1. Which factors might delay admission to medical facility after suffering a stroke at home? c | |
2. What is the optimal time for referral to rehab since admission to hospital? 4,3,2,1 | |
3. What is the optimal time for commencement of rehab since suffering a stroke? 4,3,2,1 | |
4. What are the factors indicating when it’s safe for rehab to commence? 4,3,2,1 | |
• EB assessment planning 4,3,2,1 | |
• Which factors should be assessed? | |
• Which outcome tools should be used? | |
5. Best practice recording method for assessment, treatment and goal setting when treating a stroke patient? 4,3,2,1,h,p | |
6. What is critical to record when assessing and treating a stroke patient? 4,3,2,1, h, s | |
7. What is the best, locally relevant communication platform for improving communication between levels of care; medical personnel; therapists; therapist/patient; therapists/family; therapist/employer? 4,3,2,1, h, s | |
8. What should be communicated with medical personnel, other rehab therapists, patient and carer/family? 4,3,2,1,h,p | |
9. What are the EB guideline on setting rehab goals and how to record these goals? 4,3,2,1, h, s | |
10. EB discharge planning: 4,3,2,1, h | |
- When should it start for a stroke patient? | |
- Who should be involved? | |
- What should it include? | |
11. Which rehab professional should first see the patient? 4,3,2,1, h | |
• What is the EB most critical first step? | |
• What are the EB criteria for referral between therapists? | |
• What is the best practice communication between therapists (devises, discharge planning and care continuation)? | |
12. According to the evidence, which therapist should communicate with the family? 4,3,2,1, h, s | |
13. What is the EB role of the physiotherapist, occupational therapist and speech therapist when assessing and treating a stroke patient? 4,3,2,1 | |
14. How does the model of care differ between the different points of entry (primary; secondary; tertiary; quaternary level)? 4,3,2,1 | |
15. What are the EB rehab interventions at each level of care? 4,3,2,1, h, s | |
16. What are the best outcome measures for SA context for all levels of care as well as urban, suburban and urban settings? 4,3,2,1, h, s | |
17. When should family education commence? 4,3,2,1, h, s | |
• Which communication channel is most appropriate? | |
• How is family incorporated into discharge planning? | |
• Who should be communicating? | |
• What should be included in the communication and in which format? | |
18. What is the EB criteria for referral to other professions such as social workers/psychologists? 4,3,2,1, h, s | |
19. Which rehab professional should take responsibility for planning and monitoring continuation of care? 4,3,2,1, h, s | |
20. What are the EB rehab criteria for discharge from rehab as an in-patient and out-patient? 4,3,2,1, h, s | |
21. What is the EB information for the best next level of care? 4,3,2,1, h, s | |
22. What are the EB interventions for longer term care h, s | |
– rehab facility | |
– Community Health Center (CHC) | |
– long term home care | |
– home or community | |
23. What are the EB ways of communicating with patient/family/other professionals? 4,3,2,1, h, s | |
24. What are the EB rehab outcome measures for longer term care? h, s | |
25. What is the EB education linked to complications of stroke (aspiration pneumonia/ secondary strokes etc.) 4,3,2,1, h, s | |
26. How should Traditional healers be incorporated into the medical system? c, h | |
27. What training should traditional healers received to appropriately refer a stroke patient? c,h | |
28. What are EB criteria for ending rehab? h, s | |
• Ongoing monitoring? | |
29. What is the evidence for the swallow test? When should it be done and by whom? 4,3,2,1 | |
30. What are the EB criteria for assistive technology? 4,3,2,1, h, s | |
– Walking Aids | |
– Slings | |
– AFO’s | |
– Wheelchairs | |
– Splints | |
– OT tools??? | |
31. What is the EB approach to re-integrating stroke patient into the community, society, leisure and work (participation)? h, s | |
32. How should rehab therapists liaise with other sectors (transport/labour/social) for facilitated participation? h, s | |
33. How should the community/general public be educated to facilitate societal participation of a person who has suffered a stroke? h, s | |
34. Therapists are not trained for inter-sectorial integration when it comes to general care/rights of a person who has suffered a stroke. What is the best practice to address this issue? h, s | |
35. “Work hardening”; aerobic capacity, effort and tolerance: 4,3,2,1, h, s | |
- When should treatment or focus on these factors start? | |
- What is the evidence based strategy to address this? | |
36. Self-efficacy – compliance to medication and self-care:4,3,2,1, h, s | |
- When should this start? | |
- Which therapist should be responsible for educating patient? | |
37. Best practice to work with mental health professionals or issues???? 4,3,2,1, h, s | |
38. Best practice to equip/educate rehab therapist to deal with bereavement and depression after stroke? 4,3,2,1, h, |