Stroke Help, Jan Davis

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Frequently Asked Questions

For Clinicians:

  1. In team conferences it never seems like we can agree on the level of assistance needed by our stroke patients during wheelchair to bed transfers. Physical therapy reports moderate assist and nursing reports maximum assist. What can we do? [click here]
  2. Several of my patients with subluxation complain of shoulder pain. Should I use FES (functional electrical stimulation) in order to reduce subluxation? [click here]
  3. It's becoming more and more common that I have to treat 3 or 4 patients at a time. I can't give them the treatment they need, but do you have any ideas for group treatment? [click here]
  4. I understand the therapeutic value of having my stroke patient in sidelying on the hemiplegic side while resting. The problem is that every time my patient tries to roll to that side, it takes so much effort that his affected lower extremity goes into an extension synergy. How can I help? [click here]
  5. My right hemiplegic patient is so fearful trying to stand up, that he does all of his ADLs (activities of daily living) while sitting in the wheelchair. I know he can do it physically, but the fear is overwhelming. Should I continue to let him do everything from his wheelchair? [click here]
 
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