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. 2014 Apr 22;5:57. doi: 10.3389/fneur.2014.00057

Table 1.

Brief outline of care pathway for neurorehabilitation after stroke, Adapted from Ref. (20, 21).

Care stage Hyper-acute Acute Post-acute Home-based Outpatient
Time after event Minutes to hours Days 1–3 months Varies, but may be 3–6 months 6 months and beyond
Includes options (but not limited to) Recombinant tissue plasminogen activator, surgical/mechanical approaches Pharmaceuticals to modify thrombotic and embolic stroke risk, reduce risk of complications and promote neural recovery Behavioral and pharmaceutical treatments to promote neural reorganization, and treat depression Nursing care to optimize the home and survivor–caregiver interaction, exercise therapy Behavioral and pharmaceutical treatments to promote neural reorganization, exercise therapy, learning compensatory strategies
Recovery stage Neural recovery Neural reorganization Neural reorganization Neural reorganization Neural reorganization, also use of compensatory strategies
Rehabilitation management Begin clinical assessment of new limitations Complete clinical assessment, identify short- and long-term rehab goals, introduce neurorehabilitation care pathway stages to patient and family and begin arranging care transitions, initiate first part of treatment plan Develop short-term goals, continue treatment plan, re-assess clinical status, monitor progress and revise long-term goals, interpret treatment plan to patient and family Same as post-acute, but also implement community re-integration goals, identify and engage community-based support Same as home-based, continue engagement of community-based resources (e.g., vocational, driving training)