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Community Stroke Rehabilitation | Counties Manukau

Public Service, Community, Community Health, Rehabilitation Medicine

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Description

The Community Stroke Rehabilitation (CSR) provides client and whānau centred, goal focused rehabilitation, across the spectrum of physical function, activity and social participation for people recovering from stroke. The team incorporates the cultural and spiritual aspects of the client’s role into the rehabilitation programme. The service covers Counties Manukau Health catchment area excluding Franklin/Pukekohe/Ōtāhuhu.  These areas are serviced by Community Health Services.

The team includes a Section Head, Social Worker, Physiotherapist, Speech Language Therapist, Dietitian, Occupational Therapist, Psychologist, Specialist Doctor, Nurse and Rehabilitation Assistants with administration support.

Rehabilitation takes place in the most appropriate location, which may include home, community gyms, swimming pools, shops, workplace and/or other areas where people would like to access.

Consultants

How do I access this service?

Referral

Referral Expectations

Referral Criteria

We offer community based rehabilitation for adults with stroke who meet the following: 

  1. Stroke onset within the last 2 years (a discrete and identifiable acute neurological deficit, as a result of a vascular case, which has left a residual functional impairment); acute hypoxic brain injury and acute Guillain Barre
  2. Patient and carer/family consent
  3. Medically stable
  4. Have a functional disability from the stroke and functional improvement is anticipated
  5. Require rehabilitation input from a stroke specialist interdisciplinary team
  6. Be able to actively participate in rehabilitation by: being able to set rehabilitation goals, have the capacity to learn and perform self-directed rehabilitation
  7. Be able to transfer independently (if living alone) or with mobility equipment and the assistance of one (if living with carer/family)
  8. Discharge environment is suitable for community rehabilitation
  9. Adequate support (including equipment) able to be provided in the home
  10. Living in a defined location within the CMDHB catchment area.

Clients must be a NZ resident and live within the greater CMDHB catchment.  (Excluding Franklin District, Community Health Services provides support for this area).

For all referrals please complete the appropriate e-referral on MedTech or My Practice - search for Acute Allied Health then select the appropriate service / clinic option.  For more information regarding Care Connect referrals eReferrals.co.nz 

Community Stroke Rehabilitation
AT&R Unit
Middlemore Hospital
Private Bag 93311
Ōtāhuhu
Auckland 1640

To discuss an urgent case or a referral please contact the Section Head.
Section Head:  Phone (09) 276 0044 ext. 58659

Hours of Service:
Monday to Friday 7.30am to 4.00pm

On receipt of a referral or discharge from hospital, the client should be contacted within 5 working days. For clients requiring an early supportive discharge service from hospital, the client will be seen within 24-48 hours. For clients referred to our standard community rehabilitation service, the client will be visited within 10 to 20 working days.

Hours

Mon – Fri 7:30 AM – 4:00 PM

Procedures / Treatments

Post Stroke Rehabilitation

When you return home you might continue to have problems doing things for yourself, moving about, speaking, thinking or feeling. Our service has been developed to assist you with relearning old, and developing new skills that maximise independence and quality of life, in your own environment. Community Based Rehabilitation includes: 1. A process of helping you to set goals to do the activities that are important to you, for instance to be able to go to church or to be able to walk the dog. 2. An interdisciplinary client centered approach to assist you in meeting your goals. You (and your family/whanau) are the most important member(s) of the team. We will help you towards your goal. 3. Development of an individualised, day to day rehabilitation programme to suit you and your needs which will assist you to work towards your goals. 4. Liaison with other relevant services who help with stroke rehabilitation e.g. G.P., practice nurses, district nurses, cultural support agencies, Stroke Foundation and other rehabilitation providers. For more information on strokes click here

When you return home you might continue to have problems doing things for yourself, moving about, speaking, thinking or feeling.

Our service has been developed to assist you with relearning old, and developing new skills that maximise independence and quality of life, in your own environment.

Community Based Rehabilitation includes:
1.  A process of helping you to set goals to do the activities that are important to you, for instance to be able to go to church or to be able to walk the dog.
2.  An interdisciplinary client centered approach to assist you in meeting your goals.  You (and your family/whanau) are the most important member(s) of the team.  We will help you towards your goal.
3.  Development of an individualised, day to day rehabilitation programme to suit you and your needs which will assist you to work towards your goals.
4.  Liaison with other relevant services who help with stroke rehabilitation e.g. G.P., practice nurses, district nurses, cultural support agencies, Stroke Foundation and other rehabilitation providers.

For more information on strokes click here

Secondary Prevention

Controlling your stroke risk factors means you can reduce the risk of having another stroke: Have your blood pressure checked at your family doctors Continue to not smoke Exercise regularly Limit alcohol intake Eat a healthy balanced diet and reduce salt intake Lower cholesterol - your family doctor can advise you how to do this Weight management Take your medications as prescribed and see your family doctor if you have any problems with them Recognise and manage your emotional wellbeing. See your Family Doctor if you have any concerns. Recognising a stroke: remember FAST F - Face: ask the person to smile and see if the face is weak or skew on one side A - Arms: ask them to raise both arms and see if they are unable to raise the arm on one side S - Speech: ask them to speak and see if they are unable to speak or their words are muddled or slurred T - Time: call an ambulance and get them to hospital fast if you think they are having a stroke If you think you or someone is having a stroke call an ambulance to get them to hospital FAST. Stroke Risk Factors (PDF, 219.6 KB) How to reduce your risk of future strokes

Controlling your stroke risk factors means you can reduce the risk of having another stroke:

  1. Have your blood pressure checked at your family doctors
  2. Continue to not smoke
  3. Exercise regularly
  4. Limit alcohol intake
  5. Eat a healthy balanced diet and reduce salt intake
  6. Lower cholesterol - your family doctor can advise you how to do this
  7. Weight management
  8. Take your medications as prescribed and see your family doctor if you have any problems with them
  9. Recognise and manage your emotional wellbeing.

 

See your Family Doctor if you have any concerns.

Recognising a stroke:  remember FAST

F - Face: ask the person to smile and see if the face is weak or skew on one side
A - Arms: ask them to raise both arms and see if they are unable to raise the arm on one side
S - Speech: ask them to speak and see if they are unable to speak or their words are muddled or slurred
T - Time: call an ambulance and get them to hospital fast if you think they are having a stroke

If you think you or someone is having a stroke call an ambulance to get them to hospital FAST.

Services Provided

Disability support services

Disability information and advisory services

  • Disability information and advisory services

Document Downloads

Region

South Auckland

Other

Useful links

Health Navigator

Health Navigator is a New Zealand website that provides extensive information about health conditions.

 

Stroke Foundation - Reducing Stroke Risks

The Stroke Foundation website provides extensive information about reducing risk of future strokes.

Contact Details

Middlemore Hospital

South Auckland

For all referrals please complete the appropriate e-referral on MedTech or My Practice - search for Acute Allied Health then select the appropriate service / clinic option. For more information regarding Care Connect referrals eReferrals.co.nz 

AT&R Unit
Middlemore Hospital
Hospital Road
Otahuhu
Auckland

Information about this location

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Get directions

Street Address

AT&R Unit
Middlemore Hospital
Hospital Road
Ōtāhuhu
Auckland

Postal Address

Community Stroke Rehabilitation
AT&R Unit
Middlemore Hospital
Private Bag 93311
Ōtāhuhu
Auckland 1640

This page was last updated at 9:50AM on June 27, 2023. This information is reviewed and edited by Community Stroke Rehabilitation | Counties Manukau.