Stroke Rehabilitation
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Self-management is defined as management of tasks that individuals must undertake to live with one or more chronic conditions.
These tasks include medical and health management, role management and emotional management of their condition.
Self-management aims to help stroke survivors address any lifestyle interventions necessary to reduce the risk of recurrence of stroke. Self-management also aims to help stroke survivors adopt strategies to manage changes in physical and cognitive ability, relationships, and their place of residence, and to better participate in the community.
There are many types of self-management programs but common elements within them all include goal setting, action planning, problem-solving, forming a patient/professional relationship, involvement of family/carers, decision making and taking action.
Taking Charge After Stroke (TaCAS) - This New Zealand based study was designed to be delivered early in the community phase of stroke rehabilitation and demonstrated improved health-related quality of life, independence and advanced activities of daily living 12 months after stroke. For more information and tools to implement this programme visit.
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Self-management support can be summarised as the help given to people with long term conditions to enable them to manage their health on a day to day basis.
Stroke survivors are equipped to return to daily activities by receiving high quality and equitable rehabilitation.
Stroke is New Zealand's second single biggest killer and the leading cause of serious adult disability.
People who have had a stroke should have timely access to high quality rehabilitation appropriate to their need and desired outcomes. Integrated care should be available that is whānau-centred, holistic and locally led that supports whānau to maximise their recovery, independence and overall quality of life after a stroke.
A Multi-disciplinary team (MDT) should work in partnership with the stroke survivor and those important to them to provide an equitable and high quality service.
New Zealand Stroke Rehabilitation: A Strategy provides best practice guidance based on recent published research and clinical guidelines to inform and guide efforts to improve the quality and outcomes of stroke rehabilitation for people with stroke and their families / whānau. The Strategy was developed by the National Stroke Network in collaboration with the Ministry of Health and the Stroke Foundation of NZ.
Resources
The National Stroke Network in collaboration with the Ministry of Health and the Stroke Foundation of NZ commissioned a strategy to inform and guide efforts to improve the quality and outcomes of stroke rehabilitation for people with stroke and their families / whanāu.
In this Goodfellow Unit webinar, Cardiologist Dr Guy Armstrong discusses how primary care can detect, diagnosis, manage, and potentially prevent this important condition.
Four Regional Acute Stroke Destination Policies have been developed for New Zealand by the National Stroke Network and the ambulance sector.
This stroke thrombolysis guideline is intended to guide clinicians when planning stroke thrombolysis with intravenous tissue plasminogen activator (Alteplase).
This website was created for Māori whānau who are affected by communication difficulties after stroke
All New Zealand DHBs are required to report to the Ministry of Health on a quarterly regional indicator that measures a target of 12 percent of potentially eligible stroke patients receiving reperfusion.
The Stroke Rehabilitation Working Group has recommended that all DHBs collect AROC (Australasian Rehabilitation Outcomes Centre) data for stroke. This brief guide is to help stroke rehabilitation teams and managers understand and interpret the reports.
There are four indicators or expectations to be met by DHB providers for stroke care. These are adjusted over time and are based on best practice. Each DHB submits quarterly reports to the Ministry of Health on their progress meeting these indicators.
Rehabilitation Services Specifications to guide provision of Inpatient and Community Rehabilitation.
Recovery after a stroke can be a challenging and stressful journey.
Rehabilitation services need to be tailored to the needs of the individual and their whānau. This Action Plan for Stroke Rehabilitation sets out high-level practice recommendations and priorities for action by DHB stroke services, stroke teams and community stroke support organisations to improve outcomes and enhance the lives of New Zealanders recovering from stroke and the people who care for them. High-quality rehabilitation should be available and accessible to all who need it.
Includes an Intensity Measurement Chart that can be downloaded and adapted. Useful for occasional audits of therapy provision.
From 1 July 2019 the Ministry of Health in agreement with the National Stroke Network introduced a new indicator for community rehabilitation in stroke. During 2017-18 DHB stroke teams were asked to start collecting information for this indicator or identify what was still needed in order to streamline internal reporting processes so as to achieve national consistency.
AF and stroke prevention In this Goodfellow webinar, Cardiologist Dr Ralph Stewart will discuss managing atrial fibrillation in primary care.
Professor Alan Barber and Professor Valery Feigin present clinical updates on stroke and TIA, and look at some relevant clinical cases. They also present on the Auckland Regional Community Outcomes of Stroke (ARCOS) studies that have helped our understanding of stroke.
Organised Acute Stroke Services are provided by a coordinated specialised interdisciplinary team (IDT) and consist of early and ongoing comprehensive assessments and treatment which is guided by best practice. The NSN have developed a set of acute service specifications for New Zealand DHBs to follow when designing their stroke services.
A summary of recommendations for therapy teams from the 2010 NZ Guidelines for the Management of Stroke
Health professionals and academics across New Zealand and Australia have complied practical resources to help stroke teams implement TeleRehabilitation. These resources are designed to give clinicians practical advice and references for how to deliver the best care for people with stroke during COVID-19.
The resources below have been developed by a small group of New Zealand therapists and members of the Rehab Working Group to be used in conjunction with the internationally designed Via Therapy App which can be downloaded to your iphone, ipad or desktop by going to www.viatherapy.org