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Stroke Program

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Rehabilitation

Stroke rehabilitation occurs in many settings throughout the WakeMed system. The patient may pass through several different rehabilitation settings as he or she recovers from the stroke, and different people spend different amounts of time in each setting. When a person progresses from one setting to the next, therapists communicate with one another to maintain a good continuity of care.

Acute Hospital
If a patient suffers a stroke and is admitted to WakeMed for emergency medical management of his or her stroke, he or she will typically begin to receive rehabilitation services as soon as medical stabilization occurs, often within the first 24 hours following a stroke.

Neuro Care Unit
This acute hospital unit at WakeMed is specially designed for individuals with more severe injuries and strokes, who are medically stable, and can benefit from coordinated rehabilitative services, but may need more time to recover before being ready to move to the next step.

While on the Neuro Care Unit, each patient’s schedule will be individualized to accommodate the patient’s current level of functioning. Therapies available include occupational therapy, physical therapy, and speech therapy. In addition, patients typically receive neuropsychological services, and therapeutic recreational services are available on an as-needed basis. Therapies are available Monday through Friday, with a typical schedule being occupational, physical, and speech therapy one to two times per day. However, this may vary depending on the individual needs of the patient. Patients may be scheduled for therapies any time between 9 am and 4 pm, usually with a break over lunch from noon to 1 pm. Visiting hours are from 4 pm to 8 pm, Monday through Friday, and 10 am to 8 pm, Saturday and Sunday, or after scheduled therapies.

WakeMed Rehabilitation Hospital 
If your family member needs intense, inpatient rehabilitation, he or she may be admitted to WakeMed Rehabilitation Hospital, where a coordinated, comprehensive rehabilitation program will be developed. While in the Rehab Hospital, each patient will get a minimum of three hours of therapy per day, five days per week. Therapy on weekends will be on an as needed basis. Available therapies include occupational therapy, physical therapy, and speech therapy. In addition, patients will receive neuropsychological services, and recreational therapy on an as needed basis. Pet therapy dogs visit on occasion as well. Typically, between 7 am and 8:30 am, the occupational therapist will be assisting patients with ADL’s (grooming, bathing, dressing, toileting, feeding). Patients may be scheduled for therapies any time between 8:30 am and 5 pm, with a break over lunch from Noon to 1 pm. The therapists assigned to the patient will set up the patient’s Monday through Friday therapy schedule on the day of admission. A schedule card is placed in a plastic sleeve on the patient’s wheelchair, with a copy posted in the patient’s room. Saturday and Sunday therapy schedules will be posted in the same place each Friday evening.

Day Treatment Programs
WakeMed Outpatient Rehab offers “day treatment” services. Individuals live at home, but come in several days a week for continued coordinated, multi-disciplinary care with oversight by a case manager. When attending day treatment program, each patient’s schedule is individualized. The number of hours per day, and days per week of therapy to be given will be determined by the treatment team upon admission to the program, after the initial evaluation is completed. Therapies offered include occupational therapy, physical therapy, and speech therapy. In addition, neuropsychological services, nursing services, and case management services are available.

Outpatient Therapy Services
If less intensive services are needed, or if just a single service is needed, an individual may receive outpatient treatment at one of WakeMed’s many outpatient rehabilitation sites. WakeMed currently offers outpatient rehabilitative services at several sites in Raleigh, as well as in Cary, Apex, Fuquay- Varina, Zebulon, and Clayton. When receiving outpatient therapy services, each patient’s schedule is individualized. The number of hours per day, and days per week of therapy to be given will be determined by each individual therapist upon admission to the program, after the initial evaluation is completed. Therapies offered include occupational therapy, physical therapy, and speech therapy.

Home Health Therapy Services
If after discharge from the hospital the patient is home-bound, and meets certain criteria, WakeMed may send rehabilitation therapists to your home to provide rehabilitative services. The number of hours per day, and days per week of therapy to be given will be determined by each individual therapist after the initial evaluation is completed. Therapies offered include occupational therapy, physical therapy, and speech therapy. In certain cases, a nurse may also visit the home.