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Planning for a Successful Transition From Rehab

Program Date: Oct. 17, 2012 
Estimated Time to Complete: 1 hour
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NOTE: Accreditation for this program has expired. This program is for informational purposes only.

This activity is jointly sponsored by Medical Education Resources and National Stroke Association.

The Program

A transition is simply a move from one status to another. The transition home after a stroke is critical to establishing a positive recovery; however, little is known about the transition experience of stroke survivors after discharge home (Rittman et al., 2004). Support during recovery and rehabilitation is necessary to help stroke survivors adapt to the effects of a stroke and help family members develop into the caregiving role (Cameron, Tsoi & Marsella, 2008). Therefore, it is necessary to develop and improve stroke survivor and caregiver experiences when they are transitioning to home.

Research has demonstrated that psychosocial dysfunction, depression and family dysfunction significantly increase during stroke recovery transitions (Rittman et al., 2004). In the post-stroke transition, both families and caregivers face adversities while adapting to changes in functional ability and role performance. Upon arrival home after rehabilitation, patients need to learn how to manage functional limits within their home and family lives. More so, chronic illness commonly results in feelings of dependence and helplessness; loss of independence is one of the most challenging post-ailment experiences. Survivors often have difficulty with simple, everyday tasks after a stroke (Cameron, Tsoi & Marsella, 2008). Additional side effects, such as depression and aphasia, are prevalent results of a stroke that make reintegration stressful and daily activities and tasks challenging, thus resulting in stress and frustration with the survivor. Furthermore, time is significantly altered in post-stroke lifestyles (Rittman et al., 2004). Survivors and caregivers do not know to prepare for the temporal increase in every activity. After a stroke, assumptions of daily life are disrupted; patients and caregivers easily become frustrated and are in need of guidance and support.

Learning Goal/Purpose

The goal of Planning for a Successful Transition from Rehab is to offer examples and best practices for healthcare professionals who are involved with the post-rehabilitation transition for stroke survivors and their caregivers.

Educational Objectives

As a result of this activity, participants should be better able to:

  • Identify tools used within the different phases of transition; 
  • Identify links that optimize success in a patient’s transition from rehab    

Target Audience

The target audience includes physicians, rehabilitation nurses, rehabilitation therapists, occupational therapists, physical therapists, stroke nurses and rehabilitation case managers.

Content Developed and Presented By

Mary Williams, CTRS
Stroke Workgroup Champion
Alvarado Hospital, San Diego, Calif.

Graciela Torres, MSW
Alvarado Hospital, San Diego, Calif.

Disclosure of Conflicts of Interest

Medical Education Resources ensures balance, independence, objectivity and scientific rigor in all our educational activities. In accordance with this policy, MER identifies conflicts of interest with its instructors, content managers and other individuals who are in a position to control the content of an activity. Conflicts are resolved by MER to ensure that all scientific research referred to, reported or used in a CME activity conforms to the generally accepted standards of experimental design, data collection and analysis. MER is committed to providing its learners with high-quality CME activities that promote improvements or quality in healthcare and not the business interest of a commercial interest.

The faculty reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:

Name of Faculty

Mary Williams, CTRS

Graciela Torres, MSW


Reported Financial Relationship

No financial relationships to disclose

No financial relationships to disclose

The content managers reported the following financial relationships with commercial interests whose products or services may be mentioned in this activity:

Denise Henasey, National Stroke Association, has no financial relationships to disclose.
Joanne Desmarais, has no financial relationships to disclose.
Victoria Smith, MD, and Veronda Smith, FNP-BC, MER, have no financial relationships to disclose.


The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of Medical Education Resources or National Stroke Association. The authors have disclosed if there is any discussion of published or investigational uses of agents that are not indicated by the FDA in their presentations. The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Medical Education Resources or National Stroke Association. MER’s ANCC accreditation status does not imply endorsement by MER or ANCC of any commercial products displayed in conjunction with this activity. Before prescribing any medicine, primary references and full prescribing information should be consulted. Any procedures, medications or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information and comparison with recommendations of other authorities. The information presented in this activity is not meant to serve as a guideline for patient management.

System Requirements

PC-based attendees—Required: Windows® 2000, XP Home, XP Pro, 2003 Server, Vista or newer. Macintosh®-based attendees—Required: Mac OS X 10.4 (Tiger®) or newer.

To view MER’s Privacy Policy: http://www.cmepartner.org/privacy

For questions regarding this activity, please contact Valerie Siebert-Thomas at
vsiebert-thomas@stroke.org or Medical Education Resources at info@cmepartner.org.

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