Saudi Stroke Standards

Acute Stroke Rehabilitation Purpose The purpose of acute stroke rehabilitation is to improve the overall function of patients in the acute stroke unit since the initial three months is the period when the most recovery is expected after stroke. In addition, it will minimize complications of bed rest and psychosocial distress which potentially decreases the length of stay in the acute and/or sub- acute units18. To minimize complications of bed rest and psychosocial distress of hospitalization, to ensure safe discharge with better utilization of outpatient rehabilitation, and inpatient rehabilitation. Rationale  The quality of life of stroke patient in Saudi Arabia is generally low compared with other developed countries. Stroke rehabilitation standards are aimed at improving patient function and encourage independence.  The functional level of stroke patients has a strong influence on Health-related quality of life among stroke survivors.  Improving acute stroke rehabilitation can help to prevent complication  Improving acute stroke rehabilitation will prepare the stroke patient to transfer from stroke unit to inpatient rehabilitation or discharge home with outpatient rehabilitation program, Early Supported Discharge Team or community rehabilitation. 18http://www.strokeassociation.org/STROKEORG/LifeAfterStroke/ForFamilyCaregivers/CaringforYourLovedOne/15-Things- Caregivers-Should-Know-After-a-Loved-One-Has-Had-a-Stroke_UCM_310762_Article.jsp#.XDxkO88zaqA  Development of Stroke Rehabilitation Standards is to provide timely rehabilitation intervention to stroke patients to improve their outcomes, function and enhance their independence.  Currently the provision on acute inpatients rehabilitation is very limited to very few centres in the Kingdom of Saudi Arabia.  Rehabilitation is a holistic process that should begin the first day after stroke with an aim to maximize participation of the patient in the community. To achieve this tailored intervention that focus on impairment, activity and participation levels (based on WHO classification of functioning model should be considered).19 Standards 1. A specialist and dedicated rehabilitation team for providing acute rehabilitation to stroke patients should consist of the following disciplines: i. Medical lead ii. Speech and Language Pathologist iii. Physical therapist iv. Occupational therapist v. Social worker vi. Clinical pharmacist vii. Dietician viii. Orthotist ix. Nurse x. Clinical Psychology (competent in managing stroke patients) xi. Orthoptist 2. The stroke rehabilitation Pathway starts in the stroke unit with 24-48 hours of admission to the stroke unit by comprehensive assessment of all patient physical, cognitive, swallowing and communication functions. (For post-acute inpatient and outpatient stroke rehabilitation please see QM