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Based on your assessment in the hospital stroke unit, you may be transferred to a community hospital in your area for a period of general rehabilitation.

A specialist rehabilitation team will care for you until you are ready to be discharged home.

You will have a personal treatment plan that may include physiotherapy, occupational therapy, speech and language therapy and nursing care, depending on your particular needs.

Community hospitals are an important part of the NHS, particularly in rural areas. Community hospitals play an important part in rehabilitation following a stroke.

Please note that not all areas have community hospitals. In these areas you will continue to receive your care in hospital until you are ready to be discharged home, where your treatment may continue.

 

What you can expect

These are the standards that you should expect:

 

National Institute for Health and Clinical Excellence (NICE) Quality Standard for Stroke

 

Patients with stroke are offered a minimum of 45 minutes of each active therapy that is required for a minimum of 5 days a week at a level that enables the patient to meet their rehabilitation goals for as long as they are continuing to benefit from the therapy and are able to tolerate it.

What this means for you:

  • Your care plan will set out the therapy support that you need and the goals for your recovery and rehabilitation. For each of the various therapies (occupational therapy, physiotherapy, speech and language therapy) you should receive at least 45 minutes of active therapy for at least 5 days a week.
  • In the South West, the stroke teams have worked together to produce guidelines setting out that the therapy can be delivered through several different routes using qualified and suitably trained rehabilitation support workers and agreed forms of tele-therapy (assisted therapies using modern electronic and telecommunications). This therapy is in addition to every day activities undertaken by the patient with help.

 

Patients with stroke who have a continued loss of bladder control 2 weeks after diagnosis are reassessed to identify the cause of incontinence and have an ongoing treatment plan involving both patients and carers.

What this means for you:

  • Some patients have loss of bladder control two weeks after their diagnosis and it is important that they are reassessed by a member of staff with skills in this area who can produce a treatment plan to promote continence.

 

All patients with stroke are screened within 6 weeks of diagnosis using a validated tool to identify mood disturbance and cognitive impairment.

What this means for you:

  • Having a stroke is a major event and some patients find that as they are going through physical therapies they also need to be assessed for psychological needs.
  • In Surrey, the stroke teams have worked together to produce guidelines that all patients with stroke are screened to identify mood disturbance and cognitive impairment soon after admission to hospital and that they are referred into the relevant psychological support programmes.