How do patients spend their time in stroke rehabilitation units in England? The REVIHR study

You could have at least come up with other therapies to fill their complete day with practicing something. 

Like maybe: 

1. action observation (103 posts to May 2011)

2. music(86 posts)

3. music therapy (52 posts)

4. musical training (13 posts)

5. meditation (48)

6. lucid dreaming (16) 

7. mirror box (9)

8. mirror therapy (64)

 

 

Set them up with music, mirror therapy, action observation, lucid dreaming and motor imagery and they could do these all day with no therapist involvement. If your stroke hospital can't figure out how to fill a complete day with rehab;THEY ARE COMPLETELY FUCKING INCOMPETENT!

The latest here:

How do patients spend their time in stroke rehabilitation units in England? The REVIHR study

Niki Chouliaraa
 Rebecca Fishera
 Brian Crosbiea
 Boliang Guob Nikola Spriggc
[AQ7] Marion
Walkera
[AQ1]
a . Division of ZĞŚĂbŝůŝƚĂƟŽn and Ageing , School of Medicine, University of EŽƫnŐŚĂm͕ EŽƫnŐŚĂm͕ UK;
b . Division of Psychiatry and Applied Psychology, School of Medicine, University of EŽƫnŐŚĂm͕ EŽƫnŐŚĂ͕ UK;
c . Division of Clinical Neuroscience, School of Medicine, University of EŽƫnŐŚĂm͕ EŽƫnŐŚĂm͕ UK
CONTACT Rebecca Fisher ƌĞbĞccĂ͘ĮƐŚĞƌΛnŽƫnŐŚĂm͘Ăc͘ƵŬ Division of ZĞŚĂbŝůŝƚĂƟŽn and Ageing , School of Medicine, University
of EŽƫnŐŚĂm͕ EŽƫnŐŚĂm͕ NG7 2UH, UK
Received: 2019-07-31
Revised: 2019-11-21
Accepted: 2019-11-22

ABSTRACT

Aim: 

To examine how patients spend their time in stroke rehabilitation units in England.Methods: We recruited 144 patients within a month after stroke from four stroke rehabilitation units and observed their activity type, interactions and location. Each
patient was observed for 1 min every 10-minutes, for a total of 20 h, over three consecutive days. Multilevel modelling was performed to assess differences across sites.

Results: 

Across the four sites a total of 12,248 observations were performed. Patients spent on average 37% of the observed time inactive(Appalling) and 60% alone(Doubly appalling, they need social contact; how about other survivors?). A health care professional was present for 18% of the
observations and patients most frequent contact was with family members (19%). Patients were mainly physically active in the presence of therapists, but they practiced self-care activities of daily living most frequently in the presence of nursing staff. There
were limited opportunities for activity away from the bedside. Significant differences were found between the units, including
patients' level of contact with rehabilitation assistants and nursing staff but not in their time with occupational therapists and physiotherapists.

Conclusions: 

Stroke patients in England spend a large proportion of their day inactive and alone. Opportunities
to promote a rehabilitation focused environment may include: a) enhancing the role of rehabilitation assistants, b) supporting
nursing staff in maximizing opportunities for the practice of activities of daily living and c) involving family members in the rehabilitation process.