Stroke Rehabilitation in Champlain



  Champlain Regional Stroke Rehabilitation

  CRSN-RNOC Stroke Rehab Sub-Committee

  Resources - Rehabilitation

What is stroke rehabilitation?

Stroke rehabilitation is the term used for the interventions and therapies that are carried out with the stroke survivor by a multidisciplinary team of clinicians. The objective of stroke rehabilitation is to help the patient regain as much functionality and independence as possible.

Stroke rehabilitation is ongoing and may start as soon as two days following the stroke event. Research shows that stroke patients experience better outcomes the sooner they engage in rehabilitation, which is the reason why the Ontario Stroke Network has focused on early transfer to sub-acute stroke care.


Who provides stroke rehabilitation?

An interprofessional rehabilitation team with stroke expertise, including physicians (physiatrists and other), nurses, physiotherapists, occupational therapists, speech language pathologists, social workers, psychologists, recreational therapists, pharmacists, and dietitians, and more will devise a rehabilitation plan that is best suited to the stroke survivor.  The team will work closely with the patient and their family to help recovery and plan for life after stroke.  Each patient’s rehabilitation plan will be different because it is individually designed to meet their needs for optimal recovery and their tolerence levels.


Where does stroke rehabilitation take place?

Rehabilitation is a process, not a place.  Stroke rehabilitation occurs in a number of different settings including in the hospital, an outpatient setting (e.g. clinic), the community, and sometimes in the home. Where a stroke survivor receives their rehabilitation is dependent on the severity of their stroke and will change as improvements in functionality are experienced.  This handout describes the many options for care and rehabilitation following a stroke.

In Ontario, and in Champlain, specifically, where a stroke survivor receives their sub-acute stroke care (rehabilitation) is based on their AlphaFIM® score. The AlphaFIM® is an assessment that is completed in acute care and measures burden of care.  The Champlain Region's Patient Flow Algorithm, pictured here, is the future state process map for patients receiving sub-acute stroke services in the region.  Click here to navigate to the Champlain Regional Stroke Rehabilitation System webpage for more information.


Healthcare providers in Ontario strive to deliver stroke rehabilitation in accordance with the Canadian Best Practice Recommendations for Stroke Rehabilitation.  More recently, Health System Funding Reform released a Quality-Based Procedures: Clinical Handbook for Stroke, which includes additional recommendations for delivering stroke rehabilitation.


Organizations in the Champlain Region that offer specialized stroke rehabilitation:

Pembroke Regional Hospital (inpatient services, some outpatient services)

Bruyere Continuing Care (inpatient and outpatient services)

Glengarry Memorial Hospital (inpatient services)

Champlain Community Care Access Centre (CCAC) (community stroke rehabilitation in Stormont, Dundas, Glengarry, and Akwesasne)

The acute care team may refer the stroke survivor to any number of other services depending on need and availability.


Questions or comments?                                                                                                                                                                                                        

Beth Donnelly, CRSN Coordinator for Rehabilitation, Community, and Long-Term Care                                           

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613-798-5555 extension 14430


Contact us

Champlain Regional Stroke Network The Ottawa Hospital - Civic Campus Civic Parkdale Clinic, Main North 1053 Carling Avenue Ottawa, ON K1Y 4E9

Phone: 613-798-5555 x 16153
SPC Phone: 613-798-5555 x 16156