Stroke Rehabilitation Program

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Spaulding's Stroke/Neurology Rehabilitation Program provides comprehensive rehabilitation and medical management for individuals who have had a stroke or for those with neurodegenerative diseases. The program aims to provide the highest quality stroke rehabilitation care possible, to educate stroke survivors and the community about stroke rehabilitation, and to advocate for stroke survivors and their families.

Program Focus

Spaulding's Stroke/Neurology Rehabilitation Program provides comprehensive rehabilitation and medical management for individuals who have had a stroke or for those with neurodegenerative diseases. The program aims to provide the highest quality stroke rehabilitation care possible, to educate stroke survivors and the community about stroke rehabilitation, and to advocate for stroke survivors and their families.
Additionally, The Stroke Rehabilitation Program specializes in the care of young adult stroke survivors. The Young Adult Stroke Service provides a supportive environment where younger stroke patients can maximize their potential for rehabilitation.

The Team

Program Director:  Randie M. Black-Schaffer, MD, MA
The interdisciplinary team members in the Stroke Rehabilitation Program typically include a physiatrist, a neurologist, neuropsychologist, psychiatrist or psychologist, nurse, case manager, social worker, physical and occupational therapist, speech-language pathologist, registered dietitian, and a therapeutic recreation specialist.
Spaulding physicians representing a variety of medical specialties are available for consultation as needed. The Stroke Rehabilitation Program Director, in conjunction with the program Medical Director, are responsible for the overall management of the program, and serve as an important resource to patients and their families.

Family Participation

The Stroke Rehabilitation Program promotes family involvement in rehabilitation. In the early phases of care, the rehabilitation team develops a treatment plan with the patient and his/her family. Staff members then teach the family how to assist with specific therapeutic activities. In this ongoing process, family members develop skills to help during hospital treatment and after discharge. The hospital also offers services to help the patient and his/her family members as they adjust to change and plan for the future.

The Process

Program components generally include evaluations, goal setting, and treatment programs in each specialty area. The rehabilitation team meets regularly to review the patient's progress and assess needs for future care. Clinicians also offer education and support groups for stroke survivors and their families.

Comprehensive services

Physical Therapy : to help the patient achieve maximum motor control strength, balance, and mobility.

Occupational Therapy: to help the patient complete everyday functional activities of daily living.

Speech-language Pathology: to assess cognitive and communication functions and to improve language skills and swallowing.

Psychiatry: to assist with mood disturbances and recommend medications if needed.

Psychology: to assist with treatment of adjustment difficulties and other psychological issues that can develop during stroke rehabilitation.

Neuropsychology:  to provide evaluations and design innovative treatment recommendations for individuals with cognitive impairments.

Nutrition: to design an appropriate diet, based on the individual's capabilities for swallowing.

Clinical Resources

Our special on-site services for rehabilitation include:

Brace Clinic: provides a multidisciplinary assessment of bracing needs, and fits patients for prefabricated and custom-made braces, orthopedic shoes, and other orthopedic devices.

Assistive Technology Center: helps individuals find technology solutions for mobility, communication, or cognitive-memory issues.

Wheelchair Clinic: fits patients for wheelchairs or special seating, and provides training.

Functional Living Apartment : allows patients undergoing stroke rehabilitation to practice the skills they need for greater independence in activities of daily living. In some cases, an overnight stay in the functional living apartment with a spouse or other caregiver is a helpful step in preparing for the return home.

Discharge and Outpatient Planning: an important process that involves the person who has had a stroke, their family, involved friends and the entire rehabilitation team. After stroke rehabilitation, follow up care is often required. Spaulding staff members identify resources available to insure that rehabilitation progress continues after discharge. Stroke support groups are available at the hospital.

Dr. Bailey was caring, understanding and she listened to me. She was exceptional!

A Grateful Patient

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