Stroke Patient Education Tools in Patients Primary Language:
Assessment and Planning
First visit and ongoing:
Assess for other disciplines: PT, OT, Speech, SW, and HHA. If needed:
- Obtain approval from D.O.N
- Speak with MD, obtain verbal orders; write and send interim orders.
- Request in Managed Care report.
Reassess d/c plan at every visit
If further visits needed- at least 1 week prior to planned d/c date:
- Obtain approval from D.O.N
- Speak with MD, obtain verbal orders, write and send interim orders.
- Write Managed Care report 1 week prior to any change.
INTERVENTIONS TO OCCUR DURING CARE PERIOD
- Assess and reconcile all medications. Instruct in purpose, route, frequency, side effects.
- Assess neurological status including posture, muscle mass, atrophy, ROM, motor function, sensory function, and mental function.
- Assess speech including safe swallowing.
- Instruct on anticoagulant precautions if appropriate.
- Evaluate knowledge of measures to prevent/relieve pressure, friction, shearing if appropriate.
- Evaluate compliance with ROM exercise or other exercises.
- Evaluate effectiveness of bowel/bladder training program if appropriate.
- Evaluate need for absorption products (diaper) or external catheter products if appropriate.
- Instruct on emergency response systems available for home settings.
- Assess caregiver for stress/potential risk for caregiver burnout.
PATIENT/CAREGIVER OUTCOMES (V) VERBALIZES (D) DEMONSTRATES
- Three (3) abnormal findings from a neurological self-assessment. (V)
- Need to take medications as ordered with understanding of route, frequency, purpose, and side effects, as appropriate. (V)
- Improvement in thought process. (D)
- Three (3) anticoagulant precautions, if appropriate. (V)
- Ability to take blood pressure properly. (D)
- Skin care for incontinence, if appropriate. (V)
- Safe ambulation and transfer. (D)
- Progression with planned activity schedule. (D)
- Need for supervision if judgment is impaired. (V)
- Two (2) emergency response systems available for home use and how to obtain. (V)
- Safe feeding methods. (V)
- Methods of bowel and bladder retraining. (V)
- Adequate bowel/urinary function/control. (D)
- Ability to communicate using alternative nonverbal methods. (D)