Develop and implement a rehabilitation plan to maximize function.
After the patient with an acute stroke has been stabilized, the interdisciplinary team can determine the patient's specific rehabilitation needs. Stroke rehabilitation may help the patient to optimize physical, cognitive, psychosocial, and vocational functioning (see Table 10 in the original guideline document). It is important to develop the rehabilitation plan in collaboration with the patient and family and to individualize each patient's rehabilitation regimen to reflect the patient's prognosis, comorbid conditions, and personal goals.
Rehabilitation and restorative therapies may include:
Occupational therapy to enhance dexterity of the arms and hands
Physical therapy to improve motor strength and promote independence in ADLs
Speech therapy to optimize communication, chewing, and swallowing
Restorative nursing programs, which could include
Range of motion (passive)
Range of motion (active)
Splint or brace assistance
Bed mobility
Transfer
Walking
Dressing and/or grooming
Eating and/or swallowing
Amputation/prosthesis care
Communication