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Inpatient Stroke Rehabilitation Candidacy Screening Tool Date of Stroke: Addressograph Has the patient been observed walking 150 feet? Yes No Please circle score for each item Eating×Walking 1 2
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How to fill out inpatient stroke rehabilitation candidacy

How to fill out inpatient stroke rehabilitation candidacy:
01
Start by gathering all necessary medical documentation related to the stroke, such as diagnosis, treatment history, and any tests or imaging results.
02
Complete the patient demographics section, providing personal information such as name, contact details, date of birth, and insurance information.
03
Fill out the medical history section, including pre-existing conditions, previous strokes or neurological issues, and any allergies or medications currently being taken.
04
Provide detailed information about the stroke event, including the date it occurred, the severity of the stroke, and any immediate treatments received.
05
Describe any physical or cognitive deficits resulting from the stroke, such as weakness, difficulty speaking, or memory problems.
06
Include details about any previous rehabilitation or therapy services received after the stroke, and the outcomes of those interventions.
07
Write down the specific goals or expectations for the inpatient stroke rehabilitation, such as improving mobility, regaining independence in daily activities, or enhancing communication skills.
08
Indicate any additional support or resources that may be needed during the rehabilitation process, such as specialized equipment, assistive devices, or home modifications.
09
Provide contact information for the primary healthcare provider, neurologist, or other specialists involved in the stroke care.
10
Review the completed form for accuracy and completeness before submitting it for evaluation.
Who needs inpatient stroke rehabilitation candidacy:
01
Individuals who have experienced a stroke and require intensive rehabilitation to regain lost functions.
02
Patients who have significant physical or cognitive deficits that require specialized therapies and interventions.
03
Individuals who have completed initial acute care and are stable enough to participate in inpatient rehabilitation programs.
04
Patients who have specific goals for recovery that cannot be achieved through outpatient or home-based rehabilitation services.
05
Individuals who require 24-hour medical monitoring and access to a multidisciplinary team of healthcare professionals.
06
Patients who may benefit from a structured and intensive rehabilitation environment to maximize recovery potential.
07
Individuals who have the support system and resources necessary to participate in an inpatient rehabilitation program.
08
Patients who are motivated and willing to actively engage in the rehabilitation process to achieve their recovery goals.
09
Individuals whose healthcare provider or neurologist has recommended inpatient stroke rehabilitation as the most appropriate level of care.
10
Patients who have the financial means or access to insurance coverage that supports inpatient stroke rehabilitation services.
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What is inpatient stroke rehabilitation candidacy?
Inpatient stroke rehabilitation candidacy refers to the eligibility criteria for individuals to receive rehabilitation services for stroke as an inpatient in a healthcare facility.
Who is required to file inpatient stroke rehabilitation candidacy?
Patients who have experienced a stroke and need intensive rehabilitation services may be required to have their candidacy for inpatient stroke rehabilitation assessed.
How to fill out inpatient stroke rehabilitation candidacy?
To fill out inpatient stroke rehabilitation candidacy, healthcare professionals will assess the patient's medical history, current condition, and rehabilitation needs to determine if inpatient rehabilitation is necessary.
What is the purpose of inpatient stroke rehabilitation candidacy?
The purpose of inpatient stroke rehabilitation candidacy is to ensure that individuals who have experienced a stroke receive the necessary rehabilitation services in a controlled inpatient setting to maximize recovery and functional outcomes.
What information must be reported on inpatient stroke rehabilitation candidacy?
Information such as the patient's medical history, current condition, rehabilitation goals, and treatment plan must be reported on inpatient stroke rehabilitation candidacy.
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