Rehabilitation: Stroke


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Rehabilitation


About two-thirds of people who have had a stroke will need some form of rehabilitation therapy (see "Choosing a rehabilitation program"). For many people, a rehabilitation program can make the crucial difference between regaining the ability to function in daily life or remaining dependent and severely impaired. Others may be too severely impaired to take advantage of rehabilitation.

Choosing a rehabilitation program

You need to weigh a number of important factors when choosing a rehabilitation program. Guidelines published by the Agency for Healthcare Research and Quality of the U.S. Department of Health and Human Services suggest that you ask the following questions:

  • If you are considering an outpatient program, is there someone at home who can provide care when you are at home? Is transportation available?

  • Does the program provide the services you need, such as speech, physical, or occupational therapy?

  • Does the program match your abilities, or is it too demanding or too easy?

  • Does the program have a good reputation in the community?

  • Is the program certified by the Commission on Accreditation of Rehabilitation Facilities or the Joint Commission on Accreditation of Healthcare Organizations?

  • Does the staff include registered physical and occupational therapists and physiatrists?

  • If the program is residential, can relatives and friends visit easily?

  • Are patients and relatives actively involved in rehabilitation decisions?

  • Are relatives encouraged to participate in some rehabilitation sessions and practice with the patient?

  • What portion of the cost is covered by Medicare or private medical insurance?

Rehabilitation is treatment designed to help you regain some or all of the abilities that were impaired by the stroke. It can entail building strength in your arms and legs, learning how to walk again, improving your speech, and bringing back your memory. Rehabilitation can also teach you how to adapt to a permanent disability — for example, learning to use a wheelchair or getting in and out of the shower by grabbing special bars.

You may think of rehabilitation as something that comes after stroke treatment, but it's actually part of stroke treatment. Health professionals regard it as the final phase of therapy. Rehabilitation is work. Whether it involves physical exercises or speech therapy, improvement will require an investment of time and energy. Additionally, it's not uncommon for someone who has had a stroke to experience depression, which can dampen motivation for the rehabilitation program. If you feel depressed, it's important to seek treatment early so you can proceed with the work of regaining some of your lost functioning. Psychological therapy can help you deal with depression and help you improve social skills that may have been affected by the stroke.

Other aspects of rehabilitation include support groups and education for families on how to care for a relative who is recovering from a stroke. Learning to use a variety of physical and psychological skills can help someone affected by stroke continue to live a rewarding and active life.

   Rehabilitation: 1 of 5   


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Last updated: September 05, 2008

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