Introduction
- patient and community education as nurses’ responsibility;
- education includes various forms (e.g., day-to-day care, preventive education, community education, post-rehabilitation, etc.);
- aim of the presentation: teaching plan for acute rehabilitation care patients.
Community Setting
Target Population: Stroke Acute Rehabilitation Patients
- stroke as a leading cause of death in the US (CDC, 2021);
- every 40 seconds, someone in the US has a stroke (CDC, 2021);
- stroke causes severe disabilities in terms of mental and physical, and social disabilities, e.g., inability to perform ADLs, depression, dementia, and other cognitive disorders (Pucciarelli et al., 2019).
Types of post-stroke rehabilitation:
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- physical
- behavioral/psychotherapy
- neurological
- recreational
- speech-language
- occupational
It is imperative to secure steady rehabilitation after the patient is discharged from the acute rehabilitation facility.
Interview Summary
Interviewee: admission nurse at acute rehabilitation facility
- Interview type:
- semi-structured interview;
- total of 10 question;
- held via Zoom;
- duration: ~25 min.
- Interview outputs:
- stroke is the most widespread condition among facility patients;
- the most widespread type of therapy: occupational and counseling;
- high rates of readmission.
- Question:
- what, in your opinion, is the crucial part of the patient education process in terms of rapid recovery?
- Quote:
- …many patients feel positive about their recovery while they are encouraged and supervised. However, once the scenery changes and they are discharged from the facility, they feel lost, insecure to seek help, or feel like they don’t need any rehabiltation once they feel a little better.
Teaching Plan: outline
- aim of the intervention:
- motivate soon-to-be-discharged patients to continue rehabilitation at home
- provide patients with possible at-home rehabilitation and care-giving options
- explain the role of patients’ individual responsibility in the overall process of recovery
Teaching Plan: patients’ objectives
At the end of the teaching session, patients will be able:
- to name at least three reasons of the importance of rehabilitation at home
- to name the risks of rehabilitation abandonment
- to acknowledge the need for assistance and psychological support
- to name the resources they may address in case they need help with rehabilitation
Teaching Plan: content
Teaching Plan: methods
- active listening through dialogue and minimum use of sophisticated lexis;
- presence of professionals and caregivers;
- pleasant learning environment.
Conclusions
- stroke rehabilitation is a complex and multimodal process
- lack of discipline, care, and motivation outside the rehabilitation facility leads to higher readmission rates
- teaching plan concerns soon-to-be discharged patients who are already able to perform some of their routine tasks and perceive information
References
Centers for Disease Control and Prevention [CDC]. (2021). Stroke. Web.
Pucciarelli, G., Ausili, D., Rebora, P., Arisido, M. W., Simeone, S., Alvaro, R., & Vellone, E. (2019). Formal and informal care after stroke: A longitudinal analysis of survivors’ post rehabilitation hospital discharge. Journal of Advanced Nursing, 75(11), 2495-2505.