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Sclinda Janssen


Purpose: The purpose of this scholarly project was to provide patients with knowledge on the rehabilitation process and practitioners with a resource to assist in implementing occupation and evidence-based practice in stroke rehabilitation throughout the entire continuum of care.

Methods: An extensive literature review was conducted regarding evidence-based and occupation-based interventions within stroke rehabilitation. The author partnered with a midwestern healthcare agency to experience stroke rehabilitation as an occupational therapy practitioner across the continuum of care. Through a needs assessment, it was found patients lack knowledge regarding the rehabilitation process and practitioners lack knowledge of other settings. The ecology of human performance (EHP) model, occupational therapy process, and motor learning frame of reference were used throughout to guide the literature review, needs assessment, and time spent within the agency. The guide was developed and shared with the rehabilitation director to share with practitioners in each setting.

Conclusions: The guide was created to promote evidence and occupation-based practice throughout the continuum of care in stroke rehabilitation. It was also created to educate patients on their diagnosis and what their rehabilitation process will likely entail. Due to limited time in the partnering agency, the guide was not implemented into practice. Implementation of a resource that guides occupational therapy practitioners to best practice can enhance outcomes in rehabilitation for stroke patients.

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Medicine and Health Sciences

Stroke rehabilitation through the continuum of care:  Integrating evidence and occupation-based practice