Community & Long-Term Care
Home is where the majority of stroke recovery takes place and it can be a lengthy journey. Healthcare and service providers play a pivotal role in support and guiding their clients to re-engage in their community and/or life in long-term care.
- The risk of stroke doubles every 10 years for those aged 55 and older
- 55% of stroke survivors are discharged home from hospital
- Half of the stroke survivors with the most severe strokes will recover sufficiently to return home after rehabilitation
- 85% of people who survive an acute stroke will return home and will experience some form of restriction in their activities of daily living
- Stroke is the leading cause of adult disability and patient transfer from hospital to long-term care facilities
- 22% (1 in 5) residents in long term care (LTC) homes have had a stroke
- 93% of long-term care residents have two or more chronic diseases, with notable increases in the proportion of residents with common conditions such as arthritis and heart disease (OLTCA 2014)
Looking ahead, the demand for home and community care is certain to grow for several reasons: an aging population, earlier hospital discharges, increased prevalence of chronic diseases in the population, and patients’ preferences to receive care at home. As the care shifts from hospital to community based settings, the importance of information and tools available to support stroke survivors in this area of the care continuum is essential. As Health Care providers, helping stroke survivors live well and longer means investing in the use of best practice tools and resources.
Currently, only people with high or very high care needs are eligible for long-term care in Ontario. These changes are largely due to the province’s aging-in-place strategy, which has made more funding available for care at home while implementing stricter admission criteria for those entering long-term care. As a result, seniors are entering homes when they are older, frailer, and in need of more medical and personal care than ever before. The information provided here will support long-term care homes in their continued effort to ensure residents who have experienced a stroke receive the safe, quality care they need and deserve.
For some time after a stroke, the lives of the stroke survivor and the caregiver are dominated by the stroke and its aftermath. Eventually, the impact of the stroke gets smaller and life beyond the stroke expands. The anticipated end result of rehabilitation, and the goal for stroke survivors, is community re-engagement.
For more information about community re-engagement initiatives in Southwestern Ontario, please contact:
Margo Collver (Margo.Collver@lhsc.on.ca)
Community and Long Term Care Coordinator
Southwestern Ontario Stroke NetworK
339 Windermere Road
London, Ontario, N6A 5A5