Initiation of counseling for psychological
adjustment and family support The abrupt change in the life situation
of a patient with an acute stroke is a devastating
event. There is initial concern by
patient and family about survival, and
then there is fear about the uncertain consequences
of continuing disability. Both
the patient and family need good communicationfrom health care professionals
about the immediate issues. But with survival
of the patient, members of the rehabilitation
team should create a supportive
environment in which realistic projections
are made about potential for recovery and
information is given about the contribution
of postacute rehabilitation. The
physician should provide appropriate
medical information, but other team members
play an important role in communicating
the broader context within which
the complex issues of rehabilitation will
be addressed.