Community Partners Roundtable March 5, 2019

Patient and Family Learning Centre  – Adam Van Sickle

Wellness House – Mike Giannini

ARTC – Lori Santilli

 Discussion Questions and Responses from District Breakout

 Final attendee list

From Scene to Suite: Central South Stroke – Regional Paramedic Workshop February 28, 2019

Welcome and Introduction to Central South Regional Stroke Network – Stefan Pagliuso

Hyperacute Stroke Management: The New Era – Part 1 by Dr. Wes Oczkowski presented by Dr. Luciana Catanese

Hyperacute Stroke Management: The New Era -Part 2 

Large Vessel Screening Tools – Rhonda Whiteman

Frontier Research Study 

The FRONTIER Trial – On The Frontier of Prehospital Stroke Treatment

http://www.bcehs.ca/our-research/current-research/frontier-study

World Stroke Congress 2018 Posters and Presentations

Benefit of a Communication Disorders Assistant on an Acute Stroke Unit… 2 Years Later

Development of Regional Drip and Ship Protocols at Stroke Thrombolysis Referral Centres to Support Timely Access to Stroke Endovascular Therapy 

Assessment of Female Enrollment in a Stroke Secondary Prevention Study: a Relationship Between Investigative Site Personnel Gender and Selection of Participants

Supporting Patients Across Transitions Home: The S-PATH Program Design and Implementation

Is it Possible to Develop a System for Timely Repatriation to Local Stroke Centres After Stroke Endovascular Therapy?  

 Breakfast Club: a Functional Approach to Achieving Occupational Therapy Rehabilitation Intensity Goals

 Experience Based Design: Capturing the Patient Voice in Stroke Quality Improvement Work

Redesigning Stroke Team Rounds to Improve Quantitative and Qualitative Metrics

The Impact of Mindfulness Meditation Practice with Aphasia

Leora Cherney Evidence-Based Aphasia Treatments March 23, 2018

Leora Cherney Aphasia Workshop March 23, 2018 HANDOUT

Facilitating Recovery: Interprofessional Stroke Rehab Best Practices Workshop June 14, 2018

Presentation Handouts

Certificate of Attendance Facilitating Recovery

AGENDA Facilitating Recovery Interprofessional Rehab Stroke Best Practices Workshop 2018- AGENDA.doc

Weaving Communicative Access Rochelle Cohen Schneider

References Weaving Communicative Access

Supporting Caregivers across the Care Continuum June 14 2018

MODC Transition From Hospital to Home

Rehab Nursing June 2018 handout

Transcranial Direct Stimulation Dr. Joyce Chen Handout

Racing Against the Clock: Interprofessional Hyperacute/Acute Stroke Best Practice Workshop 2018

Understanding Stroke Anatomy and Brain Imaging- Dawn Tymianski

Clearing the Smoke: The Truth about Tobacco Use and Why we should care? – Lisa Fronzi

Emerging Evidence in Stroke Mechanical Thrombectomy for Acute Ischemic Stroke – Rhonda Whiteman

How can I support my patient to make meaningful nutrition changes for secondary stroke prevention: Focus on salt and saturated fat – Andrew Mente

Ischemic and Hemorrhagic Stroke Management – What is the same and what is different – Kelvin Ng Kuan Huei

The Lesser of Two Evils: Moral Dilemmas in Acute Stroke Care – Sandra Andreychuk

Clinic Ethics Worksheet

Understanding Brain Anatomy and Brain Imaging Resource

Hamilton Health Sciences Integrated Stroke Program Annual Review 2018

Agenda and Presentations

Stroke Annual Review – Agenda

Supportive Conversation for Aphasia

Post-Stroke Depression Annual Review 2018 Presentation

OT Stroke Annual Review Presentation 2018

Nutrition and SLP Annual Review Presentation 2018

Mechanical Thrombectomy for Acute Ischemic Stroke – Stroke Annual Review 2018

Hemiplegic Shoulder Presentation Annual Review 2018

2018 Annual Review Transitions and Education Presentation

Educational Hand-outs

Transfers and Mobility Station March 2018 Handout

Stroke Patient and Family Education and Stroke Care Transitions Handout

Stroke Mechanical Thrombectomy Handout Annual Review 2018

Stroke Annual Review – Supported Conversation for Aphasia Handout

Post-Stroke Depression Handout

Hemiplegic Upper Extremity Management Handout

Dysphagia and Nutrition Handout

Apraxia and Hemianopsia Handout

Stroke Videos & Articles

Grand River Hospital World Stroke Day 2017 – “Stroke Symptoms Think FAST”

HNHB LHIN – Voices in the Community “Scott’s Story”

Hamilton Health Sciences June Stroke Month 2017 – “When a First Responder Needs Help”

Hamilton Health Sciences June Stroke Month 2016 – “5 Things I Wish You Knew About Stroke”

Hamilton Health Sciences World Stroke Day 2016 – “How To Tell if Someone is Having a Stroke”

Hamilton Health Sciences World Stroke Day 2016 – “Recovering from Stroke – It Takes a Community”

HNHB LHIN – Voices in the Community “Ian and Mary’s Story”

Central South Regional Stroke Network Rehabilitation Intensity Forum 2017

RI Presentation to Central South RI Forum – May 9 2017

Health Information Management Roundtable – November 16, 2017

Health Information Management Roundtable – Presentation

Health Information Management Roundtable – Resource Package

Central South Aphasia Training Day for Healthcare Providers

Hamilton Burlington Aphasia Training Day Handout – November 2017

Six Nations Housing

Haldimand/Norfolk Housing Authority

Canadian Mental Health Assosciation

Canadian Mental Health Assosciation

Brantford Native Housing

Brant and Brantford Housing Authority

Wayne Gretzky Sports Centre

Taoist Tai Chi Society of Canada

Taoist Tai Chi Society of Canada

Taoist Tai Chi Society of Canada

Norfolk County Recreation Centre

Six Nations Adult Day Program

Jay Silverheels Complex

John Noble Home

Haldimand-Norfolk Community Senior Support Services

Haldimand-Norfolk Community Senior Support Services

Haldimand-Norfolk Community Senior Support Services

Haldimand-Norfolk Community Senior Support Services

Community Support Centre Haldimand- Norfolk

YMCA Brantford

Boys and Girls Club

Beckett Adult Leisure Centre

Adult Recreation Therapy Centre

Aberdeen Health and Community Services

Aberdeen Health and Community Services

Aberdeen Health and Community Services

Aberdeen Health and Community Services

Community Legal Clinic

Legal Aid Ontario

Justice of the Peace

Justice of the Peace

Justice of the Peace

Mississaugas of the New Credit

Six Nations of the Grand River

Six Nations of the Grand River

Health, Housing, and Social Services Department

Health, Housing, and Social Services Department

Health, Housing, and Social Services Department

Health, Housing, and Social Services Department

Health, Housing, and Social Services Department

Health, Housing, and Social Services Department

Health, Housing, and Social Services Department

Health, Housing, and Social Services Department

Brant Housing Services

Ontario Works

Ontario Disability Support Program (ODSP)

Ontario Disability Support Program (ODSP)

Service Canada

Canadian Diabetes Association of Brant

Alzheimer Society of Haldimand-Norfolk

Alzheimer Society of Haldimand-Norfolk

Alzheimer Society of Brant

Participation House

Guthrie & Associates

Geriatric Mental Health Outreach

Geriatric Assessment Clinic

Friendship House

Family Counselling Centre of Brant

Canadian Mental Health Assosciation

Canadian Mental Health Assosciation

Brant Mental Health Counselling Service

Brant Community Healthcare System – Outpatient

Brant Community Healthcare System – Inpatient

Adult Mental Health Services of Haldimand/Norfolk

Six Nations Mental Health Services

Haldimand-Norfolk Crisis Assessment & Support Team

Comfort Keepers

Victoria Eldercare

Lifeguard Homecare

White Pines Wellness Centre Adult Day Program

Long Term/Home and Community Care

Haldimand Abilities Centre

Alzheimer Respite Services

Alzheimer Respite Services

Adult Recreation Therapy Centre

Adult Recreation Therapy Centre

VON Simcoe

VON Simcoe

VON Brantford

VON Brantford

Canadian National Institute for the Blind

Canadian National Institute for the Blind

Canadian Hearing Society

Who Did It Club

Scottish Rite

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Royal Canadian Legion

Oddfellows and Rebekahs Humanitarian Services Program

Oddfellows and Rebekahs Humanitarian Services Program

Oddfellows and Rebekahs Humanitarian Services Program

Home and Community Support

Canadian National Institute for the Blind

The Medicine Shoppe

Roulston’s

Roulston’s

Silver Cross

Clark’s Pharmasave

Professional Mobility & Medical Supplies

Shoppers Home Health Care

Medichair Cowell Home Health Care

Dell Pharmacy

Action Medical

Sobey’s Grocery Delivery

Foodland Grocery Delivery

Foodland Grocery Delivery

Foodland Grocery Delivery

Courier Food Services

Paris Food Bank

Haldimand Norfolk Senior Support Services

Community Support Services

Brantford Food Banks

Meals on Wheels

Meals on Wheels

Meals on Wheels

Meals on Wheels

Comfort Keepers

Stonebridge Community Services

Six Nations Senior Support Services

Saint Elizabeth Health Care

Long Term/Home and Community Care

Lifeguard Homecare

Concepts of Care

Revera Home Health

Revera Home Health

Bayshore Home Health Care

VON

VON

Heart and Stroke Foundation of Ontario – Brantford Location

Wellington and Guelph Housing Services

Traverse Independence – Supportive Housing

Traverse Independence – Supportive Housing

Matrix Affordable Homes

Lutherwood Housing Counselling

House of Friendship – Eby Village

House of Friendship

Fresh Start Housing Centre

Community Housing Access Centre

Waterloo Region Community Legal Services

Ontario Legal Aid Plan Office

Justice of the Peace

Justice of the Peace

Justice of the Peace

Ontario Works

Ontario Works

Ontario Works

Ontario Disability Support Program (ODSP)

Ontario Disability Support Program (ODSP)

Job Track

Woolwich Senior Centre

Woolwich Recreation and Facilities Service

Wing 404 RCAFA Rotary Adult Centre

West End Community Centre – Rehabilitation and Arthritis Water Program

Senior Outing Day Program

Sunnyside Seniors Day Progam

Senior Day Program

Saint Luke’s Place

Elderly Person’s Centre – Saint Luke’s Place

Rockway Centre

G.E. (Ted) Wake Lounge

Fairview Mennonite Home

Fairview Mennonite Home

Evergreen Seniors Centre

Downtown Community Centre

David Durward Centre

Chaplin Family YMCA of Cambridge

Cambridge Capables

Breithaupt Centre

Allan Reuter Centre

Adult Recreation Centre

Canadian Diabetes Association

Canadian Diabetes Association

Alzheimer Society of Waterloo Wellington

Alzheimer Society of Waterloo Wellington

Alzheimer Society of Waterloo Wellington

St. Joseph’s Health Centre Guelph: Acquired Brain Injury Day Program

Traverse Independence – Participation House

Traverse Independence – Participation House

KidsAbility – Centre for Child Development

KidsAbility – Centre for Child Development

KidsAbility – Centre for Child Development

KidsAbility – Centre for Child Development

KidsAbility – Centre for Child Development

Inclusion Services – City of Kitchener

Brain Tumour Foundation of Canada

Brain Tumour Foundation of Canada

Woolwich Community Health Centre

Woolwich Community Health Centre

Trellis Mental Health and Developmental Services

Trellis Mental Health and Developmental Services

Trellis Mental Health and Developmental Services

Trellis Mental Health and Developmental Services

Trellis Mental Health and Developmental Services

Trellis Mental Health and Developmental Services

Trellis Mental Health and Developmental Services

The Caregiver Support Group Peer Helping Program

Shalom Counselling Services

Lutherwood Family Counselling Services

Interfaith Community Counselling Centre

Lutherwood Family Counselling Services

Family Counselling Centre of Cambridge & North Dumfries

Woolwich Counselling Centre

Interfaith Community Counselling Centre

Kitchener-Waterloo Counselling Services

Carizon Family and Community Services

Brain Injury Association of Waterloo-Wellington

Warm Embrace Elder Care

Parents for Community Living

LaPointe Fisher Nursing Home

Extend-A-Family

Friends of the Family Senior Care

Community Support Connections

Community Support Connections

St. Joseph’s Health Centre Guelph: Outreach Day Programs

Wilder Medical

Vitalaire Home Medical Limited

Silver Cross Medical Equipment

Shoppers Home Health Care

Shoppers Home Health Care

Funding for Devices – Royal Canadian Legion Poppy Fund

Pro Respiratory

Pro Respiratory

Preston Medical Pharmacy

PACE Homecare

Medic Alliance

Norfolk Pharmacy and Surgical Supplies

National Home Health Care

Medigas

Home Medical Solutions – Medi Chair

Home Medical Solutions – Medi Chair

Canadian National Institute for the Blind

Canadian Red Cross Society

Canadian Red Cross Society

Canadian Red Cross Society

Canadian Hearing Society of Waterloo Region

Canadian Hearing Society of Waterloo Region

Cambridge Elevating Inc.

Aftercare Mobility Products

Woolwich Senior Citizen’s Centre

Waterloo Region Social Services Department

Waterloo Community Services Department

Waterloo Community Services Department

Saint Matthew’s Lutheran Church

The Downtown Community Centre

Kitchener Parks and Recreation Department

Community Support Connections

Community Support Connections

Cambridge Community Services Department

Cambridge Community Services Department

Foodland IGA: Shopping Program

Farah Foods: Shopping Program

Waterloo Home Support Services

Sobey’s Grocery Delivery

Community Support Connections: Shopping Programs

Woolwich Community Services

Wilmot Family Resource Centre Food Bank

Trinity Community Table

The Working Centre

St. John’s Kitchen

Silver Spoons

Noon Hour Meal Program

Guelph Food Bank

CORE – Royal City Evangelical Missionary Church

CORE – Trinity United Church

CORE – St. George’s Anglican Church

CORE – St. Andrew’s Presbyterian Church

CORE – Knox Presbyterian Church

CORE – Chalmers Community Services

Food Bank of Waterloo Region

Emergency Food Hamper

Meals on Wheels

Cambridge Self-Help Food Bank

Waterloo Department of Recreation and Leisure

Seniors for Seniors

Red Cross Community Health Services

Independent Living Centre of Waterloo Region

HLO Health Services

Guelph Independent Living

Evergreen Seniors Centre

Community Support Connections: Meals on Wheels and More

Community Care Concepts of Woolwich, Wellesley and Wilmot

Care Partners

Angel Associates

Adult Recreation Centre

We Care Home Health Services

Saint Elizabeth Health Care

Saint Elizabeth Health Care

Robertson Brown Health Services

Paramed Home Health Services

Paramed Home Health Services

Revera Home Health

Revera Home Health

Bayshore Home Health Care

Bayshore Home Health Care

Bayshore Home Health Care

YMCA (Neuro Fit Wellness Program available)

YMCA (Neuro Fit Wellness Program available)

YMCA (Neuro Fit Wellness Program available)

Heart and Stroke Foundation of Ontario

Heart and Stroke Foundation of Ontario

The Apartment Centre

Services Information Niagara

Services Information Niagara

Niagara Regional Housing

Niagara Regional Community Service Department

Canada Mortgage and Housing Corporation

YMCA

YMCA

YMCA

YMCA

Russell Avenue Community Centre

Jackson Therapeutic Recreaton

Coronation 50 Plus Centre

Seniors and Community Programs of West Niagara

St. Catharines Place Retirement Residence

Residence on Garrison Road

Region of Niagara Seniors and Community Programs

Community Support Services of Niagara

Niagara North Community Legal Assistance

Niagara North Community Legal Assistance

Ontario Legal Aid

Community Legal Services of Niagara South Inc.

Justice of the Peace

Justice of the Peace

Justice of the Peace

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Ontario Works

Ontario Works

Old Age Security

Old Age Security

Old Age Security

Canadian Mental Health Assosciation

Canadian Pension Plan Office

Canadian Pension Plan Office

Canadian Pension Plan Office

Niagara Diabetes Centre

Canadian Diabetes Society

Alzheimer Society of Hamilton and Halton

Canadian Diabetes Society

Alzheimer’s Society of Niagara Region

Brain Injury Association of Niagara

Brain Injury Community Re-Entry

Heart and Stroke Foundation of Ontario

Canadian National Institute for the Blind

Canadian Mental Health Assosciation

Brain Injury Association of Niagara

VON Niagara Falls

Visiting Angels Inc.

T. Roy Adams Regional Centre for Dementia Care

Region of Niagara Seniors Community Programs

Pelham Cares

Ontario March of Dimes

Community Support Services Niagara

Warehouse of Hope

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Funding for Devices – Royal Canadian Legion Poppy Fund

Silver Cross

Rosehill Auction House

Orthocare

Orthocare

Ontario March of Dimes

Motion Specialties

Lewis and Krall Home Health Care

For the Needy not the Greedy

Dell Home Health

Satellite Meal Service

Meals on Wheels

Meals on Wheels

Meals on Wheels

Meals on Wheels

Meals on Wheels

Meals on Wheels

Meals on Wheels

We Care Home Health Services

Visiting Angels Inc.

Visiting Angels Inc.

Pro Wellness Health Services Inc.

Paramed Home Health Services

Community Support Services Niagara (Safety at Home Program, Homemaking Care)

Community Support Services Niagara (Safety at Home Program, Homemaking Care)

Community Support Services Niagara (Safety at Home Program, Homemaking Care)

Comcare Health Services

Canadian Red Cross – Community Health Services

Bayshore Home Health Care

First Place

Six Nations Health Services

Supportive Housing Program

Bruce Apartments

Bonnie Place

Wellington Terrace

Gwen Lee Supportive Housing Program

City Housing Hamilton

Justice of the Peace

Justice of the Peace

Justice of the Peace

Legal Aid Ontario

Legal Aid Ontario

CCAC – Power of Attorney Kits

Power of Attorney Kits

Power of Attorney Kits

Employment Services – Ontario March of Dimes

Ontario Works

Ontario Works

Ontario Health Insurance Plan (OHIP)

Ontario Disability Support Program (ODSP)

Ontario Disability Support Program (ODSP)

Canadian Department of Social Development

Canadian Department of Social Development

Canadian Department of Social Development

Canadian Department of Social Development

Canadian Department of Social Development

Challenge Golf GTA

Winona Senior’s Club

Seniors’ Drop-In Centre

Leisure Hours Group

Westenders

Phoenix Fellowship Group

Burlington Sailing and Boating Club – SailABLE

Royal Hamilton Yacht Club – SailABLE

Taoist Tai Chi Society of Canada

Taoist Tai Chi Society of Canada

Seniors Maintenance Active Roles Together

St. Joseph’s Villa – Adult Water Exercise

Les Chater Family YMCA

Mapleview Mall

Burlington Mall – Heart and Soles Club

Walmart Ancaster Superstore

Ron Edwards YMCA

Flamborough Family YMCA

Les Chater Family YMCA

Hamilton Family Downtown YMCA

Joseph Brant Wellness Centre

Burlington Senior’s Centre

Dundas Lions Memorial Community Centre and Recreation Program

Stoney Creek Ada Bland Seniors’ Centre

Main Hess Senior Recreation Centre

Ancaster Senior Achievment Centre

Sackville Senior Centre

Ottawa Street YWCA Senior Leisure Centre

YMCA – Hamilton Senior Active Living Centre

Canadian Diabetes Association – Central South Region

Alzheimer’s Society of Hamilton and Halton

Able Living

Canadian Mental Health Assosciation

Canadian Mental Health Assosciation

Halton Young Stroke Survivors

Stroke Recovery Canada – Burlington Chapter

Access Counselling and Family Services

Catholic Family Services of Hamilton

Dundas Community Services

Links2Care

Stroke Recovery Association

First Place

Volunteer Visiting

Homewell Senior Care

Clarion Nursing Home

The Carlisle

Alexander Place

Heritage Green

Versa Care

Extendicare Hamilton

Townsview

Seniors Homecare by Angels

St. Joseph’s Rotary Respite Program

We Care Home Health Services

“Take a Break” In-Home Respite Program

Overnight Respite Program

Acclaim Health Senior’s Day Program

Meadowlands Adult Day Services

St. Joseph’s Villa Seniors’ Day Program

VON Adult Day Program

Mountberry Adult Day Services

Macassa Lodge Adult Day Program

Goldie’s Place and Shalom Village Adult Day Program

Kiwanis Adult Day Program

The Willet Hospital

Adult Recreation Therapy Centre

Seniors Support Services Building

Joseph Brant Wellness Centre

Halton Aphasia Centre

Senior Activation Maintenance Program (SAM)

Senior Activation Maintenance Program (SAM)

Senior Activation Maintenance Program (SAM)

Password Protection Services Inc.

Silver Cross

Silver Cross

Shoppers Home Health Care

Shoppers Home Health Care

Shoppers Home Health Care

Shoppers Home Health Care

Shoppers Home Health Care

Motion Specialties

Motion Specialties

Special Support Program – Ontario Works

Salvation Army – Mountberry Adult Day Services

First Place

Canadian Red Cross Society

Supper Works

Supper Works

Copper County Foods

Meals on Wheels

Meals on Wheels – Dundas Community Services

Meals on Wheels

Wesley Urban Ministries/Wesley Centre Drop-In

Out of the Cold

Out of the Cold

Out of the Cold

Out of the Cold

Olive Branch Christian Centre

Hamilton Urban Core Community Health Centre

Good Shepherd Centre

Welcome Inn Community Centre

Stoney Creek Food Bank

Salvation Army

Salvation Army

St. Matthew’s House

St. Matthew’s House – St. John’s Community Support Programs

St. Matthew’s House – Roxborough Centre

Neighbour to Neighbour Centre

Mission Services

Living Rock Ministries

Good Shepherd Family Services

Flamborough Food Bank

Canadian Red Cross Society

Canadian Red Cross Society

Canadian Red Cross Society

Burlington Food Bank

Meals on Wheels

St. Joseph’s Healthcare

Marchese Pharmacy

Rexall Pharmacy/Home Health

Rexall Pharmacy/Home Health

Rexall Pharmacy/Home Health

Rexall Pharmacy/Home Health

Helping Hands

Stoney Creek Seniors Outreach Services

Seniors for Seniors

Glanbrook Home Support Programme Inc.

VON Hamilton

Pro Home Health Services Inc.

Paradigm Rehabilitation and Nursing Services

Nu-Age Health Care

Homewell Senior Care

Links2Care

We Care Home Health Services

Senior Homecare by Angels

St. Joseph’s Home Care Community Support Service

Paramed Home Health Services

Attendant Services – Ontario March of Dimes

Niagara Personnel Limited

CBI Home Health

CanCare Health Services Inc.

Bayshore Home Health Care

Alert/Best Nursing Home Care

Acclaim Health

Heart and Stroke Foundation of Ontario – St. Catharines

Heart and Stroke Foundation of Ontario – Halton Region Office

Heart and Stroke Foundation of Ontario – Hamilton Office

St. Leonard’s Community Services

Brant County Health Unit – Quit Clinic

Haldimand-Norfolk County Health Unit

Brant County Health Unit – Self Help Resources

Lear Communication Inc.

Norfolk General Hospital

Acute Neuro and Amputee Program – Brantford General Hospital

Saint Elizabeth Rehabilitation Services

Great Lakes Physiotherapy

Simcoe Physiotherapy Centre

Parkway Physiotherapy

Leslie Larkin, Physiotherapist

Helping Hands In-Home Physiotherapy

Norfolk Aphasia Program

Haldimand Abilities Centre

Adult Recreation Therapy Centre

Adult Recreation Therapy Centre

Adult Recreation Therapy Centre

Public Health Resource Centre – Region of Waterloo

Sheila MacDonald & Associates: Speech-Language Pathology Services

Lear Communication Inc.

Saint Elizabeth Rehabilitation Services

Active Home Rehab

Waterloo Wellington Regional Aphasia Program

Strok Recovery Canada – Kitchener/Waterloo Chapter

Stroke Recovery Canada – Guelph/Wellington Chapter

Stroke Recovery Canada – Cambridge Chapter

Heart Niagara – Healthy Daily Living Program

Nicotine Anonymous (7pm meeting)

Niagara Health System – Addiction Services

Niagara Region Public Health

Heart Niagara

Adaptive Rehab Inc.

Welland Hospital Site

Speech in Motion

Speech in Motion

Saint Elizabeth Healthcare

St. Catharines General Hospital Site

Niagara Aphasia Centre

Hotel Dieu Shaver Health and Rehabilitation Centre

Greater Niagara General Hospital Site

Community Rehab

Revera – Comcare Health Services

Welland Hospital Site

Saint Elizabeth Healthcare

Hotel Dieu Shaver Health and Rehabilitation Centre

Greater Niagara General Hospital Site

Community Rehab

Revera – Comcare Health Services

Welland Hospital Site

Saint Elizabeth Healthcare

Port Colborne General Hospital Site

Niagara-on-the-Lake Hospital Site

Linda Martin Physiotherapy

Greater Niagara General Hospital Site

Foundations for Movement

Douglas Memorial Hospital Site

Community Rehab

Revera – Comcare Health Services

Cline Physiotherapy

Stonechurch Family Health Centre

Dell Pharmacy

St. Joseph’s Tobacco Addiction Recovery Program (TARP)

Upper Ottawa Physiotherapy

Upper Ottawa Physiotherapy

Anderson Speech Consultants

West End Physiotherapy Clinic

Victoria Community Physical Rehab

Upper Ottawa Physiotherapy

Steel City Physiotherapy and Dundas Wellness Centre

Queenston Physiotherapy

Mountain Physiotherapy

Mark Physiotherapy Services – Parkdale Location

Mark Physiotherapy Services – Mohawk Location

Hamilton Physiotherapy Clinic

Flamborough Physiotherapy and Rehabilitation

Drury Lane Physiotherapy and Rehabilitation

Charlton Physiotherapy

Brant 730 Physiotherapy

Outpatient Rehabilitation -Hamilton Health Sciences

St. Elizabeth Rehab

Hotel Dieu Shaver Health and Rehabilitation Centre

Halton Stroke Fellowship

Halton Young Stroke Survivors – Peel

Burlington Chapter, Stroke Recovery Canada

Hamilton Young Stroke Survivors Group

The Hamilton-Wentworth Stroke Recovery Association

Secondary Stroke Prevention Clinic (SSPC) – Brantford

Secondary Stroke Prevention Clinic (SSPC)- Norfolk Location

Secondary Stroke Prevention Clinic (SSPC)- Mississauga Location

Secondary Stroke Prevention Clinic (SSPC) – Norfolk Location

Secondary Stroke Prevention Clinic (SSPC) – Willett Location

Secondary Stroke Prevention Clinic (SSPC) – Kitchener Location

Secondary Stroke Prevention Clinic (SSPC) – Niagara Location

Secondary Stroke Prevention Clinic (SSPC) – Hamilton Location

WW LHIN Home and Community Care- Guelph Office

WW LHIN Home and Community Care – Cambridge Office

WW LHIN Home and Community Care – Waterloo Office

HNHB LHIN Home and Commuity Care – Niagara Office

HNHB LHIN Home and Community Care – Brantford Office

HNHB LHIN Home and Community Care – Haldimand-Norfolk Office

HNHB LHIN Home and Commuity Care- Burlington Office

HNHB LHIN Home and Community Care – Hamilton Office

Niagara Health System – St. Catharines Hospital

West Lincoln Memorial Hospital

Haldimand War Memorial Hospital

Dunnville Hospital and Healthcare Foundation

Brant Community Healthcare System – Willet Hospital

Brant Community Healthcare System – Brantford General Hospital

Norfolk General Hospital

Palmerston and District Hospital

Douglas Memorial Site

West Haldimand General Hospital

Welland Hospital Site

Port Colborne General Hospital Site

Niagara-on-the-Lake Hospital Site

Greater Niagara General Hospital Site

Grand River Hospital – Freeport Site

Groves Memorial Community Hospital

Louise Marshall Hospital

Grand River Hospital – Kitchener-Waterloo Site

St. Mary’s General Hospital

Cambridge Memorial Hospital

Guelph General Hospital

St. Joseph’s Health Centre Guelph

St. Joseph’s Healthcare Hamilton – West 5th Campus

St. Joseph’s Healthcare Hamilton – King Campus

St. Joseph’s Healthcare Hamilton – Charlton Campus

St. Peter’s Hospital

Juravinski Hospital

Hamilton General Hospital

Chedoke Hospital

Oakville Trafalgar Memorial Hospital

Milton District Hospital

Georgetown Hospital

Joseph Brant Memorial Hospital

Drive Test

Drive Test

Drive Test

DriveABLE

DMA Rehability

CBI Health Centre

CBI Physiotherapy and Rehabilitation Centre – Kitchener

St. Joseph’s Health Centre – Driving Assessment Program

CBI Physiotherapy and Rehabilitation Centre – Cambridge

Kiwanis Transit

Community Care Concepts

Community Care Concepts

Care Ring Elmira

Waterloo Home Support Services

United Taxi

K-W Poppy Fund for Veterans

K-W Access-Ability

Community Support Connections

Community Outreach Program

Canadian National Institute for the Blind

Voyageur

VON – Waterloo/Wellington

Seniors for Seniors

Red Top Taxi

Outreach Transportation Program

Guelph Transit Mobility Service

East Wellington Advisory Group

Dufferin County Community Support Services

Royal Canadian Legion

P.A.T.E.R. Program

Grand River Transit (GRT) Mobility Plus

Grand River Transit (GRT)

Six Nation Medical Transportation

Simcoe Courtesy Cab

Canadian Red Cross Society

Paris Taxi Service

County of Brant

Brantford Lift

Haldimand Norfolk Senior Support Services

Brant Taxi

Brantford Transit System

Welland Handitrans

Thorold Transit

St. Catharines Transit

Canadian Red Cross Society

Pelham Cares

Para Transit

Niagara Specialized Transit

Niagara Falls Transit

Niagara Falls Taxi

Elite Taxi

Community Support Services of Niagara

Chair-A-Van

Central Taxi

5-0 Taxi

5-0 Taxi

5-0 Taxi

Flamborough Senior Bus and Community Services Bus

Seniors for Seniors

Senior Homecare by Angels

Dundas Community Services

Glanbrook Home Support

Ancaster Community Services

Stoney Creek Senior’s Outreach Service

St. Joseph’s Home Care

Volunteer Assisted Transportation Program

Canadian Red Cross Society

Canadian Red Cross Society

Canadian Red Cross Society

Handi Van and Taxi Scrip Program

Dial a Ride Taxis

Burlington Transit

Burlington Handi-Van

Darts Transit Hamilton

Hamilton Street Railway (HSR)

St. Mary’s Hospital – Driving Assessment Centre

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Advance Driver Rehabilitation Service

CBI Physiotherapy and Rehabilitation Centre

Saint Elizabeth Health Care

CBI Physiotherapy and Rehabilitation Centre

Driver and Vehicle Licensing – Ministry of Transportation

Driver and Vehicle Licensing – Ministry of Transportation

Driver and Vehicle Licensing – Ministry of Transportation

Driver and Vehicle Licensing – Ministry of Transportation

Driver and Vehicle Licensing – Ministry of Transportation

Driver and Vehicle Licensing – Ministry of Transportation

Driver and Vehicle Licensing – Ministry of Transportation

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Ministry of Transportation – Parking Permits

Drive Test

Drive Test

Drive Test

Rehabilitation After Leaving the Hospital

 

Home Health Care

Home and Community Care involves nursing, rehabilitation and personal care to clients in a home setting. These services are designed to help individuals address everyday needs, continue with rehabilitation therapy, promote ongoing recovery as well as address risks that may be present within the home setting. Home care services often provide assistance with personal care, household chores and financial management.

Outpatient Stroke Rehabilitation Programs

Outpatient therapy in the sub-acute phase of stroke (4-8 weeks post stroke) is often prescribed following discharge from in-patient stroke rehabilitation units. Continuing therapy may include hospital-based “day” hospital programs or home-based rehabilitation.1

Sources

1 – EBRSR Outpatients

Private Stroke Therapy

An option for continuing therapy after stroke once leaving the hospital is to access private therapy services. If a person wants private therapy they can ask their healthcare team for further options.

Helpful Links

Guidelines for Community Based Exercise 2016: Programs for People with Stroke

Canadian Partnership For Stroke Recovery

Hamilton Niagara Haldimand Brant Healthline Stroke Resources

Waterloo Wellington Healthline Stroke Resources

LHIN Home and Community Care
Hamilton Niagara Haldimand Brant Home Care Information
Waterloo Wellington Home Care Information

Racing Against the Clock: Interprofessional Best Practices in Hyperacute and Acute Stroke Care

Presentation 1 – Introduction to Central South Regional Stroke – Handouts

Presentation 2 – Linking Symptoms to Imaging

Presentation 3 – AVERT Trial Debate – Implications for Practice Handout

Presentation 4 – Identifying Critical Changes in your Stroke Patient – Handout

Presentation 6 – tPA Where are we now handouts

Presentation 7 – Management of the Hemiplegic Arm and Prevention and Management of Shoulder Pain 2017 – Handouts

Presentation 8A – Dysphagia, Oral Care Hydration – Handouts

Presentation 8B – Dysphagia – Oral Care, Nutrition -Handouts

Presentation 9 – Mechanical Thrombectomy for Acute Ischemic Stroke – Handouts

Facilitating Recovery: Interprofessional Best Practices in Rehab Stroke Care Workshop

Bobath Concept Today – Handout

Right Hemisphere Stroke – Beyond Left Hemiparesis

Managing Executive Function Difficulties Using Metacognitive Strategy Training

Update on Evidence-based Approaches to Aphasia Management Across the Continuum of Care

Brain Bowel and Bladder – Presentation Handout

Sexuality after Stroke – Presentation – Slides

Out of the Shadows and Into the Circle – Partnering with Family Caregivers

Canadian Stroke Best Practices Recommendations

CorHealth Ontario Quality Based Procedure Resource Centre

Stroke Engine

Evidence-Based Review of Stroke Rehabilitation

Community Stroke Rehabilitation and Re-integration

Inpatient Stroke Rehabilitation

Acute Stroke Care

Canadian Stroke Best Practice Recommendations

Health Professional Association’s Education Links

Registered Nurses’ Association of Ontario

Ontario Society of Occupational Therapists 

Canadian Physiotherapy Association

Canadian Association of Social Workers 

The Ontario Association of Speech-Language Pathologists and Audiologists 

Therapeutic Recreation Ontario

Educational Event Resources

Facilitating Recovery: Interprofessional Stroke Rehab Best Practices Workshop June 14, 2018

Racing Against the Clock: Interprofessional Hyperacute/Acute Stroke Best Practice Workshop 2018

Leora Cherney Evidence-Based Aphasia Treatments March 23, 2018

Hamilton Health Sciences Integrated Stroke Program Annual Review 2018

Central South Regional Stroke Network Rehabilitation Intensity Forum

Racing Against the Clock: Interprofessional Best Practices in Hyperacute and Acute Stroke Care Workshop – June 1, 2017

Facilitating Recovery: Interprofessional Best Practices in Stroke Rehab Care Workshop – June 8, 2017

Central South Regional Stroke Network Rehabilitation Intensity Forum 2017

Central South Aphasia Training Day for Healthcare Providers

Health Information Management Roundtable – November 16, 2017

Regional and Provincial Maps

Map of Central South Regional Stroke Network

Map of Regional Stroke Centres Across Ontario

Map of District Stroke Centres Across Ontario

More about the Ontario Stroke System and the Central South Regional Stroke Network

About the Central South Regional Stroke Network

The Regional Stroke Program is accountable for providing leadership, development, implementation and integration of stroke care throughout the Central South Region and across all points in the spectrum of stroke care (health promotion, primary and secondary prevention, acute care, rehabilitation and community reintegration including long term care).

The Regional Stroke Centre has a Regional Stroke Steering Committee (RSSC) to oversee coordination. This committee meets twice per year.

Organized Stroke Care

Organized stroke care, an integrated evidence-based approach to managing stroke, has been shown to reduce mortality and morbidity and improve functional ability and quality of life for stroke patients. Organized stroke care includes the entire continuum of care, from prevention to community re-engagement. The objective of organized stroke care is to improve stroke outcomes by ensuring that the time to definitive diagnosis and treatment is minimized and that optimal treatment is offered.

The Ontario Stroke System is based on a three-tiered model consisting of Regional Stroke Centres (RSCs), District Stroke Centres (DSCs) and community hospitals.

Central South Ontario has one Regional Stroke Centre: Hamilton Health Sciences, Hamilton General Hospital and three District Stroke Centres: Brant Community Healthcare System, Brantford General Hospital, Grand River Hospital and Niagara Health System, Greater Niagara General Hospital.

Mission, Vision and Values

Community Stroke Rehabilitation and Re-integration

Stroke Services Directory

Hemiplegic Arm Protocol

Guidelines for Community Based Exercise Programs for People with Stroke

Taking Action for Optimal Community and Long-Term Stroke Care (TACLS)

Quality-Based Procedures Clinical Handbook for Stroke

Aphasia Institute: Introduction to Supportive Conversation for Adults with Aphasia Self-Directed Learning Module

Central South Regional Stroke Network Education Calendar

Attend workshops and educational seminars on the latest on stroke care.

Meet Our Team and Contact Us

Inpatient Stroke Rehabilitation

Hemiplegic Arm Protocol

Stroke Services Directory

Quality-Based Procedures Clinical Handbook for Stroke

Graded Repetitive Arm Supplementary Program (GRASP)

CorHealth Ontario Rehabilitation Intensity Videoconference Summary 2014-2016

CorHealth Ontario Clinical Tools and Resources: Rehabilitation Intensity

Aphasia Institute: Introduction to Supportive Conversation for Adults with Aphasia Self-Directed Learning Module

Acute Stroke Care

Hemiplegic Arm Protocol

Stroke Services Directory

Quality-Based Procedures Clinical Handbook for Stroke

Graded Repetitive Arm Supplementary Program (GRASP)

Aphasia Institute: Introduction to Supportive Conversation for Adults with Aphasia Self-Directed Learning Module

Central South Regional Stroke Network Rehabilitation Intensity Forum

Stroke Rehabiliation Intensity Forum Introductory Presentation – Central South Regional Stroke Network – April 28, 2016

A Minute to Win It! Striving Towards Rehabilitation Intensity in Inpatient Stroke Rehabilitation Program – Sunnybrook St. John’s Rehab – April 28, 2016

Developing a 7-Day Therapy Model: Considerations for Success – Hamilton Health Sciences – April 28, 2016

Regional Stroke Inpatient Rehabilitation Network – RSIRN Launch – Central South Regional Stroke Network – April 28, 2016

Hyperacute Treatment for Stroke

For the first time, acute stroke became a treatable disorder 20 years ago. Before the advent of thrombolysis (tPA) for acute ischemic stroke all we could offer someone who presented to hospital with a stroke was supportive care.

The injection of tPA(tissue plasminogen activator) into patients who present to hospital with acute stroke has improved the chances of a better recovery after stroke. tPA is a time sensitive treatment that can only be given within the first 4.5 hours after the stroke starts. tPA can only be given to patients with stroke due to a block in the circulation (most strokes), and not to stroke caused by bleeding into the brain. The treatment has to be used with caution and in the right patient as a side effect is bleeding. When used in the appropriate person tPA on average substantially improves the outcome in 1 in 6 people and with a bleeding complication risk of less than 1 in 30.

The most important factor that can lead to a good outcome is to act “FAST”. Know the warning signs of stroke: facial weakness, arm weakness, inability to speak normally. Act quickly, time is brain, call 911!

For some patients with an acute ischemic stroke (stroke due to blockage in the circulation), a new treatment has emerged. For those patients with a large clot in the circulation, sometimes, a catheter can be placed into the clot, and the clot can be removed, to restore the circulation. This treatment is also very time dependent and patients need to act “FAST”.

For more information on this treatment:

http://www.hamiltonhealthsciences.ca/documents/Patient%20Education/MechanicalThrombectomyREGIONAL-trh.pdf

 

Dr. Wes Oczkowski

Post Stroke Checklist

This Post-Stroke Checklist has been developed to help healthcare professionals identify decline or changes in post-stroke function and cognition that may respond well to treatment and/or referral. It is a brief and easy-to-use tool, intended for completion with the patient and the help of a caregiver, if necessary. Post-Stroke Checklist administration provides a standardized approach for the identification of long-term problems in stroke survivors and facilitates appropriate referral for treatment.

Stroke Services Directory

Access stroke resources and services in your area.

Information about TIA or mini-stroke

Information about signs and symptoms, prevention and treatment of a Transient ischemic attack (TIA).

Stroke Prevention for Primary Care Providers

Infographic about stroke prevention in South Central Ontario.

Stroke Prevention Clinic Referral Forms

Download Stroke Prevention Clinic referral forms

Grand River Hospital Stroke Prevention Clinic Referral Form

Download the Grand River Referral Form

Stroke Prevention Best Practices

A comprehensive summary of current evidence- based recommendations for clinicians in a range of settings, who provide care to patients following stroke.

Global Stroke Guidelines and Action Plan: A Road Map for Quality Stroke Care

Canadian stroke best practice recommendations: Secondary prevention of stroke, sixth edition practice guidelines, update 2017

Greater Niagara Hospital Stroke Prevention Clinic Referral Form

Download the Greater Niagara Hospital Referral Form

Stroke Treatment

An overview of available stroke treatments.

Hamilton General Hospital Stroke Prevention Clinic Referral Form

Download the Hamilton General Hospital Referral Form.

Brant Haldimand Norfolk Stroke Prevention Clinic Referral Form

Download the Brant Haldimand Norfolk Referral Form

Acute Stroke Treatment

The central south region is supported by a hyper-acute stroke system.

Stefan Pagliuso

Rhonda Whiteman

Darlene Venditti

Barbra Kubilius

Linda Gould

Post Stroke Checklist

Secondary Stroke Prevention Clinics (SPC)

***The Stroke Prevention Clinic is an outpatient clinic and does NOT replace an Emergency Department. If you have signs or symptoms of a stroke, call 911 right away!!***

Our goal is to reduce the incidence of stroke by:

• Providing early assessment and interventions
• Providing fast access to diagnostic tests
• Providing education to patients and family members about reducing risk for stroke

Our services include:

• Fast access to stroke specialists
• Rapid access to diagnostic tests
• Risk factor screening and counseling
• Referrals to neurosurgical services
• Referrals to outpatient services as needed

What to expect at the Stroke Prevention Clinic:

• You will meet with a doctor and/or a nurse who specializes in stroke prevention care
• They will discuss your medical history, risk factors and medications
• They may order medical tests and/or medications
• They may also suggest lifestyle changes and provide you with information and suggestions on how to lower your risk of stroke

Stroke Risk Factors

There are risk factors for stroke that you can change (modifiable) and those that you cannot change (non-modifiable):

Modifiable (Things you can Change)

• Blood Pressure
• Cholesterol
• Weight
• Nutrition
• Diabetes
• Smoking
• Medication Adherence
• Alcohol Consumption
• Stress
• Exercise
• Sleep Apnea
• Atrial Fibrillation

NOT Modifiable (Things you Cannot Change)

• Age
• Gender
• Family History
• Ethnicity
• Previous Stroke/TIA History

How Does Rehabilitation Help?

Stroke Rehabilitation helps a person reach their personal goals.1 While in rehabilitation people will learn skills to help them:

• Get stronger
• Problem-solve
• Cope with stroke
• Re-connect with the community

Stroke rehabilitation helps people be as independent as possible.

How long persons need to be in rehabilitation depends on their needs following a stroke.
If you have questions about your personal plan of care, please link with your healthcare team for more information.

Sources

1. Dawson D, Knox J, McClure A, Foley N, and Teasell R, on behalf of the Stroke Rehabilitation Writing Group. Chapter 5: Stroke Rehabilitation.
In Lindsay MP, Gubitz G, Bayley M, and Phillips S (Editors) on behalf of the Canadian Stroke Best Practices and Standards Advisory Committee. Canadian Best Practice Recommendations for Stroke Care: 2013; Ottawa, Ontario Canada: Heart and Stroke Foundation and the Canadian Stroke Network.
2. MOHLTC, (2000) Report on the Joint Stroke Strategy working Group: Executive Summary – Toronto, Ontario
3. Final Report of the Stroke Rehabilitation System, Consensus Panel, 2007

Stroke Recovery Chapters

Stroke Recovery Chapters help persons with stroke and their caregivers connect with peers, exchange information and resources, learn new skills, explore the personal impact of stroke and build supportive relationships. These groups are open to persons who have had a stroke, family members, caregivers, health care providers, volunteers and friends.

There are many stroke recovery chapters and support groups around the Central South Region. See below for a listing of all of these groups:

For More Information

March of Dimes

Hamilton/Burlington
Hamilton Young Stroke Survivors
Hamilton Wentworth Stroke Recovery Association
Stroke Recovery Canada Burlington Chapter
Halton Stroke Fellowship

Niagara
Survivors of Stroke (S.O.S) Niagara

Guelph
Stroke Recovery Canada – Guelph Wellington Chapter

Cambridge
Cambridge Stroke Recovery Association

Kitchener-Waterloo
Kitchener Waterloo Stroke Recovery Chapter

What is a Stroke

stroke-event

A stroke is a sudden loss of brain function. It is caused by the blockage of blood flow to the brain or the rupture of blood vessels in the brain.
Each stroke is different. The effects of the stroke depend on where the brain was injured and how much of the brain is damaged.

Locations of Stroke

locations-of-a-stroke-1

A stroke can happen in different areas of the brain:
• cerebrum
• brain stem
• cerebellum

Stroke in the cerebrum

The cerebrum is the largest part of the brain. It controls your speech, thinking, reasoning, memory, sexual function and your emotions. It also controls the movements in other parts of the body.

The cerebrum is divided into two parts; the right and left side. The effects from your stroke depend on which side of the brain was affected.

locations-of-stroke-2

Stroke in the brain stem

The brain stem is the area at the very base of the brain, right above the spinal cord.

A stroke in the brain stem can cause:
• weakness or paralysis in both arms and legs
• problems breathing
• heart problems
• difficulty in controlling your body temperature
• problems with balance and coordination
• problems chewing, swallowing and speaking
• problems seeing.

Stroke in the cerebellum

Although strokes in this area are less common, strokes in the cerebellum can be severe and cause problems with walking, coordination and balance called ataxia as well as problems with dizziness, headache, nausea and vomiting.

Types of Stroke

types-of-stroke-1

This type of stroke is caused by a blood clot or a blockage within an artery leading to the brain. This affects the blood flow to the brain.

types-of-stroke-2

There are two causes of ischemic stroke:

1. Embolic stroke: It is a result of a blood clot that was formed somewhere other than the brain. The blood clot travels in the bloodstream until it becomes lodged in the smaller arteries leading to the brain.

2. Thrombotic stroke: This is a result of diseased or damaged arteries in the brain. The artery becomes blocked by the formation of a blood clot within the brain.

Hemorrhagic stroke

Hemorrhagic-stroke

This stroke is caused when an artery bursts in the brain allowing blood to leak inside the brain causing damage.

Types of hemorrhagic stroke

• Intracerebral hemorrhage – When an artery in the brain breaks and the blood enters the brain.

• Subarachnoid hemorrhage – When a brain aneurysm ruptures, it causes bleeding into the compartment surrounding the brain, the subarachnoid space and is therefore also known as a subarachnoid hemorrhage.

Transient Ischemic Attack (TIA)

TIA is short for transient ischemic attack. It means a short term, lack of blood supply to the brain. TIAs usually last from 30 seconds up to 24 hours.

TIAs are often referred to as ‘mini-strokes’ and are considered to be a serious sign of an increased risk of stroke. The signs of a TIA are the same as a stroke but are temporary.

Signs of a TIA:

• weakness
• vision problems
• trouble speaking
• dizziness
• headache

Stroke Signs

What a Stroke Looks Like

Heart and Stroke Foundation spokesperson and Stroke Selfie Survivor Stacey Yepes shares her experience as a stroke survivor and helps educate Canadians on the FAST signs of stroke.

Getting Back to Your Community

Once you have finished your rehab, it is important for people to get back to their life roles such as a spouse, co-worker or grandparent and to the activities you enjoyed before your stroke. This can be difficult when dealing with weakness, pain and other limitations that have occurred because of your stroke. Your care up to this point will have been focused on helping you identify meaningful goals for getting back to your community. The health care team will help you accomplish these goals. It is important to include many partners in this process for example family, friends, stroke recovery associations, ongoing outpatient rehabilitation programs and community supports.
The following are some examples of help that might be needed to support people returning to their community after stroke:
– Social support,
– Monitoring of caregiver burden and depression,
– Family education,
– Mechanisms to adapt to social and leisure activities post stroke,
– Leisure therapy, and;
– Encouragement to actively participate in all aspects of society.

Preventing Secondary Stroke

Where Does Rehabilitation Take Place?

Rehabilitation after a stroke can take place in different locations such as:
– In-hospital (inpatient) rehabilitation
– Out of hospital (outpatient) rehabilitation
– In your home where healthcare workers will guide your therapy

Rehabilitation after a stroke can take place in one or a combination of any of these locations.

Helpful Stroke Rehabilitation Links:

Stroke Best Practices – Rehabilitation

Canadian Partnership for Stroke Recovery

Canadian Partnership for Stroke Recovery – Stroke Engine

Central South Regional Stroke Network Facebook Page

Heart and Stroke Tips and Tools

Ontario Stroke Network

Ontario Stroke Network – Rehabilitation Management

Who Takes Part in Your Rehabilitation?

There are many individuals involved in your stroke recovery journey.

Doctor

Organizes your medical care

Registered Nurse/ Registered Practical Nurse

Nurses plan and provide your daily care, answer questions, address concerns and assist with discharge planning.

Dietitian Technicians

Dietitians and diet technicians assess your nutritional status, provide education and ensure that your nutritional needs are being met.

Occupational Therapist(OT)

Occupational therapists assess your ability to perform your activities of daily living (dressing, bathing, grooming and cooking) and help you to become more independent. They provide activities to increase your tolerance for activities and make recommendations for services and equipment you may need after discharge.

Physiotherapist (PT)

Physiotherapists assess your physical functioning and provide treatments that will improve your balance, endurance, strength and movement patterns. They will also provide recommendations for services and equipment you may need after discharge.

Therapy Assistant

Therapy assistants provide treatment and carry out care plans as directed by the OT and PT.

Pharmacist

Pharmacists assess your medications and dosages; provide education about your medications.

Social Worker

Social workers help you and your family learn ways to cope with the changes you are experiencing. They also provide information on financial and community support services and assist with discharge planning.

Speech Language

Speech Language Pathologists assess and make recommendations to help with your swallowing. They also assess and provide treatment strategies if you are having difficulty with speaking, understanding, reading or writing.

Spiritual Care

Spiritual care provides you and your family with support, spiritual guidance and counseling.

LHIN home and community care coordinator

LHIN home and community care coordinators work with the team to arrange for support and equipment you will need after discharge.

Recreation Therapist

A recreation therapist will help you get involved in recreation and leisure activities. They can help you learn new skills and adapt previous activities to your abilities.

Reducing Your Risk for Stroke

  • Diabetes or high cholesterol. A diagnosis of high blood pressure, diabetes or high cholesterol requires a medical assessment.
  • Always take your medications as prescribed. If you have questions about your medication talk to a pharmacist or health care provider.
  • Be smoke free. After quitting smoking your risk of stroke will decrease. It’s never too late to quit. Contact your local public health unit to find out what resources are available to help you quit.
  • Eat a healthy, balanced diet. Limit your sugar, salt and fat intake. Follow Canada’s Food Guide recommendations.
  • Drink Sensibly. Women should limit themselves to no more than 2 standard drinks a day, with a weekly maximum of 10. Men should drink no more than 3 standard drinks a day, with a weekly maximum of 15.
  • Be physically active by accumulating 150 minutes of moderate to vigorous activity per week, in episodes of 10 minutes or more at one time.
  • Manage your stress. Identify the sources of stress in your life, talk to friends and family, take time for yourself and seek help if needed.
  • Maintain a healthy weight.

FOR MORE INFORMATION PLEASE VISIT THE FOLLOWING WEBSITES:

Heart & Stroke Foundation

Heart and Stroke Foundation Website
Stroke Prevention and Risk Factors
Atrial Fibrilliation
Coping with Stress Brochure
Your Health and Your Weight

Canadian Centre for Substance Abuse

Canada’s Low Risk Alcohol Consumption Guideline

Canadian Society For Exercise Physiology

Canada’s Physical Activity Guidelines

Smokers Helpline

Smokers Helpline Website

Hypertension Canada

Hypertension Canada Website

Canada’s Food Guide

Canada’s Food Guide

Aphasia Programs

Aphasia is a language problem that masks a person’s inherent competence, and most dramatically affects conversational interaction (talking and understanding), as well as the ability to read and write.
Aphasia is usually the lasting result of a stroke or brain injury, but may also be caused by other neurological conditions such as dementia or brain tumours. Aphasia may be classified as an invisible disability, though it is not well known or understood in the community.
Many adults with aphasia know exactly what is going on, have opinions on issues, have the desire to socialize, and are capable of participating in decisions that pertain to them. But aphasia affects a person’s ability to communicate feelings, thoughts and emotions, or the ability to understand what others say. 1

Aphasia programs in the Central South Region allow people with aphasia the means to actively engage and participate in conversation using specific communication strategies. The group sessions are facilitated by a combination of Speech-Language Pathologist and Communicative Disorders Assistant with support from community volunteers.
A typical Aphasia Group session may include:
– Discussing current topics & expressing opinions
– Role-playing everyday communication scenarios to develop conversational skills of listening and reading comprehension
– Supporting one another to participate and gain confidence in communicating

Sources

1 Kagan, A. & Simmons-Mackie, N. (November 2013). From My Perspective: Changing the Aphasia Narrative. The ASHA Leader, Vol. 18(11), 6-8. doi: 10.1044/leader.FMP.18112013.6.
Retrieved from http://leader.pubs.asha.org/article.aspx?articleid=1788363&resultClick=1
From http://www.aphasia.ca/home-page/about-aphasia/what-is-aphasia/
http://www.wwhealthline.ca/displayservice.aspx?id=156831

For More Information

There are many aphasia groups around the Central South Region. See below for a listing of all of these groups:
Hamilton/Burlington:
SAM Aphasia Program – (905) 525-5632
Halton Aphasia Centre – (905) 875-8474
Niagara:
Niagara Aphasia Program at Fairhaven – (905) 371-1569
Brant Haldimand Norfolk:
ARTC Aphasia Program – (519) 753 1882
Waterloo Wellington:
Waterloo Wellington Regional Aphasia Program – (519) 824-6000 ext 4357

Exercise

Exercise is any activity that requires physical effort and is carried out to sustain or improve health and fitness. Exercise is an important part of stroke rehabilitation. It can help you better perform many every day activities, such as walking, moving around your home and community, climbing stairs, eating, personal care, and dressing.1

Sources

1- http://www.canadianstroke.ca/wp-content/uploads/2015/02/CPSR_Guide_Patients-English_WEB2.pdf

For More Information

Patient’s Guide to Aerobic Exercise After Stroke

Fit For Function

This community-based exercise and educational program is designed for persons with stroke and their caregivers to gain confidence in managing the challenges of living with stroke. The partners include the YMCA of Hamilton/Burlington/Brantford, the YMCA of Niagara, Hamilton Health Sciences, McMaster University, Brant Community Healthcare System and Niagara Health System.
Fit For Function is currently recruiting people who have had a stroke to participate in a research study.
All people who agree to take part in the study will be randomly assigned to either an intervention group who will receive the “Fit for Function” Stroke Wellness Program, or to a control group who will receive a regular YMCA membership. Participation for both groups is three months and a YMCA membership is provided.
You will have an equal chance of being assigned to either group. The program is led by YMCA staff with support from a physiotherapist.
You are able to participate if you:
– Have had a stroke
– Are 18 years of age or older
– Are living in the community
– Are able to walk independently with or without an aid for a distance of at least 10 metres
– Are able to be active for 60 minutes with rest breaks
– Are able to independently follow instructions
– Have permission from your doctor
– Are not involved in active rehabilitation

For More Information

For more information about the study or to sign up now, please contact:
Susanne Sinclair – Study Coordinator
905 525-9140 ext. 27810
The Les Chater YMCA is running Fit For Function for those that want to do the program but do not want to participate in the study.

Retirement Homes

Retirement homes are best suited for people who can be independent in their own apartment, but would like to not have to worry about their meals, cleaning and medication management. Retirement homes also provide you with a social environment and have activities and outings. You must be able to go to the washroom on your own and be able to be left alone and be safe.

Waterloo Wellington YMCA Programs

In Neuro Fit, Key components of fitness are trained including strength, balance and mobility. Neuro Fit is designed to help participants to keep up with the physical demands of everyday life and to build their confidence to be active with others at the YMCA.
Neuro Fit programs run for 8 weeks, with 3 sessions per week. Sessions run Mondays, Wednesdays and Friday afternoons. This includes one session in the gym or pool. Participants must be able to walk 10 metres with or without a walking aid.

For further program information

519-743-5201 x 255

Fitness for Function

Fitness For Function offers customized exercise support for individuals with neurological conditions and/or impaired physical mobility or Neuro Fit graduates. Participants are provided with an individualized and progressive exercise program, as well as weekly healthy living education. Fitness for Function meets three times per week for a total of 12 weeks. This includes one session in the gym or pool.

For further program information

519-743-45201 x 255

Healthy Eating and Nutrition

Healthy eating and nutrition is an important aspect of post-stroke living. Here are a few helpful resources and guides for individuals who have had a stroke, as well as their families and caregivers.

Resources & Guides

Heart and Stroke Foundation Healthy Recipes

Canada’s Food Guide

Long Term Care

Long term care involves organized care in a more institutional like setting for people of all ages who need longer term support with daily activities. The goals in these settings involve maximizing quality of life with the best degree of independence possible. Individuals who need access to long term care often have higher needs after stroke.
Long term care homes provide organized care 24 hours a day. This care involves 24 hour access to nursing and personal support and regular day time access to medical, pharmacy and other services based on the needs of the resident.

Helpful Links

Some helpful links that will be of assistance to those who have had a stroke, as well as their families, caregivers and friends

For More Information

Heart and Stroke Foundation

CorHealth Ontario

March Of Dimes Canada

Canadian Stroke Best Practice Recommendations

Your Stroke Journey

This guide is for adults who have had a stroke, their care partners, family and friends..
It is designed to:
• help you understand stroke and its effects
• give you tips and strategies for living your life fully
• help you know that you are not alone in your recovery
• tell you about the support services, healthcare providers and networks of stroke survivors that can help you on your journey.

For More Information

Heart & Stroke Foundation: Publications – Your Stroke Journey

Leanne Hammond

Tammy Tebbutt

Venessa Bailey


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