Category: Physiotherapy

Image 1 – Physiotherapist auscultating patient's chest. Image 2 – Manual active assisted movements: Advise Safe Moving and Handling (Joint PT/ OT working together to advise the team)

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 In the first week following a stroke while the patient becomes medically stable- Physiotherapist will assess the patient for chest / breathing problems and movement/ tonal changes, depending on how medically stable. Liaison with SALT positioning during swallowing exercises. Start assessing patient problems with movement liaising with other members of MDT.                         such as OT – […]

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As the patient starts to recover and epngage actively in therapy the Physiotherapist will work on bed mobility, transfers, standing, stepping and assess functional movements. Management of pain (liaise with MDT) Begin to provide education to family and patient regarding stroke rehabilitation Pain management sensory desensitisation etc Patient would be transferred to inpatient rehabilitation unit.

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Full assessment of patients physical functioning.e standing ,gait etc (liase with MDT team) Within limits of patients fatigue the Physiotherapist will work with other members of the team working on gaining more independence with functional movements such as bed mobility, transfers, standing, stepping  and assess functional movements. Management of pain (liaise with MDT) Client’s centred […]

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Team planning for discharge with Patient, MDT and family.  Consideration made to best environment for patient’s future rehabilitation either: – Intermediate care rehab environment -early discharge supported Stroke rehab team (Home) – Discharge Home -Assessment for wheelchair/ electric indoor/ scooter outdoors

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Occupational therapist leading home visit to establish suitability of home environment, identifying potential equipment or adaptation needs. ( Joint Physio OT assessment of physical function in home such as stair walking ) PT and OT often working together to identify solutions to mobility difficulties around the home environment such as steps and stairs

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Early discharge Community service will work as an integrated MDT- towards client centred functional goals Mobility and function around the home Mobility and function accessing community/ transport / hobbies/ exercise facilitie Referral for orthotics/ Functional electrical stimulator Upper or Lower limb Access to support networks such as Stroke Associate/ exercise groups/ hydro etc

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– Assessment and Rehab centre short video showing MDT approach and client centred goals – Assessment and rehabilitation day unit will continue to work as an integrated MDT- towards client centred functional goals Mobility and function in and out of home Access to support networks such as Stroke Associate/ exercise groups/ hydro etc

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Options after discharge from rehabilitation pathway. -GP exercise referral scheme (Image/ Video) -Private Physiotherapy- 3rd sector -Referral to Hydrotherapy/ use of public swimming sessions  (Zest or life card) Local Gym Stroke association special groups

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If there is deterioration in functional activity the GP can be approached to identify the need  to refer to any of the following services: -Burst of treatment Out Patient Neurological Physiotherapy, Community physiotherapy Assessment and Rehabilitation day centre Private Physiotherapy option

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