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Meeting the need for post-stroke vision care in Australia: a scoping narrative review of current practice
CONCLUSION: Further research is needed into current Australian post-stroke vision care to accurately assess whether the needs of stroke survivors are being met. Available evidence indicates that in Australia, there is a requirement for well-defined protocols for vision screening, education, management, and referral of stroke survivors.Implications for RehabilitationPost-stroke vision care in Australia is unstandardised, which may cause inequities in vision care provision to Australian stroke survivors in different regions and/or care facilities.Education and training pertaining to stroke-related vision conditions for strok...
Source: Disability and Rehabilitation - May 25, 2023 Category: Rehabilitation Authors: Shanelle Sorbello Kathryn Rose Amanda French Fiona Rowe Sonia Lau Source Type: research

Perseverance with home-based upper limb practice after stroke: perspectives of stroke survivors and their significant others
CONCLUSION: Persevering with practice is multifaceted for stroke survivors. All facets need to be addressed in the design of strategies to enhance stroke survivors' ability to persevere and in turn, enhance their potential for continued upper limb recovery.IMPLICATIONS FOR REHABILITATIONMany stroke survivors do not persevere with long-term home-based upper limb practice despite the belief that high dose practice will promote continued recovery.Therapists need to support stroke survivors to setup individualised goal-based home programs that they can complete independently, or with support, within their everyday life.Stroke ...
Source: Disability and Rehabilitation - May 5, 2023 Category: Rehabilitation Authors: Bridee Neibling Kathryn S Hayward Moira Smith Paul Chapman Ruth N Barker Source Type: research

Management of post-stroke fatigue: an Australian health professional survey
CONCLUSIONS: Few Australian health professionals formally assess post-stroke fatigue. Management is multidisciplinary and based on evidence from fatigue management in other conditions.Implications for rehabilitationMost health professionals are not routinely using formal assessment tools for fatigue, possibly due to a lack of consensus on best practice in research.Common strategies recommended by health professionals include energy optimisation strategies, education and exercise.Comprehensive guidelines for post-stroke fatigue management are yet to be established.Health professionals should assess post-stroke fatigue using...
Source: Disability and Rehabilitation - November 12, 2022 Category: Rehabilitation Authors: Stewart Blackwell Gary Crowfoot Julie Davey Avril Drummond Coralie English Margaret Galloway Gillian Mason Dawn Simpson Source Type: research

Living with stroke during the first year after onset: an instrumental case study exploring the processes that influence adjustment
CONCLUSIONS: Adjustment to stroke necessitated a reconceptualization of self. Relationships and interactions with others emerged as potential facilitators. For health professionals working with people after stroke, knowledge of the adjustment process and attention to practices that affirm personhood and enhance self-efficacy have the potential to facilitate long term outcomes. Processes linked to adjustment are represented visually to guide conceptual understandings and facilitative actions.IMPLICATIONS FOR REHABILITATIONAll interactions with health professionals, including casual or ad hoc interactions, have the potential...
Source: Disability and Rehabilitation - October 12, 2022 Category: Rehabilitation Authors: Kellie Stagg Jacinta Douglas Teresa Iacono Source Type: research

Exploring oral care practices, barriers, and facilitators in an inpatient stroke unit: a thematic analysis
CONCLUSIONS: This study illustrates the complexities of oral care in the inpatient stroke setting and gives voice to the perspectives of nursing and speech-language pathology staff. It is clear that future oral health interventions in this setting require a comprehensive approach to addressing barriers and should prioritise the concerns of staff delivering the care.IMPLICATIONS FOR REHABILITATIONThe delivery of good oral care post-stroke is essential, but in practice is difficult due to limited time and supplies, inadequate education, fear of harm to patient and self, and perceived low priority of the care.Speech-language ...
Source: Disability and Rehabilitation - February 21, 2022 Category: Rehabilitation Authors: Lauren Hammond Tiffany Conroy Joanne Murray Source Type: research

Factors associated with mental health service access among Australian community-dwelling survivors of stroke
CONCLUSIONS: Many stroke survivors have untreated depression/anxiety. Primary care practitioners should be supported in undertaking effective detection and management. Older and newly diagnosed individuals should be educated about depression/anxiety and available supports.Implications for rehabilitationPrimary care providers play a pivotal role in the pathway to mental health care, and therefore should always screen for depression/anxiety and provide comprehensive assessment and referral to specialist services where necessary.Targeted psychoeducation should be provided to survivors of stroke who are older and newly diagnos...
Source: Disability and Rehabilitation - February 9, 2022 Category: Rehabilitation Authors: Priscilla Tjokrowijoto Renerus J Stolwyk David Ung Monique F Kilkenny Joosup Kim Lachlan L Dalli Dominique A Cadilhac Nadine E Andrew Source Type: research

Patients' experiences of a Communication Enhanced Environment model on an acute/slow stream rehabilitation and a rehabilitation ward following stroke: a qualitative description approach
CONCLUSIONS: While findings are encouraging, further exploration of the feasibility of a CEE model in this complex setting is indicated to inform the development of this intervention.Implications for rehabilitationPatient access to a CEE model is challenging in a hospital setting.Patients who were able to access elements of the CEE model described positive opportunities for engagement in language activities.Patients' access to the CEE model was influenced by patient factors, staff factors, hospital features as well as staff time pressures.PMID:34780322 | DOI:10.1080/09638288.2021.1965226
Source: Disability and Rehabilitation - November 15, 2021 Category: Rehabilitation Authors: Sarah D'Souza Deborah Hersh Erin Godecke Natalie Ciccone Heidi Janssen Elizabeth Armstrong Source Type: research

Communication partner perspectives of aphasia self-management and the role of technology: an in-depth qualitative exploration
CONCLUSIONS: Aphasia self-management programs should focus on individual needs, functional communication in daily life, and social interaction. PwA and CPs are central to these programs, assisted by SLPs. Technology should be explored to augment aphasia self-management.Implications for RehabilitationCommunication partners suggest that people with aphasia are already engaging in aspects of self-management and that more formal aphasia-specific self-management approaches may be beneficial.Dedicated aphasia self-management programs should be situated in daily life with a focus on functional communication, life participation, c...
Source: Disability and Rehabilitation - November 8, 2021 Category: Rehabilitation Authors: Leana Nichol Sarah J Wallace Rachelle Pitt Amy D Rodriguez Annie J Hill Source Type: research

"Everyone needs rehab, but …": exploring post-stroke rehabilitation referral and acceptance decisions
CONCLUSIONS: Post-stroke rehabilitation decision making in Queensland, Australia involves complex processes and compromise. Decisions are not based solely on patients' rehabilitation needs, and patients and families are not actively involved in the decision-making process. Mechanisms are required to streamline access procedures, and improve shared decision making with patients.IMPLICATIONS FOR REHABILITATIONReferral decision making for post-stroke rehabilitation is complex and not always based solely on patients' needs.Clear and straightforward access procedures and positive relationships between acute and rehabilitation c...
Source: Disability and Rehabilitation - May 11, 2021 Category: Rehabilitation Authors: Kerry Marnane Louise Gustafsson Sally Bennett Ingrid Rosbergen Rohan Grimley Source Type: research

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