Who is stroke rehabilitation for?
Rehabilitation is meant for people who, due to a stroke, experience permanent limitations in daily life. What they did before the stroke is important. How was daily life organised? How was the social situation?
In general, we can say that CVA patients with complex problems can also benefit from our rehabilitation services. The specialist rehabilitation medical care provided by Medifit offers a great deal of expertise in the area of brain injury, which means that a multitude of problems can be tackled in combination. The patient must be able to work at a reasonable pace and be motivated. And someone must be able to manage at home in due course, possibly with adjustments and with the help of home care or informal care. The rehabilitation doctor uses indication criteria based on this.
Individual treatment plan
Rehabilitation helps you to function as well as possible in everyday life, to be as independent as possible and to participate actively in life. We believe it is essential to listen to your wishes and to design the treatment plan accordingly. At Medifit, rehabilitation is customised. An individual treatment plan is drawn up for each patient. In consultation with the patient and the family, the rehabilitation goals are defined. The possibilities in the surroundings are also involved in the plan. The requests for help are very diverse and the duration of the treatment can also vary: from a one-off consultation to a 6-month programme. On average, inpatient rehabilitation after a stroke lasts between 6 weeks and 3 months, followed by a period of several months of outpatient treatment.
The rehabilitation treatment is provided by a team of experts, each with their own specific contribution:
The physiotherapist and occupational therapist train posture, movement and self-care. They also teach the patient how to use aids, such as a wheelchair or hand splint. The aim is to learn to perform a series of important actions safely and in the right order. The psychologist, neuropsychologist and cognitive therapist practise important skills such as absorbing information and learning memory strategies. Activity counsellors teach patients activities they would like to do (again) after rehabilitation and which enable them to express themselves. An activity leader is often involved in the treatment. For the patient – but also for the partner and family – the guidance of the social worker is important. Advice is given on arranging financial matters and applying for facilities. The nursing staff also make a significant contribution.
In the rehabilitation department, skills are trained that have been learnt in the therapies. The rehabilitation doctor leads the treatment team and, in consultation with the patient and the family, draws up the treatment plan. The team regularly discusses the patient’s progress.
Sight with a view
The rehabilitation treatment consists of stimulating skills and devising and learning compensation strategies. It is important that people have insight into their own situation. Someone who can’t walk well, usually understands. For someone who cannot speak, it is much more difficult to understand the consequences. People who have lost their memory are not aware that they forget things and do not think about using a diary, for example. Rehabilitation helps people to improve their understanding and provides solutions and alternatives.
First, in the clinical phase, self-care is addressed: washing, dressing, brushing teeth, shaving and safely going to the toilet. Of course someone must be able to move around. Is gait training necessary? Should, for example, a wall brace or a wheelchair be requested? The treatment focuses on the basic conditions for independent living. If someone can manage safely in his/her own home and if the necessary help and adjustments have been made, rehabilitation can be continued on an outpatient basis.
Intensive intermediate phase
Have you been to a rehabilitation clinic in the Netherlands or Belgium and been discharged? Have you been transferred to outpatient rehabilitation, but do you think you could achieve more with an intensive course of treatment? Then Medifit Reha rehabilitation centre has the treatment programme for you. After years of experience in neurorehabilitation, we have developed a special intensive (often 1 on 1) rehabilitation pathway. This pathway is fully in line with the normal course of treatment in clinical rehabilitation in your own country. It is very intensive and therefore very effective. You spend at least 3 to 4 hours a day working intensively with us and receiving the necessary care. This happens in our rehabilitation centre on the Costa Blanca with a pleasant climate and beautiful surroundings. You will stay, possibly together with your companion, in a luxury flat or in a room in the rehabilitation centre with 24 hours of nursing and medical care.
Additional inpatient rehabilitation
After a clinical admission, the patient wants to go home as soon as possible, but once at home, one is really confronted with the limitations. That is why we offer an intensive intermediate phase in, for example, one of our luxury flats. This is much more similar to the home situation than a stay in a regular rehabilitation centre.
In the outpatient phase, more targeted choices are made. This phase also looks at whether people can resume their work or find another meaningful way to spend their day, such as: volunteering or participating in activities at a day care centre. The rehabilitation treatment stops when the goals set in the treatment plan have been achieved and/or the best possible result has been reached. The patient usually remains under the control of the rehabilitation specialist for some time. Often, new requests for help arise after some time have passed. Specific skills can then be practised in a few outpatient sessions. The latter can take place at our centre or at another centre in your own country.
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