Stroke Rehabilitation: Navigating Post-Hospital Care and Home Therapy Options - Rehabilitation

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Stroke rehabilitation


Hello, doctor.
My grandmother had a stroke about a month ago.
Her condition has stabilized, and she has been in the rehabilitation ward for 22 days now.
She undergoes rehabilitation therapy three times a day, which includes speech therapy and exercises for her limbs.
From our perspective, she seems to be improving day by day, but she still cannot perform those movements independently and requires assistance.
Her speech is still unclear.
Recently, the doctors suddenly mentioned that they assessed her progress and believe there may not be much room for improvement, and they need to arrange for her discharge.
We are quite at a loss.
Could the doctors please reassess her condition for another week? I would like to ask if, after discharge, she will need to come to the hospital for rehabilitation at fixed times every day.
However, the journey and getting in and out of the car may be burdensome for her.
If she only goes for regular check-ups, wouldn’t that make her situation worse without daily rehabilitation sessions? If she rehabilitates at home, what equipment or methods would be necessary? Thank you for your assistance!

Nǐ hǎ, 20~29 year old female. Ask Date: 2016/04/15

Dr. Li Weiqiang reply Rehabilitation


Hello, rehabilitation is a long journey.
During the acute phase, hospitalization is necessary to monitor for any severe complications while also initiating rehabilitation.
Generally, it takes about three weeks for neuronal cell necrosis to stabilize.
Once the condition is stable, the hospital will arrange a discharge planning process, directing the patient to a nearby medical facility with rehabilitation resources for continued outpatient therapy.
There may be some inconveniences, but the occupational therapist should teach the patient and their family the basic daily living skills before discharge to facilitate outpatient rehabilitation.
Wishing you safety and health.
Sincerely, Dr.
Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/15

More Info


Navigating post-stroke rehabilitation can be a challenging journey, especially when transitioning from hospital care to home therapy. It’s great to hear that your grandmother has shown some progress during her time in the rehabilitation unit, but it’s understandable to feel concerned about her ongoing recovery, especially if the medical team is suggesting a discharge.

1. Post-Hospital Rehabilitation Options: After discharge, it is crucial to continue rehabilitation to maximize recovery. While the hospital provides structured therapy sessions, home rehabilitation can also be effective if done correctly. You can arrange for outpatient therapy sessions at a local rehabilitation center. These sessions can be scheduled a few times a week, depending on her needs and the recommendations of her healthcare team.
2. Home Therapy: If your grandmother is discharged and you opt for home therapy, there are several strategies and tools you can use to facilitate her recovery. Here are some suggestions:
- Therapeutic Exercises: Engage her in simple exercises that focus on strength, flexibility, and coordination. These can include seated leg lifts, arm raises, and gentle stretching. The goal is to encourage movement without causing fatigue.


- Speech Therapy: Since your grandmother is experiencing difficulties with speech, consider incorporating speech therapy exercises at home. This can include practicing simple words, phrases, or even singing to improve her verbal skills. There are also many online resources and apps designed for speech rehabilitation that can be helpful.


- Assistive Devices: Depending on her mobility needs, you might consider using assistive devices such as a walker or cane to help her move around safely. Additionally, adaptive utensils can assist her in eating independently, which can boost her confidence and motivation.


- Routine and Structure: Establish a daily routine that includes time for therapy exercises, rest, and recreational activities. Consistency is key in rehabilitation, as it helps reinforce learning and recovery.

3. Equipment and Resources: You may not need a lot of specialized equipment for home rehabilitation. Basic items like resistance bands, small weights, or even household items like water bottles can be used for strength training. A sturdy chair can serve as a support for standing exercises.
4. Support and Motivation: Emotional support is just as important as physical rehabilitation. Encourage family members to participate in her therapy sessions, as social interaction can enhance her motivation and emotional well-being. Celebrate small victories to keep her spirits high.

5. Regular Check-Ups: It’s essential to maintain regular follow-ups with her healthcare provider to monitor her progress and adjust her rehabilitation plan as needed. This can include physical therapy assessments and consultations with a neurologist or geriatric specialist.

6. Community Resources: Look into local community resources such as support groups for stroke survivors and their families. These can provide additional emotional support and practical advice from others who have gone through similar experiences.

In summary, while transitioning from hospital to home rehabilitation can be daunting, with the right approach and resources, your grandmother can continue to make progress. It’s important to stay in close communication with her healthcare team to ensure that her rehabilitation plan is tailored to her specific needs and capabilities. Remember, recovery from a stroke is a gradual process, and every small step forward is a victory.

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