Post-Stroke Rehabilitation. Guideline Report Number 16. Clinical PracticeGuideline

摘要

Stroke is a leading cause of disability in older persons and an important causeof disability in younger people. Rehabilitation aims to hasten and maximize recovery from stroke by treating the disabilities caused by the stroke. It serves to restore function, teach people with disabilities new ways to perform daily activities, and provide critical education and support for the stroke survivor and family. This technical report is intended for the use of practitioners who are responsible for the patient's care during each phase of recovery, from the acute hospitalization through subsequent rehabilitation, and after return home or to another community residence. Guideline recommendations focus on: (1) the importance of thorough, consistent, and well-documented assessment at each stage of recovery to guide treatment decisions and monitor patient progress; (2) early implementation of rehabilitation interventions during acute care to facilitate recovery and prevent complications; (3) selection of the type of rehabilitation program or services best suited to the patient's needs; (4) establishment of realistic rehabilitation goals and provisions of treatment in accordance with a carefully developed rehabilitation management plan; (5) the importance of combined followup and treatment during transition to a community residence. Adherence to the guidelines set forth in this publication should help reduce the variations that exist in stroke rehabilitation practices and lead to more effective use of rehabilitation facilities.