As the only Level I Trauma rehabilitation hospital in the Inland Northwest, St. Luke’s is committed to helping patients recover from stroke – the leading cause of adult disability in the U.S.
We thrive on our patients’ success, and it shows: St. Luke’s sends 76 percent of our amazing patients back into the community. Behind each success story is a determined patient, and a team of interdisciplinary therapists committed to helping that patient succeed.
At St. Luke’s, we understand that caregivers are crucial to the recovery process. We pride ourselves on our patient-centered model, which brings families into therapy settings and involves them in setting recovery goals. Our team collaborates regularly with regional and community centers to ensure that every patient who needs care receives it.
Upon admission, you are assigned to a rehabilitation team who will work with you throughout your rehab stay. This team includes:
- Physiatrist (doctor specializing in rehabilitation)
- Social worker and case manager
- Occupational therapist and assistant
- Physical therapist and assistant
- Speech and language pathologist
- Recreational therapist
- Nurse and assistant
- Rehab psychologist
- Other specialists, including:
- Respiratory therapists
Strokes happen in the blink of an eye. Our skilled therapists respond efficiently and effectively to help patients move toward a comprehensive recovery.
Features of our stroke care include:
- Therapy 5-7 days per week
- Support group for stroke survivors
- Contracts with specialty services such as labs, imaging and more
- Collaboration with regional and community centers for services
- Patient-centered model of care
- Access to ongoing support groups for stroke survivors
A stroke can make moving around your home and community difficult. You might not be able to walk fast enough, far enough or climb stairs. It can increase your risk of falls and injury. After a stroke, Physical Therapists (PT) work with you to regain independence in your ability to move.
Your PT will help you relearn or find new ways to do things, including:
- Get in and out of bed
- Get on and off a chair
- Walk or use a wheelchair, if needed
- Go up and down stairs
- Get in and out of a car
- Get up, if you fall
A stroke can make daily activities hard to do, including dressing yourself, getting on/off toilet or in/out of shower, cooking a meal, driving or managing medications.
After a stroke, occupational therapists work with you to regain independence in performing your Activities of Daily Living (ADL’s). This includes:
- Relearning how to do everyday activities the way you previously did
- Learning new ways to do everyday activities with compensatory techniques
- Relearning how to use your arm if it’s been affected by the stroke
- Assessing your safety for managing your medications, cooking and driving and making recommendations for return to these activities.
A stroke can impair your ability to engage in community activities and leisure pursuits. Aside from the physical changes that can occur from stroke, you may also experience changes to your vision, cognition, insight, safety or judgement.
Recreation therapy bridges the gaps to independence through:
- Helping you participate in leisure activities you enjoy
- Successful transition back home and into the community
Our team can help patients experiencing:
- Dysarthria - “slurred speech” from muscle control/strength in mouth
- Apraxia - problems motor planning movements of limbs or mouth
- Dysphagia - swallowing difficulty
Many stroke survivors are affected by emotional and mood changes. Feelings of frustration, depression and helplessness can all be part of a normal range of emotions. We want to make sure they aren’t getting in the way of participation in your therapies and motivation to recover from your stroke.
Our rehab psychologists will visit you during your stay and are available anytime you need them. Ask any of your caregivers anytime if you would like to talk with one, or a chaplain.
St. Luke's offers a support group for patients who have suffered from a stroke and their family members and caregivers.
The group meets 3-4 p.m. every third Thursday of the month. Please call the support group hotline to learn more or register: 509-473-6681.
Your first few days at St. Luke’s involves evaluations by all your caregivers. This will help to determine your rehab goals and our treatment plan.
Depending on your insurance, you may be required to complete three hours of therapy a day, five days a week. We will keep track of this for you, and if you’re ever feeling tired or ill, let your therapists know and we can modify your session to allow you to participate at a level you can tolerate.
We encourage friends and family to attend and participate in therapy sessions.
A significant amount of recovery is done within the first six months to a year after stroke. There are common symptoms associated with where in the brain the stroke occurs, but everyone is affected a little different. There is no use comparing your progress to anyone else.
The brain doesn’t like things that are too easy, it’s boring. If something is too hard, we give up. We don’t learn anything from either of these situations.
Our therapists specialize in determining what the “just-right” challenge is for you – where you are challenged, but you can succeed at the activity. This promotes the building of new connections in the brain and your recovery from stroke.
Your rehabilitation team will meet weekly to discuss discharge planning. These discussions will include:
- Determining your estimated discharge date
- Making sure you have a safe place to live after discharge
- Determining anticipated need for assistance and training of caregivers
- Recommendations for follow-up therapies and medical care
- Recommendations for community services (meal delivery, caregiver services, transportation)
- Team collaboration to solve any barriers to you returning home safely
When it’s your time to leave St. Luke’s, we will determine what therapies you would still benefit from and arrange continued services. These follow up services may include:
- Outpatient therapies
- Home health therapies
- Home health nursing
- Bath aide
Your rehab doctor will determine what follow up medical appointments are required, and St. Luke’s will schedule them for after discharge.