The rehabilitation process often begins while the patient is still in the acute care hospital and, for many patients, continues after the patient goes home. Rehabilitation can take place in many settings including rehabilitation hospitals. A program such as this is generally very intensive, requiring patients to participate in many different types of therapy for several hours each day. Other settings in which rehabilitation can be provided include nursing homes, outpatient therapy centers and in the home. Rehabilitation nurses assist with nursing issues such as skin care, bowel and bladder care and education.
Physical therapists evaluate and treat problems such as moving, balance, and coordination.
They provide training and exercises to improve mobility. Occupational therapists assist stroke survivors in performing activities they could do before the stroke such as eating, bathing, dressing, writing or cooking. The old ways of performing tasks are not always possible, so the occupational therapist teaches patients new techniques. Speech therapists help patients improve their communication skills following a stroke and can also assist with swallowing problems. Social workers assist patients in developing a plan for returning home, can assist with insurance problems and in obtaining community resources.