Clinical Resources & Tools - Central East Stroke Network

Clinical Resources

Journey to Recovery After Stroke Resource

Assessment & Screening

Large Vessel Occlusion (LVO Screening)

Los Angeles Motor Scale (LAMS)

Training for EMS Providers – The Ontario Paramedic Prompt Card for Acute Stroke Protocol now includes the addition of the Los Angeles Motor Scale (LAMS) to assist in identifying a large vessel occlusion (LVO). These changes took effect January 11th, 2021. The Cerebrovascular Accident Standard and Acute Stroke Bypass Protocol were updated in March 2023.

ACT FAST Resources

Emergency Departments within CESN are implementing ACT-FAST as a screening tool for LVO. A toolkit has been developed to support training in ACT-FAST.

Stroke Triage Education ACT FAST – CorHealth website

For additional resources visit the 4-24hr Toolkit page

Suggested Screening and Assessment Tools from Canadian Stroke Best Practice Recommendations

Atrial Fibrillation

Videos and patient pamphlet developed by Unity Health to support education on atrial fibrillation. CLICK HERE to access.

Communication

Exercise

Guidelines

Aerobic Exercise after Stroke Guidelines Clinicians Guide consolidates what is known about aerobic exercise for people after stroke or TIA into recommendations for all phases of recovery – Aerobics 2019 Update Aerobic Exercise Recommendations to Optimize Best practice In Care after Stroke
Canadian Stroke Community-based Exercise Recommendations – this resource provides recommendations for program and exercise providers to implement safe and appropriate exercise programs for people with stroke in community settings
Stroke Recovery in Motion Planner – is an evidence-informed, step-by-step toolkit designed to help anyone interested in developing and providing community-based physical activity programs for people with stroke.

Community Exercise Programs for Stroke

FAME – Fitness and Mobility Exercise Program
TIME – Together in Movement and Exercise
Many Cardiovascular Rehabilitation programs include persons with mild non-disabling stroke and TIA . Contact local programs for eligibility, referral processes and program status. Click Here for list of programs

Exercise Videos

Stroke Specific Exercise Videos are a series from Stroke of Luck in UK and led by stroke rehabilitation physiotherapists. Videos are organized into 3 levels of difficulty.

The recovery experiences of others with stroke can be powerful, encouraging and therapeutic to individuals with stroke, their caregivers, families and friends. The following resources can support stroke care providers to foster a culture of hopeful recovery following stroke.

Power of Hope Videos

Looking for more inspiring stories – visit our INSPIRING HOPE page

CESN Blog Post (June 2022) Fostering Hope After Stroke

Intracerebral Hemorrhage

Intracerebral Hemorrhage (Champlain Stroke Network)

Mood

Post-Stroke Depression Infographic (Champlain Stroke Network)

Multilingual Resources

Patient and Family Education Resources: Health Information – Multiple Languages (William Osler Health System)

Heart & Stroke Website (French)

Heart & Stroke Canada website has FAST signs in traditional Chinese, simplified Chinese and Punjabi

Video series developed by Sinai Health’s Bridgepoint Hospital is available in English, French, Italian, Portuguese, Mandarin, Cantonese and Arabic

Oral Care

Oral Care Post Stroke Infographic (Champlain Stroke Network)

Participation & Life Activities

Return to Vocations

Driving After Stroke & TIA Resources

Sex and Intimacy

Personal Care Resources

Personal Care Dressing and grooming tips, including demonstration videos for handwashing and dressing techniques (Heart and Stroke Foundation)

Rehabilitation Intensity

Looking for rehab intensity module & quiz CLICK HERE
Frequently Asked Questions
Pocket card
RI Resources on CorHealth Ontario Stroke QBP Resource Centre

Newsletters

Stroke Rehabilitation Intensity Newsletter – September 2024

Stroke Rehabilitation Intensity Newsletter – Winter 2022_23

Stroke Rehabilitation Intensity Newsletter – Fall 2021

Stroke Rehabilitation Intensity Newsletter – Spring 2021

Stroke Rehabilitation Intensity Newsletter – Fall 2019

Stroke Rehabilitation Intensity Newsletter – Spring 2019

Stroke Rehabilitation Intensity Newsletter – June 2018

Rehabilitation Triage Tool (CESN)

The CESN Stroke Rehabilitation Triage Tool is a clinical resource that supports a standardized, best practice aligned approach to decision making for acute stroke patients regarding candidacy for stroke rehabilitation (does the patient need rehabilitation/ are they appropriate for rehabilitation) and triage for rehabilitation (which rehabilitation setting is the most appropriate)

The Tool incorporates clinical assessment information, including AlphaFIM® assessment results, patient considerations (e.g., family support, rehabilitation goals, ability to participate) and interprofessional team input to identify the most appropriate post-acute rehabilitation destination for the patient.

A regional stroke rehabilitation triage tool was ﬁrst introduced in 2014. Since then, there have been several iterations of the tool. This most recent version builds upon previous regional versions and incorporates feedback received from a working group of front-line clinicians and a pilot of the Tool at 5 organizations within the CESN

There may be a small inventory of hardcopies remaining from the initial dissemination to sites. Please send requests for additional copies and any other inquiries to cesn@rvh.on.ca

CESN Rehabilitation Triage Tool – Key Messages

CESN Stroke Rehabilitation Triage Tool – Implementation Guide

CESN Stroke Rehabilitation – Transition Tool

CESN Stroke Rehabilitation Triage Tool – FAQ

CESN Stroke Rehabilitation Triage Tool – Info Flyer