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Stroke Rehabilitation

Frank J. Domino, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Stroke is a compromise in blood supply to an area of the nervous system caused by hemorrhage or occlusion, which leads to infarction of nervous tissue.

  • Disability from a stroke can pr...

DIAGNOSIS

HISTORY

  • Before discharge from acute care, formally assess ADLs (activities of daily living), I-ADLS (instrumental ADLs), communication abilities, and functional mobility and incorporate findi...

TREATMENT

  • Tailor treatment plan to the patient’s specific deficits.

  • Coordinated interprofessional care is recommended for patients who have had a stroke and qualify for post-acute rehabilitative servic...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Regular follow-up for management of comorbid conditions and risk factors for stroke. 

PATIENT EDUCATION

American Stroke Association: http://www.stroke.org/ 

PROGNOSIS

REFERENCES

1
Winstein  CJ, Stein  J, Arena  R, et al; for American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology,...

CODES

ICD10

  • I63.9 Cerebral infarction, unspecified

  • I69.10 Unsp sequelae of nontraumatic intracerebral hemorrhage

  • I69.11 Cognitive deficits following nontraumatic intcrbl hemorrhage

  • I69.120 Aphasia followi...

CLINICAL PEARLS

  • An essential part of poststroke management is the treatment of risk factors, including hypertension, diabetes, hyperlipidemia, and inactivity.

  • An organized, interdisciplinary stroke car...

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