Stroke Rehabilitation Essay Example | Topics and Well Written Essays - 4000 words

Stroke Rehabilitation - Essay Example 70). This study shall evaluate the stroke rehabilitation of an elderly male. It shall consider the assessment, planning, implementation, and treatment in clinical practice. It shall critically analyse the efficacy of the care given to the elderly patient – with a sharp focus on rehabilitation. It shall also critically evaluate the role and function of team members and their contribution to the rehabilitation process. It shall discuss the psychological outcomes for the patient and carers, while taking into account the longer term needs of the patients. This paper is being conducted in order to establish a comprehensive understanding of stroke rehabilitation, especially among elderly patients. Discussion Patient Profile The patient in this case is a 65 year old elderly male, married, with three grown children. He was admitted three weeks ago for a headache and the sudden onset of the following: difficulties in speaking and swallowing, left sided paralysis, and a tingling sensati on of his extremities. Upon admission, he was immediately assessed. After subsequent diagnostic processes, he was diagnosed for an embolic stroke. The appropriate intervention was later carried out to remove the embolus. At which time, his condition was assessed. Due to a 10 minute lack of oxygen supply to his brain, he suffered from left-sided paralysis with his mobility and speech severely compromised. He was then discharged from the neurological care unit and onto the rehabilitation clinic. Assessment of patient The assessment of the post-stroke patient was mostly an assessment of his mobility and his ability to conduct his daily activities. The patient was assessed on the following areas before a plan for rehabilitation was conceptualized by the rehabilitation team: neurological aspects, including level of consciousness, cognitive disorders, motor deficits, disturbances in balance and coordination, somatosensory deficits, disorders of vision, unilateral neglect, speech and langu age deficits, and pain; presence of comorbid diseases; functional health patterns, including bladder and bowel function, swallowing disorders, nutrition and hydration, skin breakdown, physical activity endurance, and sleep patterns; presence of depression and other affective disorders; neuropsychological function; and family functioning and other contextual factors. All of these aspects were assessed using standardized assessment tools. These tools have included the following: Glasgow Coma Scale, Modified Rankin Scale, Measures of Disability of Daily Living, Mini-Mental Status Examination, Berg Balance Assessment, Rivermead Mobility Index, Hospital Anxiety and Depression scale, Family Assessment Device, and Quality of Life Assessment scale (Warlow, van Gijn, and Dennis, 2008, p. 534). Assessment results Based on the assessment, the patient scored 12 out of 20 on the Glasgow Coma Scale. This was based on the recommended scale to measure the patient’s level of consciousness (He rndon, 2006, p. 366). He scored 4 out of 6 on the Modified Rankin Scale. This scale is used to measure a patient’s level of disability (Stroke Center, 2010). The patient scored 87 out of 126 on the Functional Independence Measure Test. This test assessed the patient’s ability to carry out independently his daily activities (DeLisa, Gans, and Walsh, 2005, p. 986). On the Mini-mental Status Examination, he scored 23 out of 30. This test assess