Stroke Rehabilitation: Meri Case Study

Stroke rehabilitation is a fundamental step for speeding up the recovery of post-stroke patients. The core goal of the rehabilitation is to help the patient relearn the skills that they lost when they were affected by a stroke that damaged or affected a certain part of the brain as it is the case with Meri. Undertaking Meri through rehabilitation will help her to regain her ability to do things by herself and improve her quality of life as well. Meri rehabilitation will start as soon as possible as argued by Bernhardt, Indredavik, & Langhorne (2015) that starting stroke rehabilitation earlier increases the chances of regaining lost skills and abilities. The duration that Meri will take while undergoing rehabilitation may be a bit longer than usual since her condition appears critical. A number of assessments tool can be applied in Meri’s case to identify her needs and help her overcome her situation, but the most applicable ones in this situation are Functional Capacity Evaluation and Berg Balance Scale.

Functional Capacity Evaluation

Matheson (2013) defined Functional Capacity Evaluation (FCE) as a “systematic method of measuring an individual’s ability to perform meaningful tasks on a safe and dependable basis” (p. 2). In the Meri’s case, Functional Capacity Evaluation can be applied to assess whether the patient will be safe while doing tasks by herself, assess the necessary treatment programs that Meri might need to recover fully and become independent and evaluate her ability to handle hand-related jobs and other functions with coordination and endurance as studied by (Franck, Smeets, & Seelen, 2017). FCE has been instrumental in helping the rehabilitators to assess the patient’s job-demand needs (Teasell, 2018). Using this tool, the rehabilitator will be able to tell Meri’s task environment demands and take appropriate actions to match her capacity with the job demands. For example, Meri is staying alone, but with the daily help from her sister. As such, it will be necessary for the rehabilitator to use the Functional Capacity Evaluation tool to determine whether Meri can handle her personal needs. The above step should be followed by using the same tool to assess Meri’s role performance improvement by establishing the functional decrements and taking appropriate measures to resolve the decline. The identified performance of Meri will be corrected by putting her under the right treatment programs and monitoring the treatment progress to determine whether it is positively helping the patient. Finally, the FCF will be used to establish the ability to coordinate hand-related jobs with other functions and with endurance.

Berg Balance Scale

Originally, Berg Balance Scale (BBS) was developed to evaluate the balance in senior citizen and later adopted as a fall-risk assessment tool, although of late its use has been extended to incorporate non-fall risks (Donoghue & Stokes, 2016).  “BBS is a 14-item scale that uses quantitative figures to assess the balance and fall risks among the adults through direct observation of their performance” (Song, Lee, & Shin, 2018, p. 103). Putting into consideration that Meri has had a fracture on her brain, she is old and a post-stroke patient, the BBS is the most suitable to tool assess her performance and safety balance as she enters the rehabilitation stage. Besides, the development of BBS was intended for the population with acute stroke, as argued by (Blum & Korner, 2014). Using the BBS tool, the rehabilitator can assess Meri’s supportive needs since the tool can objectively determine the ability and inability of the patient’s balance safety while undertaking certain predetermined tasks as presented by (Stevenson, 2010). The rehabilitator can first start by undertaking her through the tasks that will help her to address her personal needs.Post-stroke rehabilitation is a crucial step in helping the patients to retain their original statues and abilities. However, that will not be possible without the appropriate assessment tools that will help to identify the patients’ needs as examined in Meri’s case. In the case, the Functional Capacity Evaluation and Berg Balance Scale are the right tools since they help to assess Meri’s functional ability and safety balance, respectively.