Stroke - post hospital treatments

[Anonymous]

hello,

Does any of you have experience with post-stroke treatment options? i.e. rehab, PT, OT?
Any good recommendations in MoCo or NW DC for a good specialist?
Thanks!

[Anonymous]

My experiences are dated, but my Mom had two excellent inpatient experiences at the National Rehabilitation Hospital. She was in a cardiac rehabilitation program.

[Anonymous]

If covered my Medicare, know that inpatient rehabilitation and rehabilitation in a skilled nursing facility will be a different level of care/ number of daily therapy hours and access to doctors as well as soften cost sharing.

You can look on the Medicare website to compare facilities. https://www.medicare.gov/care-compare/?providerType=NursingHome&redirect=true

[Anonymous]

See the menu at that link above with drop downs. You can't directly compare inpatient rehabilitation and SNF rehabilitation on the website. SNF should be under Nursing short stay.

[Anonymous]

Anonymous wrote:If covered my Medicare, know that inpatient rehabilitation and rehabilitation in a skilled nursing facility will be a different level of care/ number of daily therapy hours and access to doctors as well as soften cost sharing.

You can look on the Medicare website to compare facilities. https://www.medicare.gov/care-compare/?providerType=NursingHome&redirect=true

Different cost sharing, sorry for typos

[Anonymous]

Dad had mild improvement in 3 weeks of in-patient rehab, but he got markedly better once he got home and had places he actually wanted to go (like to the bathroom by himself, and outside to fill up the feeder for his beloved birds). His in-home PT/OT seems to be having more effect now. Not sure what part of that is psychological, what's just healing from the stroke, and what's quality of care.

Strictly from my own experience of one, it feels like home is best, provided it's safe.

[Anonymous]

OP here - thanks everyone.
My 89 year old Mom is staying with us from overseas, and well, she had a stroke last week. She is out of the hospital, back home with us now, but probably would be good for her to get some OT at least. Her insurance from back home does not cover any of the post-hospital treatments, so I am trying to look into options.

[Anonymous]

If there are any PT/ST/PT grad or undergrad programs near you, I'd call them and see if they need any patients to practice on.

OT at home would probably focus on activities of daily living. Why is her function level now?

[Anonymous]

Anonymous wrote:If there are any PT/ST/PT grad or undergrad programs near you, I'd call them and see if they need any patients to practice on.

OT at home would probably focus on activities of daily living. Why is her function level now?

PT/ST/OT

[Anonymous]

Anonymous wrote:If there are any PT/ST/PT grad or undergrad programs near you, I'd call them and see if they need any patients to practice on.

OT at home would probably focus on activities of daily living. Why is her function level now?

OP here - thanks! She is fine, it is more her cognitive and memory that was affected.

[Anonymous]

Anonymous wrote:

Anonymous wrote:If there are any PT/ST/PT grad or undergrad programs near you, I'd call them and see if they need any patients to practice on.

OT at home would probably focus on activities of daily living. Why is her function level now?

OP here - thanks! She is fine, it is more her cognitive and memory that was affected.

For the stroke patient I know, the cognitive and memory issues are more under speech therapy or maybe neurologist. But within the therapy space (this was inpatient rehab), the speech therapist was the one who dealt with cognitive and tested memory, etc.

[Anonymous]

OP - if she has cognitive issues and she is from overseas with a limited time visa, it may be more important for you to check what her legal options might be to stay beyond time time for therapy. However, more important to her may be once she is stable enough to travel for you to go with her to set up the services she will need at home.

Beforehand, you would need to understand what her finances are and learn about services and resources for her there. If you have siblings there or other close relatives ahead of time try to work out a plan of care. You may want to figure out how you or someone trusted in her home country can be put in charge of certain affairs and/ or you living out of country. From now on it would be you traveling to see her .

[Anonymous]

Anonymous wrote:OP here - thanks everyone.
My 89 year old Mom is staying with us from overseas, and well, she had a stroke last week. She is out of the hospital, back home with us now, but probably would be good for her to get some OT at least. Her insurance from back home does not cover any of the post-hospital treatments, so I am trying to look into options.

For many stroke patients, home is not an option. Many needs round the clock care in the first couple weeks if not longer