CVA Treatment plan
Tackle complex issues in a consistent way
Who is this rehabilitation for?
CVA rehabilitation is for people who experience permanent limitations in daily life due to stroke. It is important to look how life was before the stroke. How was your daily life organised? What was your social life like?
Also a CVA-patient with complex problems can rehabilitate with us. The specialised rehabilitation medical care at Medifit offers a great expertise in the field of brain injury. Our multidisciplinary approach deals with the complexity of your problems. Our rehabilitation programme can be quite intense and as a patient it is important to be motivated. The goal is to be able to cope with daily life at home, possibly with adjustments and with the help of a loved one or voluntary care. Your rehabilitation doctor also uses these criteria as a standard.
Individual treatment plan
Rehabilitation will help you deal with your limitations to function as well as possible in daily life as independently as possible and to lead a full and active life. We believe it is essential to listen to your wishes and to set up the treatment plan accordingly. Rehabilitation is custom-made at Medifit. An individual treatment plan is drawn up for everyone. In consultation with the patient and the family, the rehabilitation objectives are described. The patients’ needs are very diverse and the duration of the treatment can also vary: from a one-time advice to a 6-month trajectory. However, the average clinical rehabilitation after a stroke lasts between 6 weeks and 3 months, followed by a period of several months of outpatient care.
The rehabilitation treatment is carried out by a team of experts, each making their own specific contribution:
The physiotherapist and occupational therapist train posture, exercise and self-sufficiency. They also teach the patient how to use aids such as wheelchairs or hand splints. The goal is to learn how 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.
During the occupational therapy, patients will reacquaint themselves with activities they are wanting to take up again. Often an occupational therapist is involved in the treatment. For the patient – but also for the partner and family – the guidance and advice of the social worker is important. They will advise you on arranging financial matters and applying for subventions. Also the nursing staff makes a major contribution.
Skills taught in the different therapies will be trained. Your rehabilitation doctor leads the multidisciplinary team and draws up the treatment programme. They will monitor and discuss the patient’s progress.
The rehabilitation treatment consists of stimulating skills and teaching compensation strategies. It is important to have insight into one’s own situation. Someone who can’t walk immediately understands the consequences. Being unable to speak causes complications you wouldn’t have thought of. And people who have lost their memory often don’t even realise they’re forgetting things. They will often forget about the tools there to help them. Rehabilitation trains people in improving their awareness and offers solutions and alternatives.
In the clinical phase we start by addressing self-sufficiency:
First of all, self-sufficiency is addressed in the clinical phase: washing, getting dressed, brushing your teeth, shaving and going to the toilet safely. It goes without saying that you must be able to move around before we can start this training.
Is walking training needed? Will you need a walker or wheelchair? The treatment focuses on the basic prerequisites for an independent life. If someone can live safely in their own home with the necessary help and adjustments have been arranged, rehabilitation can be continued as an outpatient.
Intensive Intermediate Stage
You have started your rehabilitation in your own country and you’ve been discharged from the treatment facility? You have been moved to outpatient rehabilitation but think you can achieve more with a more intensive programme? Then the rehabilitation centre Medifit has the treatment programme for you. After years of experience in neuro-rehabilitation, we have developed a special intensive rehabilitation programme. This process is fully in line with the normal course of treatment in the Clinical Rehabilitation. However, it is intensive and therefore very effective. You will be working intensively with us for at least 3 to 4 hours a day, with all the necessary care. This happens in our rehabilitation centre on the Costa Blanca in a pleasant climate and beautiful surroundings. You will stay in a private apartment or in a room within the rehabilitation centre with 24-hour full care.
In the first phase after admission, the patient wants to go home as quickly as possible. It is only once he or she is at home that he or she is really confronted with the new limitations. That is why we offer the intensive interim phase in, for example, one of our luxury apartments. This is a lot more similar to the home situation than in a regular rehabilitation centre.
In the outpatient phase, more targeted choices are made. Here we’ll also look whether people can return to work or find another favourable way to spend their day, such as volunteering or visiting an activity centre. The rehabilitation stops when the goals set in the treatment plan have been achieved and/or the best possible result has been achieved. As a rule, the patient remains under the supervision of the rehabilitation physician for some time. Often new requests for help arise over time. Specific skills can then be practised as an outpatient with Medifit Reha.
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