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PresenterDisclosures
Neitheroftodaysspeakershasanythingto disclose/noconflictsofinterest

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Speaker
OliviaDavis,OTD,R/L Occupational Therapist MayoClinic Jacksonville,Fla.

Objectives

Introducehealthcareteammembers Describetherecoveryprocess Caregiverroles

WhatIsa Stroke?

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WhoIsYourHealthcareTeam?
Physician Physicianextender Nurses Therapists Strokecoordinator Dietitian Nutrition Casemanager Pharmacist Otherclinicians You!

TheContinuumofCare

Stroke

Hospital

DischargeLocation

TheContinuumofCare
AcuteRehabilitationFacility SubacuteRehabilitationFacility LongtermAcuteCare LongtermCare AssistedLivingFacility Independent LivingFacility Home

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AcuteCare

Emergenttreatment Tissueplasminogenactivator(rtPA) Clotretrieval Carotidendarterectomy (CEA) Angioplastyandstenting Earlytherapies Occupationaltherapy(OT) Physicaltherapy(PT) Speechlanguagepathology(SLP)

AcuteCare:CaregiverSupport

AcuteCare:CaregiverSupport

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AcuteInpatientRehabilitation
Therapy:3hours/day Needfor2therapies PT/OT/SLPavailable

AcuteInpatientRehabilitation: CaregiverSupport
Bringtoiletries,clothing,necessities,etc. Emotionalsupport Maintaincommunicationwithstaff

SubacuteInpatientRehabilitation
PT/OT/SLPavailable Mayhaveshortertherapysessions Tendtowardlongerrehabdurations

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SubacuteInpatientRehabilitation: CaregiverSupport
Bringtoiletries,clothing,necessities,etc. Emotionalsupport Maintaincommunicationwithstaff

LongtermAcuteCare
Consideredwhencontinuedmedicalneeds PT/OT/SLPavailable Mayhaveshortertherapysessions Tendtowardlongerlengthsofstay

LongtermAcuteCare: CaregiverSupport
Bringtoiletries,clothing,necessities,etc. Emotionalsupport Maintaincommunicationwithstaff

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LongtermCare

SkilledNursing Facility Nursing Home

AssistedLivingFacility ALF

LongtermCare http://longtermcare.gov

LongtermCare: CaregiverSupport
Home Facility

Assistwithbasicneeds Adaptenvironment Assistwithhomeexercise programs(HEPs) Emotionalsupport Companionship

Bringtoiletries,clothing, personalitems,etc. Emotionalsupport/ communication Maintaincommunication withstaff

IndependentLivingFacility
Standalonehomes Olderadultcommunity Basicassistance

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IndependentLivingFacility: CaregiverSupport

Communication Transportation

Medicalappointments(MDfollowups,outpatient therapy) Errands(pharmacy,postoffice,shopping)

Helpingtoremember/completerehabilitationhome exerciseprograms

IndependentLiving andCaregiverSupport
Livingathome Comfortandfamiliarity Mayneedmodifications Homedeliveryofmeals, medications,etc.

www.eldercare.gov

CaregiverSupport ThroughoutRecovery

Maintaincommunicationwithfamily

Progressupdates Delegatetasks

Helpmanagefinancesandanylegalissues

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RecoveryTimeline
Rapidrecoveryformonthsafterastroke Slowerrecoveryforyearsthereafter Uniquetotheindividualandincident

Resources

SupportGroups

NationalStrokeAssociation www.stroke.org/support_groups AmericanHeartAssociation www.strokeassociation.org/STROKEORG/strokegroup/pub lic/zipFinder.jsp

StrokeEducation

NationalStrokeAssociation www.stroke.org

References
AdministrationonAging(2013).Findyourpathforward.U.S. DepartmentofHealthandHumanServices.RetrievedAugust24, 2013fromhttp://longtermcare.gov/# Cumming,T.B.,Thrift,A.G.,Collier,J.M.,Churilov,L.,Dewey,H.M., Donnan,G.A.,&Bernhardt,J.(2011).Veryearlymobilizationafter strokefasttracksreturntowalking:Furtherresultsfromthephase IIAVERTrandomizedcontrolledtrial.Stroke,42(1),153158. NationalStrokeAssociation.(2007).ExplainingStroke.Retrieved August20,2013from http://www.stroke.org/site/DocServer/ExplainingStroke_web.pdf?d ocID=3321

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PersonalStory

KathyHoward Strokesurvivor PartofFacesofStrokecampaign

QuestionandAnswerSession

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Forquestionsabouttheprogram,contact AnnaTayloratataylor@stroke.org

ThankYou

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