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Stroke Rehabilitation

Joseph L. Steele, MPAS, APA-C and Craig P. Anderson, DO, MPH Reviewed 06/2019
 


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.

  • Stroke is the fifth leading ca...

DIAGNOSIS

HISTORY

  • For acute stroke symptoms, see “Stroke, Acute (Cerebrovascular Accident [CVA]).”

  • Stroke type, severity, and location determine impacted function (2):

    • Consciousness and psychological f...

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 postacute rehabilitative service...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient should follow up regularly with their primary care physician for management of comorbid conditions and risk factors for stroke. 

Patient Monitoring

Continue...

REFERENCES

1
National Center for Health Statistics. Health, United States, 2016: With Chartbook on Longterm Trends in Health. Hyattsville, MD: National Center for Health Statistics; 2017. [View Abstrac...

ADDITIONAL READING

Billinger SA, Arena R, Bernhardt J, et al; for American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Lifestyle and Cardiometabolic Heal...

SEE ALSO

  • Delirium; Dementia; Peripheral Arterial Disease; Stroke, Acute (Cerebrovascular Accident [CVA]); Traumatic Brain Injury (TBI)—Long Term Care

  • Algorithm: Stroke

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

  • Stroke is the fifth leading cause of death and the leading cause of long-term disability in the United States.

  • An essential part of poststroke management is the treatment of controllabl...

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