One of the issues that needs to be addressed is where the stroke survivor will be going after being discharged
Whether it is to another hospital or centre to continue rehabilitation?
If the family is able to provide care?
How rehabilitation will be undertaken at home?
If there is financial support?
Ideally, at the time of discharge, the stroke patient has benefitted from in-patient rehabilitation and a discussion between the family, patient and the medical team has taken place. The needs of the family, as well as the stroke survivor, have to be considered. Some families have a good support system and are able to take the family member home. Others may send the strokee to a care home first and take them home later, when they are much stronger.
Things to consider before leaving a hospital:
Where rehabilitation will be undertaken
Where and how to follow-up on risk factor review and for more medication
Name and contact details of medical team to call, if help is needed
For strokees going from hospital to a rehabilitation facility here are two private rehabilitation centres worth considering :
Those considering a care facility are advised to visit such places first and assess how well they are run. There are mainly two types:
For those who can walk with assistance
For those who are bedridden
When speaking to the administrator of the facility, check if there are doctors on call or visiting regularly; whether nurses are stationed inhouse; and if there is a therapist (inhouse or visiting) available.
Written by Tracy Chan (Head of Rehabilitation – NASAM)