Many recommendations have been identified to implement the guidelines. Patient who develop disability after a stroke should receive rehabilitation in a stroke unit and subsequently receive care from a stroke team within the community. A multidisciplinary stroke rehabilitation team consists of professionals with expertise in rehabilitation should provide care to the stroke patients. In order to ensure the social care assessment, health and social care professionals should work collaboratively before discharging the patient to the community. Offer early discharge for patients who are able to transfer themselves from bed to chair as long as a safe environment can be provided. During the rehabilitation process, ensure the goal setting …show more content…
According to the Guideline Development Group (GDG) early supported discharge can place a burden on carers. Therefore, it is also important to assess the equipment and care needs by health and social care team to make care plan which is beneficial for the patient and family. The study on physical activity participation did not made any comment on harm or potential side effects. Adverse events need to be reported as it is a serious consideration. Some health professionals have made some concerns on strength training as it may lead to deterioration in function. In order to use the splint correctly and prevent adverse effects, patients and carers need to get adequate information and training. There are risks associated with the use of electronic stimulation such as skin reaction. During a constrained induced movement therapy, special attention to be made to prevent adverse events such as falling and decline in mood. When using an ankle foot orthoses, there should be a bio-mechanical rationale as well as it should be comfortable and well fitted to prevent pressure sores and pain. The literature review of cost analysis found that intensity of rehabilitation as the utmost priority area for an original economic model. Intensity of rehabilitation services can vary from hours per day and duration of therapy. More intensive rehabilitation was found to be cost-effective compared to less intensive rehabilitation. The …show more content…
The objective of this guide line was to provide evidence based advice on the care of patients older than sixteen years who have had a stroke with ongoing impairment, activity and participation limitation. It also provided a clinical and social care guideline on the long term rehabilitation to support the stroke patients. Stroke is a leading cause of disability and by implementing effective rehabilitation intervention can improve the recovery process and minimize the functional disability. Improved functional outcome can contribute to patient satisfaction and reduce the costly long term care expenditure. A well-organized multidisciplinary team approach in stroke care can provide better outcomes. A better algorithm and implementation of these guideline can bring better outcomes through appropriate methods. The Advanced Practice Nurse (APN) can utilize these guidelines when providing care to the patient. These guidelines will guide the APNs to identify the best interventions and care plan based on the individual needs and functional