Post Acute Stroke Rehabilitation
"Stroke is the leading cause of disability in Canada. There are over 50,000 strokes in Canada each year. That's one stroke every 10 minutes." (Heart and Stroke Foundation, 2010)
The Post-Acute Stroke Rehabilitation Program, offered at Hôpital Glengarry Memorial Hospital, provides rehabilitation to patients who have suffered a recent stroke and are expected to recover and transition to a community living arrangement.
The program is for patients from Eastern Counties who are medically stable and require short term, moderate to high intensity rehabilitation to maximize function and promote independence. Patients are expected to return to a community living arrangement with help from the CCAC. The targeted length of stay in this program will be under 45 days.
The inter-professional team includes the primary care physician, a physiatrist on consultation, registered practical nurses, personal support workers, physiotherapist, occupational therapist, speech-language pathologist, clinical dietitian, recreation activity coordinator and the case manager from the Community Care Access Centre (CCAC).
Typical Day on the Unit- Active Participation in 2-3 hours of therapy a day, 5 days a week
The physiotherapist (PT) will work with the patient to identify issues and improve their movement and functional abilities. The knowledge and skills of the physiotherapist will help to optimize a patient to their full potential by using manual facilitation, muscle retraining, strengthening, balance, coordination exercises and gait/transfer training. Each patient will be challenged to acquire necessary skills during functional tasks and activities to improve independence with their own activities of daily living. The physiotherapist works closely with the Rehabilitation Team including the patient and their families.
The occupational therapist (OT) will carry out a comprehensive assessment to determine a client's sensorimotor, cognitive, and perceptual abilities, as well as their skills for the functional performance of everyday activities. Practicing within a client-centered approach, the OT will provide individualized treatment programs that enable a client's capacity to participate in personal care, home management, productivity/work, as well as leisure activities. The goal of OT services is to develop/restore function affected by stroke, and to explore compensatory strategies and modifications to the environment to facilitate independence. Consultation may be provided on appropriate equipment, seating, and positioning. The OT will liaise with other members of the inter-professional team to provide recommendations for reintegration into the community setting.
The speech-language pathologist (S-LP) will assess the speech, language, voice and cognitive aspects of communication, as they can be affected by a stroke. Depending on each patient's goals and needs, treatment of the chosen component will be carried out to help the person gain functional communication abilities in his or her daily life. Working with the client's family and significant others to provide them with information and counseling and help them adapt to changes in communication will also be part of the intervention. In certain cases, swallowing, which can become difficult after a stroke, will be assessed and monitored to prevent complications. In collaboration with the rest of the interprofessional team, changes will be made to the diet or the environment during meals, to reflect the person's recovery and improve quality of life.
"The dedication of the nursing staff, physiotherapist and occupational therapist was impeccable. Upon arrival at the HGMH, I was an invalid with no use of my left side of body. Now I am on the way to total recovery, able to walk and dress myself. I went from a wheel chair to a cane to walking without any help. They taught me how to walk, talk, use my Blackberry cell phone, new tricks, my laptop pc. Everyone taught me how to fend for myself. They fulfilled my expectations emotionally and physically." -Violet G Bergeron
"Being at HGMH's Post Stroke Rehabilitation Program provides easy access for my family, who live within the region. As it is a rural hospital, it also provides a sense of community, and support network that is able to share my values and work towards my goals. I have had excellent care including daily 1:1 sessions with PT and OT. And the food here is delicious!" - John Kirby
For more information, please contact:
Chantal Mageau-Pinard, PT Reg. (Ont.) & Rehabilitation Manager
Phone: 613.525.2222 x4330
- Stroke Scales and Clinical Assessment Tools, NIH Stroke Scale
- NIH Stroke Scale (online)
- Information about heart, stroke and healthy living in Canada
- Stroke rehabilitation topics and interventions - Information is derived from quality articles, websites and systematic reviews.
- EBRSR - Continuing review of stroke rehabilitation research with the "purpose of maintaining timely and accurate information on effective stroke rehabilitation, identifying ideas for further research, supporting continuous peer-review and encouraging improved evidence-based practice."