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  • Impact of COVID-19 on the stroke rehabilitation pathway: multidisciplinary team reflections on a patient and carer journey from acute to community stroke services

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Case report
Impact of COVID-19 on the stroke rehabilitation pathway: multidisciplinary team reflections on a patient and carer journey from acute to community stroke services
  1. Lauren Lucas,
  2. Sophie Gordon and
  3. Ruth Heyes
  1. Community Stroke and Neurological Rehabilitation Team, Salford Royal NHS Foundation Trust, Salford, UK
  1. Correspondence to Lauren Lucas; lauren.lucas@srft.nhs.uk

Abstract

A 62-year old man attended accident and emergency in June 2020 with dense right sided weakness, aphasia and confusion. Investigations revealed a left middle cerebral artery infarct, and he was admitted under the stroke team for ongoing inpatient rehabilitation. He was discharged home in September 2020 and received community stroke rehabilitation from physiotherapy, nursing, occupational therapy and speech and language therapy. He is now working towards a graded discharge from the Community Stroke and Neuro Rehab Team, after achieving his rehabilitation goals. In this case, the multidisciplinary team adopted different ways of working to accommodate the patients’ priorities while also negotiating the COVID-19 pandemic. This included taking a transdisciplinary approach to rehabilitation and considering alternative supported self-management strategies. This case highlighted several learning points, particularly the potential benefits of shared goal setting for patients with communication difficulties and transdisciplinary approaches to community stroke rehabilitation.

  • COVID-19
  • stroke

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-245544

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    Footnotes

    • Contributors LL, SG and RH planned the case report and identified the key learning points. LL wrote the manuscript with support from SG and RH. Multidisciplinary team perspectives were facilitated by LL, SG and RH and written by LL. The patient and his partners perspective were facilitated and written by LL.

    • Funding This study was funded by Health Education England (HEE)/ National Institute for Health Research (NIHR) (NIHR301068).

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.