolution) and the patient is medically stable, rehabilitation can be further progressed. </li></ul></ul>Wockhardt Hospitals Ltd, India
  4. 4. Functions involved in stroke rehabilitation <ul><li>What are the functions involved in stroke rehabilitation? </li></ul><ul><li>The functions of stroke rehabilitation are as follows: </li></ul><ul><ul><li>Prevention, recognition, management of co-morbid illness and concomitant medical complications. </li></ul></ul><ul><ul><li>Training for maximal functional independence. </li></ul></ul><ul><ul><li>Facilitating psychological coping and adaptation by the patient and family. </li></ul></ul><ul><ul><li>Promoting community reintegration, including resumption of home, family, recreational, and vocational activities. </li></ul></ul><ul><ul><li>Enhancing quality-of- life. </li></ul></ul>Wockhardt Hospitals Ltd, India
  5. 5. Medical professionals involved <ul><li>Who are the medical professionals involved in stroke rehabilitation? </li></ul><ul><ul><li>Stroke Rehabilitation is multi-disciplinary and team-based in approach. </li></ul></ul><ul><ul><li>The team helps both the patient and family members deal with adverse psychological effects of a stroke, such as anxiety an depression. </li></ul></ul><ul><ul><li>The Neurologist, Physiatrist and Psychiatrists are in charge of the stroke rehab team. </li></ul></ul><ul><ul><li>They initially evaluate the impairments, disabilities, and handicap of the stroke patient, design the appropriate rehabilitation program, and coordinate the functions of the team members. </li></ul></ul><ul><ul><li>They also coordinate with other concerned medical specialists. </li></ul></ul>Wockhardt Hospitals Ltd, India
  6. 6. Medical professionals involved <ul><ul><li>The Physical Therapist (PT ) helps restore the gross physical functioning and motor skills of the patient, such as walking and joint range of motion. </li></ul></ul><ul><ul><li>The Occupational Therapist (OT ) helps the patient relearn the skills needed for everyday living such as eating, toileting, dressing and self-care. They also provide vocational training to help return the patient to his/her occupation. </li></ul></ul><ul><ul><li>The Speech Therapist (ST ) helps the patient cope with any cognitive, language, and speech problems that result from the stroke. </li></ul></ul>Wockhardt Hospitals Ltd, India
  7. 7. Location of stroke rehabilitation <ul><li>Where does a patient undergo stroke rehabilitation? </li></ul><ul><li>Depending on the severity of the stroke, rehabilitation can take place in a: </li></ul><ul><ul><li>rehabilitation unit in the hospital, </li></ul></ul><ul><ul><li>a rehabilitation center, </li></ul></ul><ul><ul><li>at the outpatient department, </li></ul></ul><ul><ul><li>at a facility with skilled nursing care, </li></ul></ul><ul><ul><li>or even at home. </li></ul></ul><ul><ul><li>The team of doctors will determine the most appropriate rehabilitation setting for a particular patient. </li></ul></ul>Wockhardt Hospitals Ltd, India
  8. 8. Wockhardt Hospitals Ltd, India Stroke Rehabilitation - Frequently Asked Questions
  9. 9. FAQ’S <ul><li>What should a stroke patient expect after the stroke and prior to the rehab in terms of recovery? </li></ul><ul><ul><li>In terms of recovery, generally about 10% of stroke survivors recover almost completely; 25% recover with minor impairments; 40% experience moderate to severe impairments requiring special care; and 10% require care in a nursing home or other long-term care facility. </li></ul></ul><ul><ul><li>The majority of improvements occur within the first month after the stroke. Significant improvements will continue to be seen during the next three to six months. Beyond six months, there may be some slow improvements. </li></ul></ul>Wockhardt Hospitals Ltd, India
  10. 10. FAQ’S <ul><li>What kind of exercises can be performed by the stroke patient? </li></ul><ul><ul><li>The stroke patient can do any exercise except isometrics or Valsalva maneuver (which increases abdominal pressure). </li></ul></ul><ul><ul><li>These activities tend to increase the blood pressure which is to be avoided as much as possible in stroke patients. </li></ul></ul><ul><ul><li>Isometric exercises are exercises wherein there is no change in muscle length against an opposing force or resistance. </li></ul></ul><ul><ul><li>Valsalva maneuver is forceful voluntary exertion wherein one tries to move his/her bowels. </li></ul></ul>Wockhardt Hospitals Ltd, India
  11. 11. FAQ’s <ul><li>Where does a patient undergo stroke rehabilitation? </li></ul><ul><ul><li>Depending on the severity of the stroke, rehabilitation can take place in a rehabilitation unit in the hospital, a rehabilitation center, at the outpatient department, at a facility with skilled nursing care, or even at home. </li></ul></ul><ul><ul><li>The team of doctors will determine the most appropriate rehabilitation setting for a particular patient. </li></ul></ul><ul><ul><li>How soon can stroke patients return to normal activities? </li></ul></ul><ul><ul><li>Mild stroke patients can return to normal activities but moderate to severe stroke require careful monitoring before, during & after exercise. </li></ul></ul>Wockhardt Hospitals Ltd, India
  12. 12. FAQ’S <ul><li>When can a stroke patient return to work? </li></ul><ul><ul><li>A stroke patient should undergo disability assessment before he/she is allowed to return to work. </li></ul></ul><ul><ul><li>If the stroke is mild, the patient can return to his/her usual work with the necessary precautions. </li></ul></ul><ul><ul><li>In moderate stroke, the patient would need a change in his/her work so vocational exploration should be done to assess what type of work he/she can shift to. </li></ul></ul><ul><ul><li>In severe stroke, the patient would have a difficult time returning to work and roles may have to be reversed. The patient should have undergone rehabilitation medicine </li></ul></ul>Wockhardt Hospitals Ltd, India
  13. 13. FAQ’S <ul><li>When can patients who had stroke have sex? </li></ul><ul><li>A stroke patient can engage in sex provided that he/she: </li></ul><ul><ul><li>has been cleared neurologically </li></ul></ul><ul><ul><li>is medically stable </li></ul></ul><ul><ul><li>has no undue signs of fatigue or breathlessness </li></ul></ul><ul><ul><li>regularly takes his/her medications </li></ul></ul><ul><ul><li>regularly monitors his/her vital signs especially blood pressure </li></ul></ul><ul><ul><li>partner may be aware of the needs and difficulties that might arise during the sexual activity. </li></ul></ul>Wockhardt Hospitals Ltd, India
  14. 14. Wockhardt Cares Wockhardt Hospitals Ltd, India At Wockhardt, we care for your well being. We strongly recommend practicing prevention and securing health. In a world where lifestyle evolves by the day, it is essential to stay in the pink of health. For more information on the different kind of super specialty healthcare we provide, Visit us at: www.wockhardthospitals.com