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Ot Guidelines Stroke Rehab Protocol Final

Ot Guidelines Stroke Rehab Protocol Final

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Published by: 健康生活園Healthy Life Garden on Oct 23, 2009
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Stroke RehabilitationProtocolOccupational Therapy
Stroke Rehabilitation ProtocolJanuary 2008
 
Updated by Stroke Working Group,&Endorsed by the Service Development Subcommittee,Coordinating Committee in Occupational Therapy,Hospital Authority
Stroke Rehabilitation Protocol – Occupational Therapyi
 
Members of the Stroke Working GroupCoordinating Committee for Occupational Therapists(OTCOC), HA (2007/8)
Coordinator
Teresa Leung, Occupational Therapist I (SH, NTE Cluster)
Members
Cecilia Sum, Department Manager (Occupational Therapy), (SH, NTE Cluster)Christina Yau, Senior Occupational Therapist (TWH, HKW Cluster)Dora Chan, Senior Occupational Therapist (KH, KC Cluster)Grace Yuen, Occupational Therapist I, (RHTSK, HKE Cluster)Joyce Cheung, Occupational Therapist I, (POH, NTW Cluster)Kathy Chow, Occupational Therapist I, (KH, KC Cluster)Cheung Sau Han, Occupational Therapist I (KH, KC Cluster)Albert Tsai, Occupational Therapist I, (HHH, KE Cluster)Sharron Leung, Occupational Therapist I, (CMC, KW Cluster)
Acknowledgement:
The Stroke Working Group (OTCOC) would like to give special acknowledgementto the Stroke Rehabilitation Protocol Working Group of the New Territories EastCluster of the Hospital Authority for providing their protocol (12/2002) as our basisof work to extend it as this protocol at OTCOC level in 2007.
 
Occupational Therapy (NTE Cluster) - Stroke Rehabilitation Protocol WorkingGroup Co-ordinator
Cecilia Sum, Department Manager (Occupational Therapy), Shatin Hospital (SH)
Members
Brian Au, Occupational Therapist I, Tai Po Hospital (TPH)Amy Chan, Occupational Therapist I, Shatin Hospital (SH)Raymond Ching, Occupational Therapist I, North District Hospital (NDH)Teresa Leung, Occupational Therapist I, Shatin Hospital (SH)Dawn Poon, Occupational Therapist I, Prince of Wales Hospital (PWH)Ewert Tse, Occupational Therapist I, Alice Ho Mui Ling Nethersole Hospital(AHNH)
Stroke Rehabilitation Protocol – Occupational Therapyii
 
Table of Contents
Page
1. Background
……………………………………………………………………. 11.1 Introduction………………………………………………………………… 11.2 Objectives of Occupational Therapy in Stroke Rehabilitation…………….. 21.3 Objectives of Stroke Protocol……………………………………………… 3
2. Stages of Occupational TherapyManagement for Patients withStroke
……………………………………………………………………………
 
42.1Occupational Therapy Service Network for Different Stages of StrokeRehabilitation in Hospital Authority……………………………………….42.2Summary of Goals of Occupational Therapy Intervention in DifferentStages of Stroke Rehabilitation…………………………………………….52.3 Occupational Therapy Service Focus in Different Stages of StrokeRehabilitation……………………………………………………………… 72.4 Acute Phase………………………………………………………………... 82.5 Rehabilitation Phase……………………………………………………….. 112.6 Ambulatory Phase…………………………………………………………. 142.7 Community Phase………………………………………………………….. 17
3. Occupational Therapy Assessment for Patients with Stroke
….......
 
193.1 Medical Background………………………………………………………. 193.2 Social History……………………………………………………………… 193.3 Physical Assessment……………………………………………………….. 193.4 Sensory Assessment………………………………………………………... 203.5 Perceptual Assessment……………………………………………………... 203.6 Cognitive Assessment……………………………………………………… 203.7 ADL Assessment…………………………………………………………… 213.8 IADL Assessment…………………………………………………………... 213.9 Psychosocial Assessment…………………………………………………... 213.10 Work Assessment……………………………………………………........... 223.11 Community Integration and Leisure Pursuit Assessment………………….. 223.12 Quality of Life Assessment………………………………………………… 223.13 Home Environment Assessment…………………………………………… 223.14 Fall Risk Assessment………………………………………………………. 22
 Stroke Rehabilitation Protocol – Occupational Therapyiii

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