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Routine IT maintenance on Wednesday, June 19 will cause service interruptions between midnight and 6:00am affecting the YourHealthNS app and on-line appointment booking including COVID-19 testing, blood collection, X-Ray, EKG and the Need a Family Practice Registry.  We apologize for any inconvenience.

Early Supported Stroke Discharge Team

The Early Supported Stroke Discharge team (ESD) is an interdisciplinary team including Recreation Therapy, Social Work, Occupational Therapy, Physiotherapy, Rehabilitation Assistants, Speech Language Pathology, Communications Disorder Technician and Dietitian. The ESD services NSHA Central Zone team provides intensive rehabilitation in the person’s home for up to 6 weeks.

To be eligible for services of the ESD team you must be:

  • 16 years of age and older
  • Diagnosed with an acute stroke. 
  • Mild to moderate stroke presentation
  • Living within Nova Scotia Health Central Zone and max 25 kms for the Bedford Commons (1658 Bedford Highway)
  • Able to tolerate 2 hours of therapy a day. 
  • Open to have staff coming to their homes 5/days a week for a max of 6 weeks

How do I prepare for stroke rehabilitation in my home?

  • Except to participate in therapies at least 2 hours a day
  • Expect to be tired. Fatigue after stroke is the most commons change people experience.
  • Plan ahead
    • Schedule at least one rest each day
    • You might want to have someone else cook meals, grocery shop and do the cleaning. 
    • Consider using  online ordering and delivery of food and essentials if that is an option.

What will happen during a visit from the early Supported Stroke Discharge Team?

Team members will meet with you in your home. During the first visit a team member will work with you to set goals and start to make a rehabilitation plan.

The team will work with you, your family, and caregivers to: 

  • Establish your rehabilitation goals.
  • Establish a daily schedule that includes therapy, rest, and daily activities.
  • Support you as you move from hospital to home and adjust to changes from having a stroke.
  • Teach you and others about having a stroke and issues that relate to it.
  • Support your family and caregivers in meeting your needs.
  • Transition you to outpatient services and integrating back into the community.
  • Work with community-based services to better support your needs

Will there be any follow up?

Just like inpatient stroke rehabilitation, the ESD team typically works with people for up to 6 weeks at a time. At the end of the ESD service it is common to be referred to outpatient discipline specific services such as Occupational Therapy, Physiotherapy and Speech Therapy. The team will also work with you to decide if there are other outpatient/ community services required. 
 

Accessing this Clinic, Program or Service

Located at the NeuroCommons, Unit 290
Tel: 902 221-5400
Fax: 902 425-6574

Referrals are accepted from Nova Scotia Health teams for individuals residing within Nova Scotia Health Central Zone and up to 25 kms from the NeuroCommons (1658 Bedford Highway).

A referral form must be faxed to the ESD Coordinator at 902-425-6574, including the ESD Physical Medicine and Rehabilitation Clinic consultation. This consult form is attached at the end of the ESD team referral. The ESD PM&R clinic consult must be filled out by a Doctor or Nurse Practitioner.

The client will be seen by the ESD coordinator while still in hospital after the referral has been sent. The referring source will be notified if the patient is accepted to the ESD program. 

Patient Education Resources

Early Supported Stroke Discharge Team

| .pdf

The Early Supported Stroke Discharge (ESD) team provides rehabilitation for people recovering from a stroke. This pamphlet explains who is eligible for ESD services, how to access services, what the team does, what will happen when the ESD team visits you, and what is expected of you.

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ESD Coordinator

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