Category Archives: Resources

Living Well After a Stroke

Christiana Care Hospital – John H. Ammon Medical Education Center
Tuesday, April 16, 2019
6:00 – 7:30 pm

Recovering from a stroke takes time and rehabilitation is an important part of that recovery.

Join the Christiana Care’s Center for Rehabilitation team for “Living Well after Stroke,” a talk on the importance of rehabilitation after a stroke and reducing the risk factors for another stroke.

The Rehabilitation team will introduce stroke survivors and their care partners to the many approaches and steps to recovery and prevention along with the roles of the therapists in your journey from first steps to living life to the fullest.

An audience Q&A will follow.

Speakers:

·         Courtney Nice, PT, DPT, NCS
·         Megan Ramage, OT
·         Phillip Doucette, MM MA CCC-SLP
·         Ronald Dohanish, PA-C – Physical Medicine and Rehabilitation

To register call 800-693-CARE (2273)


Adaptive Clothing

Buck and Buck

Buck and Buck has designed a variety of adaptive clothing options for you to choose from based upon our own observations and from our discussions with customers like you. Our adaptive clothing designs promote independence in dressing and personal care for the wearer for as long as possible and also provide ease in the dressing process for the caregiver. 

Easy Access
Adaptable clothing for men, women, and children. Clothing in a variety of styles, colors, and fabrics, have been chosen to increase independence, maintain dignity, and make the wearer look good.

Izzy Camilleri Adaptive Clothing

The IZ clothing collection is a line of fashionable and functional clothing, created to make wheelchair users look and feel amazing. 

Silvert’s

Silvert’s understands the routine physical dilemmas faced by many in the daily chore of dressing. As a result, Silvert’s design department continually consults with clients, caregivers, and health care professionals to meet the daily needs of their customers. 

Tommy Hilfiger – Adaptive

“Tommy Adaptive puts a modified twist on tradition, empowering people to express themselves through fashion.” Men’s, Women’s, & Children’s clothing with one-handed zippers, magnetic closings, and more!

Diabetes

Diabetes is a disease in which the body’s ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism, and elevated levels of glucose (sugar) in the blood and urine.

Up to 15-33% of people that have had a stroke also have diabetes.

  • Increased risk seems to be greater for type 1 than type 2
  • Increased risk (16 times greater) in people aged 15-34 with type 1
  • In a 20 year follow up study (13,105 people) – type 2 diabetes increased the risk of stroke by 2 times in men, and 6.5 times in women

In general, diabetes increases the hardening of the arteries, and requires tighter control of cholesterol.

Increased stroke risk might also be due to a decreased healing ability associated with diabetes.

How can this be prevented?

  1. Healthy Eating – manage carbohydrate intake (approximately 45-60 g for women and 60-75 g for men every meal)
  2. Being Active – 150 minutes of exercise weekly, resistance training 2 times per week
  3. Taking Medication Properly
  4. Monitoring
    • Blood Glucose – 80-130 before meals, 90-160 at bedtime, Hb A1c 7% or less
    • Blood Pressure – less than 140/70
    • Cholesterol – HDL > 45 (men); HDL > 50 (women); LDL <100; TG <150; total < 200
  5. Reduce Risks
    • Stop smoking!
  6. Problem Solving
    • Know signs/symptoms of: low blood sugar, stroke, heart attack
    • If you are having problems reaching your goals regarding blood sugar, cholesterol, or high blood pressure, talk to your health care provider for help
  7. Stress Management
      • Yoga
      • Meditation
      • Therapy
      • Anything that helps you decompress (talking to a friend, reading, exercise…)

Diabetes Resources

Atrial Fibrillation

Atrial Fibrillation (or AFib) is an abnormal heart rhythm, and accounts for 20% of ischemic strokes. Treatment of Afib usually includes anticoagulation.

During atrial fibrillation, the heart’s two upper chambers (the atria) beat chaotically and irregularly — out of coordination with the two lower chambers (the ventricles) of the heart.

Atrial fibrillation symptoms often include heart palpitations, shortness of breath and weakness.

AFib Resources

Occupational Therapy Programs

The following programs are offered to assist patients with occupational difficulties.

A Matter of Balance
Helps reduce the fear of falling and increase activity levels in older adults.
New Castle: (302) 255-9882
Kent & Sussex: (302) 515-3020

Safe Steps
Safe Steps was created to help seniors walk safely and confidently as they age. Most falls by seniors are due to balance, gait, and vision problems; medications; and issues in the home. Muscle weakness and health conditions that affect joints, feet, and legs may also contribute.
Wilmington Hospital
Gateway Building, 5th Floor
501 W. 14th Street
Wilmington, DE 19801
(302) 320-6475

Driving Rehabilitation

The following organizations provide driving rehabilitative services.

Bryn Mawr Driver Rehab Program
414 Paoli Pike
Malvern PA 19355
484-596-5000

MossRehab Driving Program
www.mossrehab.com/driving
Einstein Plaza
201 Old York Road, Suite 203
Jenkintown, PA 19046
215-886-7706

135 South Borad Street
Woodbury, NJ 08096
856-853-9900

Christiana Care Health System
Physical Therapy Plus
Foulkstone Plaza
1401 Foulk Road
Wilmington, DE 19803
215-886-7706

Beebe Rehabilitation Services
19324 Lighthouse Plaza Boulevard
Rehoboth Beach, DE 19971
215-886-7706

Fox Rehab Driving Assessment Program
877-407-3422