Recovery and Rehabilitation after Stroke
|
|
- Gabriel Henderson
- 8 years ago
- Views:
Transcription
1 Recovery and Rehabilitation after Stroke NICK WARD UCL INSTITUTE OF NEUROLOGY QUEEN SQUARE Follow us on For more information go to
2 Plan 1. Why? 2. When? 3. How? 4. Compensation vs Recovery 5. Upper Limb 6. Language 7. Prediction
3 Rehabilitation why?
4 Rehabilitation why?
5 Where is rehabilitation on the treatment path? 1 Prevention Acute 2 Prevention Therapy Rehabilitation
6 Rehabilitation what is it? Rehabilitation is a process of active change by which a person who has become disabled acquires the knowledge and skills needed for optimum physical, psychological and social function. Rehabilitation is the application of all measures aimed at reducing the impact of disability and handicap and improving quality of life.
7 Rehabilitation - structure A rehabilitation service comprises a multidisciplinary team of people who: 1. Work together towards common goals for each patient 2. Involve and educate the patient and family 3. Have relevant knowledge and skills 4. Can resolve most of the common problems faced by their patients
8 Rehabilitation is a reiterative, active, educational, problem solving process focused on a patient's behaviour (disability), with the following components: 1. Assessment the identification of the nature and extent of the patient's problems and the factors relevant to their resolution 2. Goal setting Rehabilitation - process 3. Intervention, which may include either or both of (a) treatments, which affect the process of change; (b) support, which maintains the patient's quality of life and his or her safety 4. Evaluation to check on the effects of any intervention
9 Rehabilitation - outcome The rehabilitation process aims to: 1. Maximise the participation of the patient in his or her social setting 2. Minimise the pain and distress experienced by the patient 3. Minimise the distress of and stress on the patient's family and carers
10 Neuro-rehabilitation: iterative process 1. Avoid complications 2. Assessment - MDT 3. Measurement 4. Planning 5. Treatment 6. Evaluation 7. Reassessment
11 Avoid complications after stroke painful shoulders pressure sores contractures incontinence malnutrition aspiration pneumonia
12 Avoid complications after stroke
13 Avoid complications after stroke Don t pull on the hemiparetic arm get the patient to squeeze your fingers leave the patient in one position catheterise if possible
14 Avoid complications after stroke Do sit the patient out use pressure relieving mattresses ask/check for pressure sores check the swallow check the mouth care ensure adequate nutrition toilet regularly assess orientation assess mood talk.make a difference
15 Planning Goal setting A process of discussion and negotiation in which the patient and staff determine the key priorities for rehabilitation for that individual, and agree the performance level to be attained by the patient for defined activities within a specified time frame. A key element in the rehabilitation process. Commonly employed as a technique to actively engage patients in their rehabilitation programme. Occupational/organisational literature 1970s
16 Planning short term goals To wash my face and clean my teeth standing at the sink with an upright posture To wash myself in sitting, reaching down to my feet To dress my top half, following written prompts To move independently from sitting to lying in the gym
17 Planning long term goals To return home able to Walk indoors with my frame feeling more confident Participate in personal care and light domestic tasks incorporating standing Able to turn myself in bed Able to complete car transfers independently With advice on: Exercise programme Bladder and bowel management Standing programme/tone management
18 Who should be referred? In-patient or out-patient Patients who are medically stable (-ish) with multiple interacting problems who need input from two or more disciplines with potential to make functional gains Before you refer identify any previous input and its outcome
19 Compensation versus Recovery it is useful to divide neurorehabilitation into (1) measures primarily aimed at assisting adaptation to (or compensating for) impairment, and (2) those primarily aimed at reducing impairments The latter address underlying neurological deficits more directly but are relatively poorly understood.. and are based on advances in our neuroscientific understanding of how the brain is organised
20 Niell et al., Nat Neurosci 2004; 7: What is brain plasticity? Dendritic growth in vivo Axon arborisation in vivo Hua et al., Nature 2005; 434: dendrites axon
21 What is brain plasticity? A affected side infarct 10 days post stroke 17 days post stroke 24 days post stroke 31 days post stroke 3 months post stroke B affected side OUTCOMES Barthel ARAT GRIP NHPT Patient A 20/20 57/ % 78.9% Patient B 20/20 57/ % 14.9%
22 When is best to treat? 1. EARLY helps avoid complications 2. Natural history of recovery may be misleading 3. Can late treatment change impairment? This patient made 90% improvement 20 years after stroke
23 Treating upper limb impairment Task specific training is better than general exercise motor learning? Works better in patients with reasonable residual motor control Optimal dose is important but not clear Motor practice/ Motor learning Constraint induced therapy Robotic assisted devices Virtual environments
24 Treating upper limb impairment
25 Treating upper limb impairment
26 Does it work - Dose Treating language impairment Problem: average amount of out-patient speech therapy ~ 12 hours
27 Predicting recovery after stroke
28 Predicting recovery after stroke Stinear, C. M. et al. Brain :
29 Predicting recovery after stroke
30 Recovery and rehabilitation after stroke Rehabilitation required by everyone (motor, language, cognitive) Rehabilitation starts on day 1 through MDT Avoid complications Goal setting is done for patients benefit Intensity and dose of intervention mahes a difference Never too late.. As long as complications are avoided
NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
Rehabilitation for movement difficulties after stroke bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online.
More informationREHABILITATION MEDICINE by PROFESSOR ANTHONY WARD
REHABILITATION MEDICINE by PROFESSOR ANTHONY WARD What is Rehabilitation Medicine? Rehabilitation Medicine (RM) is the medical specialty with rehabilitation as its primary strategy. It provides services
More informationGood Samaritan Inpatient Rehabilitation Program
Good Samaritan Inpatient Rehabilitation Program Living at your full potential. Welcome When people are sick or injured, our goal is their maximum recovery. We help people live to their full potential.
More informationRehabilitation Nurses: Champions for Optimizing Stroke Rehabilitation Across the Continuum of Care
Rehabilitation Nurses: Champions for Optimizing Stroke Rehabilitation Across the Continuum of Care Presenters Sandra Melchiorre RN, MN, ACNP, CNN (c) Regional Stroke Acute Care Advanced Practice Nurse,
More informationPersonal Independence Payment (PIP) table of activities, descriptors and points
Personal Independence Payment (PIP) table of activities, descriptors and points Daily Living Activities 1. Preparing food a. Can prepare and cook a simple meal unaided. b. Needs to use an aid or appliance
More informationMotor recovery after stroke
NICK WARD, UCL INSTITUTE OF NEUROLOGY, QUEEN SQUARE n.ward@ucl.ac.uk Follow us on twitter @Wardlab UCL Institute of Neurology MSc Lectures, Queen Square, March 2014 Recovery After Stroke: Neurorehabilitation
More informationSECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY
SECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY SECTION B PART 1 - SERVICE SPECIFICATIONS Service specification number Service Commissioner Lead Provider Lead Period Date of
More informationPARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY / PROCEDURE:
PARTNERSHIP HEALTHPLAN OF CALIFORNIA POLICY/PROCEDURE Policy Number: MCUP3003 (previously UP100303) Reviewing Entities: Credentialing IQI P & T QUAC Approving Entities: BOARD CEO COMPLIANCE FINANCE PAC
More informationObjectives. Maintenance Myths. Maintenance Therapy in Home Health. Cindy Krafft PT, MS. Define the medical necessity of maintenance therapy
Maintenance Therapy in Home Health Cindy Krafft PT, MS Director of Rehabilitation Consulting Services President Home Health Section APTA Objectives Define the medical necessity of maintenance therapy Understand
More informationBehaviour Management: Partnering To Bridge The Continuum. Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP.
Behaviour Management: Partnering To Bridge The Continuum Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP Objectives Review some of the behaviours exhibited by patients with
More informationISSUED BY: TITLE: ISSUED BY: TITLE: President
CLINICAL PRACTICE GUIDELINE PROFESSIONAL PRACTICE TITLE: Stroke Care Rehabilitation Unit DATE OF ISSUE: 2005, 05 PAGE 1 OF 7 NUMBER: CPG 20-3 SUPERCEDES: New ISSUED BY: TITLE: Chief of Medical Staff ISSUED
More informationTHE FUTURE OF STROKE REHABILITATION
Disclosure of Financial Relationships Gary M. Abrams M.D. THE FUTURE OF STROKE REHABILITATION Gary M. Abrams M.D. Professor of Clinical Neurology Director of Neurorehabilitation UCSF Has disclosed the
More informationPatient s Handbook. Provincial Rehabilitation Unit ONE ISLAND HEALTH SYSTEM ONE ISLAND FUTURE 11HPE41-30364
Patient s Handbook Provincial Rehabilitation Unit ONE ISLAND FUTURE ONE ISLAND HEALTH SYSTEM 11HPE41-30364 REHABILITATION EQUIPMENT USED ON UNIT 7 During a patient s stay on Unit 7, various pieces of
More informationRehabilitation Integrated Transition Tracking System (RITTS)
Rehab Criteria The patient must have a physical impairment requiring rehabilitation OR have a known cognitive impairment requiring ongoing rehabilitation support or services. The patient is medically stable:
More informationSAM KARAS ACUTE REHABILITATION CENTER
SAM KARAS ACUTE REHABILITATION CENTER 1 MEDICAL CARE Sam Karas Acute Rehabilitation The Sam Karas Acute Rehabilitation Center is a comprehensive and interdisciplinary inpatient unit. Medical care is directed
More informationManifesto for Acquired Brain Injury Rehabilitation
Manifesto for Acquired Brain Injury Rehabilitation For further information please contact: Chloë Hayward UKABIF Executive Director PO Box 355 Plymouth PL3 4WD Tel: 01752 601318 Email: ukabif@btconnect.com
More informationSUMMARY This PhD thesis addresses the long term recovery of hemiplegic gait in severely affected stroke patients. It first reviews current rehabilitation research developments in functional recovery after
More informationHamilton Health Sciences Integrated Stroke Model of Care. Rhonda Whiteman, Stroke Best Practices Coordinator, Hamilton Health Sciences
Hamilton Health Sciences Integrated Stroke Model of Care Rhonda Whiteman, Stroke Best Practices Coordinator, Hamilton Health Sciences Integrated Stroke Model of Care Goals To provide a more comprehensive
More informationNICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
Rehabilitation during the patient s critical care stay bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used online.
More informationProvincial Rehabilitation Unit. Patient Handbook
Provincial Rehabilitation Unit Patient Handbook ONE ISLAND FUTURE ONE ISLAND HEALTH SYSTEM Welcome to Unit 7, the Provincial Rehabilitation Unit. This specialized 20 bed unit is staffed by an interdisciplinary
More informationSTROKE REHABILITATION RESOURCE GUIDE
STROKE REHABILITATION RESOURCE GUIDE INTRODUCTION The intent of the Stroke Rehabilitation Resource Guide is to enable stroke care providers seeking information related to the rehabilitation of the stroke
More informationThe Spinal Injury Unit Team
CHAPTER 11 The Spinal Injury Unit Team The Rehabilitation Team The spinal rehabilitation unit functions as a multidisciplinary team, and all rehabilitation efforts are a combination of input between the
More informationSTROKE REHABILITATION RESOURCE GUIDE
STROKE REHABILITATION RESOURCE GUIDE INTRODUCTION The intent of the Stroke Rehabilitation Guide is to enable stroke care providers seeking information related to the rehabilitation of the stroke survivor
More informationClinical Neuropsychology. Recovery & Rehabilitation. Alan Sunderland School of Psychology
Clinical Neuropsychology. Recovery & Rehabilitation Alan Sunderland School of Psychology 1 The Changing Role of Clinical Neuropsychology HISTORY The Origins of Clinical Neuropsychology Emergence as a profession
More informationHOW YOU CAN HELP YOUR CHILD WITH CEREBRAL PALSY
HOW YOU CAN HELP YOUR CHILD WITH CEREBRAL PALSY CBM is one of the world s largest international disability and development organisations, committed to improving the quality of life of persons with disabilities
More informationHospital ID: SS ID: NHS No: NI No: Surname: Forename: D.O.B:
FUNDED NURSING CARE ASSESSMENT Overview Assessment Please attach demographic information form Hospital ID: SS ID: NHS No: NI No: Surname: Forename: : Date of Assessment Location of Assessment: When assessing
More informationNational Stroke Association
CHAPTER 1 WHERE TO BEGIN? Your loved one has just survived a stroke. A great deal of information will be coming at you at once. Focus on the stroke survivor s immediate needs. This section outlines important
More informationImportance of Integrating Stroke Rehabilitation Across the Continuum of Care
Importance of Integrating Stroke Rehabilitation Across the Continuum of Care Dori Tooke, MHA, PT, CSCS Manager-Inpatient Rehab Program St. Luke s Medical Center Milwaukee, WI Disclosure Nothing to disclose
More informationRecommendations for Rehabilitation in People with MS Thomas Henze, Nittenau / Germany
Recommendations for Rehabilitation in People with MS Thomas Henze, Nittenau / Germany EMSP European Multiple Sclerosis Platform (2013). All rights reserved. Comprehensive MS treatment Immunotherapies Rehabilitation
More informationNICE: REHABILITATION AFTER STROKE GUIDELINE. Sue Thelwell Stroke Services Co-ordinator UHCW NHS Trust
NICE: REHABILITATION AFTER STROKE GUIDELINE Sue Thelwell Stroke Services Co-ordinator UHCW NHS Trust Content About me! NICE Rehabilitation after Stroke to include background, remit and scope, guideline
More informationSpinal Cord Injury Education. An Overview for Patients, Families, and Caregivers
Spinal Cord Injury Education An Overview for Patients, Families, and Caregivers Spinal Cord Anatomy A major component of the Central Nervous System (CNS) It is 15 to 16 inches long, and weighs 1 to 2 ounces
More informationOxford Centre for Enablement Continuing Disability Management Service Day Hospital Information
Oxford University Hospitals NHS Trust Oxford Centre for Enablement Continuing Disability Management Service Day Hospital Information Contents About the Oxford Centre for Enablement What does the service
More informationREHABILITATION. begins right here
REHABILITATION begins right here Select Rehabilitation Hospital of Denton offers you a new direction in medical rehabilitation. Our 44-bed, state-of-the-science hospital offers unparalleled treatment to
More informationNeurological Rehabilitation in Practice
Neurological Rehabilitation in Practice Christopher Ward Professor & Consultant in Rehabilitation Medicine University of Nottingham School of Community Health Sciences Derby Hospitals Foundation Trust
More informationNational Hospital for Neurology and Neurosurgery. Managing Spasticity. Spasticity Service
National Hospital for Neurology and Neurosurgery Managing Spasticity Spasticity Service If you would like this document in another language or format, or require the services of an interpreter please contact
More informationCommissioning Support for London. Stroke rehabilitation guide: supporting London commissioners to commission quality services in 2010/11
Commissioning Support for London Stroke rehabilitation guide: supporting London commissioners to commission quality services in 2010/11 Contents Executive summary 4 1 Introduction 7 1.1 Healthcare for
More informationSurgery for cervical disc prolapse or cervical osteophyte
Mr Paul S. D Urso MBBS(Hons), PhD, FRACS Neurosurgeon Provider Nº: 081161DY Epworth Centre Suite 6.1 32 Erin Street Richmond 3121 Tel: 03 9421 5844 Fax: 03 9421 4186 AH: 03 9483 4040 email: paul@pauldurso.com
More informationTHE MANAGEMENT OF URINARY INCONTINENCE WITHIN A STROKE UNIT POPULATION REENA DHAMI STROKE CNS EPSOM & ST.HELIER UNIVERSITY HOSPITALS
THE MANAGEMENT OF URINARY INCONTINENCE WITHIN A STROKE UNIT POPULATION REENA DHAMI STROKE CNS EPSOM & ST.HELIER UNIVERSITY HOSPITALS Definition Urinary Incontinence is AN INABILITY TO HOLD URINE until
More informationRehabilitation Programme of Stroke Patients in RC Kladruby
Rehabilitation Programme of Stroke Patients in RC Kladruby Bc. Zdeněk Váňa Content About rehabilitation centre Rehabilitation team members roles Stroke patients rehabilitation programme Basic Information
More informationImplementing a Fall Alarm Program to Reduce Fall Risk Rein Tideiksaar, PhD FallPrevent, LLC
Implementing a Fall Alarm Program to Reduce Fall Risk Rein Tideiksaar, PhD FallPrevent, LLC This program was supported by a grant from Implementing a Fall Alarm Program to Reduce Fall Risk Rein Tideiksaar,
More informationQ: Rehabilitation Nursing
Q: Rehabilitation Nursing Alberta Licensed Practical Nurses Competency Profile 163 Priority: One Competency: Q-1 Apply the Rehabilitation Process Q-1-1 Q-1-2 Q-1-3 Q-1-4 Q-1-5 Q-1-6 Demonstrate knowledge
More informationStroke Rehab Across the Continuum of Care in Quinte Region
Stroke Rehab Across the Continuum of Care in Quinte Region Adrienne Bell Smith Manager of Rehab Therapies QHC Karen Brown Manger Client Services, Hospital Access South East CCAC Disclosure of Potential
More informationEarly Supported Discharge (in the context of Stroke Rehabilitation in the Community)
Early Supported Discharge (in the context of Stroke Rehabilitation in the Community) Gold Standard Framework This document was produced with reference to national standards for best practice (e.g. NICE
More informationPersonal Independence Payment
Personal Independence Payment April 015 Factsheet 7 Personal Independence Payment or (PIP) is new benefit which replaces DLA for people of working age from April 013. It assesses your ability to carry
More informationNeurorehabilitation Strategy Briefing Document and Position Paper
Neurorehabilitation Strategy Briefing Document and Position Paper Background What is neurorehabilitation? The World Health Organisation defines neurorehabilitation as: A problem-solving process in which
More informationHow To Care For A Patient With A Heart Condition
Acute Care to Rehab & Complex Identify Referral Destination: Referral to Rehab Referral to Complex Continuing Care (CCC) If Faxed Include Number of Pages (Including Cover): Pages Estimated Date of Rehab/CCC
More informationMildmay UK Hospital. Services and Referral. Registered Charity No: 292058. www.mildmay.org
Mildmay UK Hospital Services and Referral Registered Charity No: 292058 www.mildmay.org Our Vision A world in which everyone living with HIV can have a life in all its fullness Our Mission To respond effectively
More informationWhere Should Rehabilitation Take Place?!
Where Should Rehabilitation Take Place?! Three Basic Questions! 1. Is rehabilitation effective in improving a patient s functional abilities?!yes" yes" 2. Is rehabilitation cost effective?!yes" where"
More informationTherapy Functional Reassessment: It s a good thing. Objectives. Oasis-not just a requirement 3/19/2012. Vicki D. Gines PT DPT CEEAA
Therapy Functional Reassessment: It s a good thing Missouri Alliance For Home Care Annual Conference 2012 Vicki D. Gines PT DPT CEEAA Objectives State how Oasis ties to Therapy evaluations State key components
More informationObjectives. Objectives 4/5/2014
Session: T32 A True Person Centered Restorative Nursing Program- Individualized Care at it s Best! Presented By: Sue LaGrange, RN, BSN, NHA Director of Education Pathway Health (651) 964-4946 Objectives
More informationRehabilitation and the role of carers
Rehabilitation and the role of carers Dr Jacinta Morgan Consultant in Rehabilitation Medicine National Clinical Lead, Rehabilitation Medicine Programme (HSE CSPD) EMSP Spring Conference Gibson Hotel Dublin,
More informationNeuro-rehabilitation in Stroke. Amit Kumar Neuro-Occupational Therapist
Neuro-rehabilitation in Stroke Amit Kumar Neuro-Occupational Therapist Neuro-rehabilitation A process whereby patients who suffer from impairment following neurologic diseases regain their former abilities
More informationPre-budget Submission 2016. Joint Committee on Finance, Public Expenditure and Reform
Pre-budget Submission 2016 Joint Committee on Finance, Public Expenditure and Reform July 2015 SUMMARY POINTS Acquired Brain Injury Ireland (ABI Ireland) is asking the Government to support people living
More informationOccupational therapy after stroke
Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Occupational therapy after stroke After a stroke, you are likely to need help to regain your abilities, learn new skills and cope with any remaining
More informationClinical Guidelines for Stroke Management
Stop stroke. Save lives. End suffering. Clinical Guidelines for Stroke Management quick guide for physiotherapy This summary is an implementation tool designed to raise the awareness of the recommendations
More informationThe road to recovery. The support available to help you with your recovery after stroke
The road to recovery The road to recovery The support available to help you with your recovery after stroke We re for life after stroke Introduction Need to talk? Call our confidential Stroke Helpline
More informationInpatient, outpatient and therapy services
Brain injury and neuro-rehabilitation services focused on recovery. Inpatient, outpatient and therapy services Milwaukee Center for Independence Nexday programs provide a continuum of care for people recovering
More informationA BETTER TOMOR W. A balanced approach to Occupational Therapy & Case Management REHAB OPTIONS
A BETTER TOMOR W Beech House, 54b High Street, Chapmanslade, Wiltshire, BA13 4AN T: 01373 832459 info@rehaboptions.co.uk www.rehaboptions.co.uk Registered in England & Wales No 5860678 Designed by Plum
More informationRehabilitation Where You Recover. Inpatient Rehabilitation Services at Albany Medical Center
Rehabilitation Where You Recover Inpatient Rehabilitation Services at Albany Medical Center You're Here and So Are We As the region s only academic medical center, Albany Medical Center offers a number
More informationMAPLES /PHOENIX REHABILITATION REFERRAL REFERRAL DETAILS:
MAPLES /PHOENIX REHABILITATION REFERRAL Each section must be completed by the treating health professional and goals for rehabilitation must be indicated. Once completed, please post the referral form
More informationPolicy for the Prevention of Slips, Trips and Falls for Inpatients within Western Health and Social Care Trust Facilities
Policy for the Prevention of Slips, Trips and Falls for Inpatients within Western Health and Social Care Trust Facilities October 2010 Policy Title: Policy for the Prevention of Slips, Trips and Falls
More informationThe Spinal Injury Unit Team
CHAPTER 11 The Spinal Injury Unit Team The Rehabilitation Team The spinal rehabilitation unit functions as a multidisciplinary team and all rehabilitation efforts are a combination of input between the
More informationHealth Professionals who Support People Living with Dementia
Clinical Access and Redesign Unit Health Professionals who Support People Living with Dementia (in alphabetical order) Health Professional Description Role in care of people with dementia Dieticians and
More informationPost-Acute Rehab: Community Re-Entry After Stroke? Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System
Post-Acute Rehab: Community Re-Entry After Stroke? Sheldon Herring, Ph.D. Roger C. Peace Rehab Hospital Greenville Hospital System 2014 Neurocognitive Deficits After Stroke: The Hidden Disability Sheldon
More informationIllinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION C 04/26/2015. Statement of Licensure Violations:
(X1) PROVER/SUPPLIER/LIA ENTIFIATION NUMBER: (X3) SURVEY D NAME OF PROVER OR SUPPLIER (X4) REGULATORY OR LS ENTIFYING INFORMATION) Final Observations Statement of Licensure Violations: 300.610a) 300.1210b)
More informationURINARY INCONTINENCE Information for Patients and Families Author: Chantale Dumoulin, PhD PT
URINARY INCONTINENCE Information for Patients and Families Author: Chantale Dumoulin, PhD PT What is urinary incontinence? Urinary incontinence (UI) is the loss of the ability to hold in urine. This can
More informationRehabilitation Following Major Trauma in the North West
Rehabilitation Following Major Trauma in the North West Acute / early rehabilitation Community based rehabilitation, including vocational aspects Acute / Early Rehabilitation Following Major Trauma Dr
More informationSTROKE CARE NOW NETWORK CONFERENCE MAY 22, 2014
STROKE CARE NOW NETWORK CONFERENCE MAY 22, 2014 Rehabilitation Innovations in Post- Stroke Recovery Madhav Bhat, MD Fort Wayne Neurological Center DISCLOSURE Paid speaker for TEVA Neuroscience Program.
More informationCritical Care Rehabilitation Service Using the model of a generic rehabilitation assistant
Critical Care Rehabilitation Service Using the model of a generic rehabilitation assistant Lisa Salisbury, Research Physiotherapist, The University of Edinburgh. Leanne Dow, Generic Rehabilitation Assistant,
More informationBack to work. Helping neurological patients back into employment WOLFSON VOCATIONAL REHABILITATION PROGRAMME
Back to work Helping neurological patients back into employment WOLFSON VOCATIONAL REHABILITATION PROGRAMME Meeting their needs Our Vocational Rehabilitation Programme is specifically tailored to each
More informationREHABILITATION SERVICES
REHABILITATION SERVICES Table of Contents GENERAL... 2 TERMS AND ABBREVIATIONS... 2 PRIOR AUTHORIZATION REQUIREMENTS FOR MEDICAID REIMBURSEMENT OF INPATIENT REHABILITATION SERVICES (Updated 4/1/11)...
More informationHelp for completing attendance allowance and disability allowance forms
Help for completing attendance allowance and disability allowance forms Advice and guidance on applying for these benefits HOUSING AND COMMUNITY LIVING www.luton.gov.uk Luton Borough Council aims to help
More informationInpatient Rehabilitation Facilities (IRFs) [Preauthorization Required]
Inpatient Rehabilitation Facilities (IRFs) [Preauthorization Required] Medical Policy: MP-ME-05-09 Original Effective Date: February 18, 2009 Reviewed: April 22, 2011 Revised: This policy applies to products
More informationHow To Become A Physio And Rehabilitation Medicine Specialist
EUROPEAN BOARD OF PHYSICAL AND REHABILITATION MEDICINE LOGBOOK EUROPEAN UNION OF MEDICAL SPECIALISTS UEMS IDENTIFICATION... 2 INSTRUCTIONS FOR USE... 3 THE TRAINING COURSE... 3 TRAINING PROGRAMME... 4
More informationRestorative Nursing Teleconference Script
Slide 1 Slide 2 Slide 3 Maintaining independence in ADLs and mobility is very important to most of us. In fact, functional decline can lead to depression, withdrawal, social isolation, and complications
More informationStroke Rehabilitation - Evidence Based Practice
Stroke Rehabilitation - Evidence Based Practice Section 1 1) What percent of stroke patients are left with moderate functional impairment? a) 25% b) 40% c) 55% d) 70% 2) Which is not a component of the
More informationTaylor Rehabilitation Unit Patient Information
Taylor Rehabilitation Unit Patient Information Leigh Infirmary Author ID: SB Leaflet Number: Med 003 Name of Leaflet: Taylor Rehabilitation Unit Date Produced: April 2014 Review Date: April 2016 Taylor
More informationby Argyrios Stampas, MD, Carolin Dohle, MD, and Elizabeth Dominick, PT, DPT, NCS
by Argyrios Stampas, MD, Carolin Dohle, MD, and Elizabeth Dominick, PT, DPT, NCS Therapist Jennifer Metz (right) helps a patient use a body-weight support treadmill system. Up and Moving Blending dedication
More informationAssessment Blueprint for Stroke Medicine. Mini- DOPS MSF SESR CBD TP A R area
Assessment Blueprint for troke Medicine DOP MF ER CBD TP A R 1. ACUTE TROE OBJECTIVE - TO PROVIDE THE TRAINEE WITH THE NOWLEDGE AND ILL TO CONTRIBUTE TO A COMPREHENIVE PECIALIT ERVICE FOR PATIENT WITH
More informationCerebral Palsy. 1995-2014, The Patient Education Institute, Inc. www.x-plain.com nr200105 Last reviewed: 06/17/2014 1
Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Thousands of children are diagnosed with cerebral palsy every year. This reference summary explains
More information101 West Windsor Road Urbana, Illinois 61802 217-344-2144 www.clark-lindsey.com. At Clark-Lindsey
Renewal brochure 9.10:Layout 1 10/15/2010 101 West Windsor Road Urbana, Illinois 61802 217-344-2144 www.clark-lindsey.com 9:20 AM Page 1 PHYSICAL, OCCUPATIONAL & SPEECH THERAPIES At Clark-Lindsey Renewal
More informationSTROKE CARE PLAN: BLADDER & BOWEL CONTINENCE
Urinary incontinence related to loss of ability to identify and respond to need to urinate; involuntary bladder contractions, increased nightly urine production, difficulty communication need to urinate
More informationPrimary Health-care, Adult Services and Children Services in Westminster
Primary Health-care, Adult Services and Children Services in Westminster In Westminster over 4,000 people receive Supporting People services provided by 44 different organisations. The Supporting People
More informationBrief, Evidence Based Review of Inpatient/Residential rehabilitation for adults with moderate to severe TBI
Brief, Evidence Based Review of Inpatient/Residential rehabilitation for adults with moderate to severe TBI Reviewer Peter Larking Date Report Completed 7 October 2011 Important Note: This brief report
More informationCerebral Palsy. In order to function, the brain needs a continuous supply of oxygen.
Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Up to 5000 children in the United States are diagnosed with cerebral palsy every year. This reference
More informationAcute Care to Rehab and Complex Continuing Care (CCC) Referral
(Identify Referral Destination) Rehabilitation Program Requested: CCC Program Requested: Restorative Medically Complex Medically Complex Ventilator Behavioural Health End of Life Medically Complex - Bariatric
More informationLondon Specialist Inpatient Rehabilitation Referral & Assessment Form (Version 4.2: September 2014)
London Specialist Inpatient Rehabilitation Referral & Assessment Form (Version 4.2: September 2014) Please complete all sections in order to avoid delays processing referral. Section A. Patient Details
More informationPOSITION DESCRIPTION. Clinical Psychologist AT & R Unit, Middlemore Hospital
POSITION DESCRIPTION Clinical Psychologist AT & R Unit, Middlemore Hospital Date Produced/Reviewed: 22 nd February 2010 Position Holder's Name : Position Holder's Signature :... Manager / Supervisor's
More informationThe Use of the Lokomat System in Clinical Research
International Neurorehabilitation Symposium February 12, 2009 The Use of the Lokomat System in Clinical Research Keith Tansey, MD, PhD Director, Spinal Cord Injury Research Crawford Research Institute,
More informationIntermediate care and reablement
Factsheet 76 May 2015 About this factsheet This factsheet explains intermediate care, a term that includes reablement. It consists of a range of integrated services that can be offered on a short term
More informationPersonal Independence Payment (PIP)
Disability Rights UK Factsheet Personal Independence Payment (PIP) What is PIP? The personal independence payment (PIP) replaces working age disability living allowance (DLA) from April 2013. PIP will
More informationTraumatic Brain Injury for VR Counselors Margaret A. Struchen, Ph.D. and Laura M. Ritter, Ph.D., M.P.H.
Training Session 3b: Broad Knowledge of Treatment Settings and Resources for Persons with TBI and their Families during Different Phases of Service Requirements. Treatment Settings for Rehabilitation Services
More informationTransmittal 55 Date: MAY 5, 2006. SUBJECT: Changes Conforming to CR3648 for Therapy Services
CMS Manual System Pub 100-03 Medicare National Coverage Determinations Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 55 Date: MAY 5, 2006 Change
More informationCNR S SHORT TERM REHABILITATION
CNR S SHORT TERM REHABILITATION A Leader in Innovative Therapies A Member of the Beth Abraham Family of Health Services Center for Nursing and Rehabilitation Where Healing Hands Lead You Home CNR s innovative
More informationUsing Objective Measures to Facilitate Rehabilitation Referral
Using Objective Measures to Facilitate Rehabilitation Referral Mark Bayley MD, FRCPC Medical Director, Neuro Rehabilitation Program, Toronto Rehabilitation Institute Associate Professor, Division of Physiatry,
More informationREHABILITATION IN PERSONAL INJURY CLAIMS. By Carol Jackson Principal Lawyer Pannone Part of Slater & Gordon
REHABILITATION IN PERSONAL INJURY CLAIMS By Carol Jackson Principal Lawyer Pannone Part of Slater & Gordon Rehabilitation It s not all about the money There is more a solicitor can do Increasing and proper
More informationCOMMUNITY STROKE SERVICES
Members Event COMMUNITY STROKE SERVICES Sue Baker Matron/Specialist Nurse Practitioner Worcestershire Health & Care Trust Caroline Lister Worcestershire Acute Hospitals Trust September 2013 Aims: To gain
More informationACUTE CARE TO REHABILITATION
ACUTE CARE TO REHABILITATION JONATHAN P. QUEVEDO, M.D. JFK-JOHNSON REHABILITATION HOSPITAL PRESENTER DISCLOSURE INFORMATION JONATHAN P. QUEVEDO M.D. ACUTE CARE TO REHABILITATION FINANCIAL DISCLOSURE EMPLOYED
More informationPotential for new technologies in clinical practice
Potential for new technologies in clinical practice International Neurorehabilitation Symposium University of Zurich Feb 12-13th 2009 Prof Jane Burridge Jane Burridge Feb 2009 Introduction Societal drivers
More information