To further support transitions from acute stroke units and respond to patient and provider feedback, a pilot of referrals to the South East LHIN’s Rapid Response Nurse (RRN) program, in conjunction with referrals being made to the South East LHIN’s Community Stroke Rehabilitation Program occurred between October 2017 and March 2019. Evaluations demonstrated that RRN interventions improved medication management and linkages to primary care as well as supportingpatients and families through education and connections to relevant resources.
Community News
Working with the Stroke Network’s Community Reintegration Leadership Team, a Patient Journey Map has been created. This map visually displays the recovery journey following a stroke beginning with the stroke event and moving through acute, rehab and community care. The map is intended to reflect a diversity of patient journeys to stimulate and support conversations between patients/families and clinicians. A handout of the Patient Journey Map includes a listing of potential resources on the reverse side. This can be used by clinicians to provide the patient and family with a better under
Returning to driving after a stroke can be a complicated and costly endeavor for stroke survivors and their families. Understanding the rationale for suspending a driver’s licence and the process involved in a return to driving is imperative as the stroke survivor and family adapt to a changed life situationThis southeast Driving After a Stroke in Ontario resource is intended to help stroke survivors (and families) connect with supports and services that can assist them during the process of returning to driving. The resource also recognizes that not all stroke survivors will be able to r
January 2019 saw the first session of the pilot Kingston-based community Aphasia Conversation Groups. A Kingston-based Aphasia Buddies Program also began providing services in January through the VON-Kingston.Funded by the South East LHIN, the Aphasia Conversation Groups are facilitated by a speech-language pathologist (SLP) from Kaymar Rehabilitation and coordinated by the VON Stroke Support Coordinator.
The Return to Work Toolkit provides stroke survivors, family members and healthcare providers with assistance to navigate the process of returning to work including information on local and provincial resources and an online Job Readiness Self-Assessment Guide. The toolkit includes: Introduction to the Return To Work ToolkitJob Readiness Self-Assessment Guide (courtesy of the Stroke Network of Southwestern Ontario)Benefits QuestionnaireFinancial SupportsReturn to Work ResourcesHastings, Prince Edward Fact SheetKingston, Frontenac, Lennox and Addington Fact SheetLanark, Leeds and Grenville
The Community Reintegration Leadership Team (CRLT), a community advisory committee for the Stroke Network of Southeastern Ontario (SNSEO), includes persons with stroke, family members and community service providers. The CRLT was formed after a community consultation in 2007 with the goal of supporting initiatives and actions that will help with community reintegration following a stroke. In 2015, a second community consultation was conducted under the direction of the CRLT. The Stroke Network promised to continue to provide updates on its activities to the stroke survivors and familie
Navigation maps of physical activity programs and common resources have been created by the Southeastern Health Collaborative (SEOHC) for each of the three public health geographic areas in our region. The SEOHC is comprised of many programs and networks with an overall objective of jointly supporting primary care providers in their efforts with a focus on prevention. The main purpose of the physical activity maps is to support primary and community care providers in recommending physical activity services with their patients.
South East LHIN Home & Community Care has been providing Community Stroke Rehabilitation Services to eligible stroke survivors since 2009. An Annual Report is disseminated to all stakeholders to share the findings of the ongoing program evaluation.
Since February 2009 the South East LHIN Home and Community Care (formerly SE CCAC) has provided timely, home-based rehabilitation services for those discharged from hospital with new stroke.
SE LHIN Home & Community Care (formerly CCAC) has been providing Enhanced Community Rehabilitation Services to eligible stroke survivors since 2009. A Communiqué is issued annually to all stakeholders to share the findings of ongoing program evaluation.