Discharge Planning Guide for Stroke Rehabilitation

This document is a guide designed to assist healthcare professionals in planning the discharge of patients requiring stroke rehabilitation. It outlines various rehabilitation options, including Inpatient Rehabilitation Facilities (IRF), Skilled Nursing Facilities (SNF), Long-Term Care Hospitals (LTCH), and home health care services. The guide emphasizes the importance of continuous patient reassessment to determine the most appropriate rehabilitation setting. It provides a comparison of different post-acute stroke rehabilitation settings, detailing the purpose, medical services, nursing services, rehabilitation services, therapy intensity, and expected outcomes for each option. Additionally, it aligns with the American Heart Association/American Stroke Association's guidelines for adult stroke rehabilitation and recovery. The document consists of two main parts: a decision-making pathway for rehabilitation levels and comparison tables for post-acute stroke rehabilitation settings, ensuring that healthcare professionals can make informed decisions regarding patient care.