Heart and Stroke has developed a toolkit for conducting virtual visits. The document covers acute stroke, stroke prevention and rehab and provides guidance on conducting virtual visits all while meeting stroke best practices. Click here to access the Canadian Stroke Best Practices Virtual Care Toolkit
Cognition
Health Care Provider Resources
- Canadian Stroke Best Practices: Mood, Cognition & Fatigue
- EBRSR: Clinician Handbook: Rehabilitation of Cognitive Impairment Post Stroke
- EBRSR: Evidence Review: Chapter 12: Cognitive Rehabilitation
- Stroke Engine: Intervention - Cognition
- Taking Action for Optimal Community and Long-term Stroke Care, Cognition Chapter 5.3 (page 109-115)
Assessment Resources
- Canadian Stroke Best Practices: Screening and Assessment Tools Summary Table
- Stroke Engine: Assess - Cognition
- Montreal Cognitive Assessment (MOCA)
- Clock Drawing Test
- Mini Mental State Examination
- Cognistat
Patient / Family Resources
Communication
Health Care Provider Resources
- Canadian Stroke Best Practice: Rehabilitation to Improve Communication
- Evidence-Based Review of Stroke Rehabilitation: Clinical Consequences of Stroke (Right Hemisphere Disorders page 11; Left Hemisphere Disorders page 11)
- Evidence-Based Review of Stroke Rehabilitation: Aphasia and Apraxia
- Stroke Engine: Interventions: Communication
- Aphasia Institute: for Health Care Professionals
- Aphasia Institute: Programs and Services
- March of Dimes Canada: Aphasia Services
Assessment Resources
- StrokEngine Assess-Communication
- Canadian Stroke Best Practices: Suggested Screening and Assessment Tools for Aphasia
Patient / Family Resources
Depression
Health Care Provider Resources
- Canadian Stroke Best Practices, Mood Cognition and Fatigue following Stroke; 1. Post Stroke Depression Sixth Edition, 2019 Update
- Canadian Stroke Best Practices, Mood Cognition and Fatigue following Stroke; 1. Post Stroke Depression Sixth Edition, 2019 Update; Table 1A: Selected Validated Screening and Assessment Tools for Post-Stroke Depression
- Canadian Stroke Best Practices, Mood Cognition and Fatigue following Stroke; 1. Post Stroke Depression Sixth Edition, 2019 Update; Table 1B: Selected Validated Screening and Assessment Tools for Post-Stroke Anxiety
- Canadian Stroke Best Practices, Mood Cognition and Fatigue following Stroke; 1. Post Stroke Depression Sixth Edition, 2019 Update; Table 1C: Summary Table for Selected Pharmacotherapy for Post-Stroke Depression
- Stroke Engine: Depression; Clinician Information
- Stroke Engine – Mood/Depression; interventions
- Evidence Based Review for Stroke Rehab (EBRSR) – Chapter 18 Post-Stroke Depression and Mood Disorders
- Evidence Based Review of Stroke Rehab (EBRSR) – Stroke Rehabilitation Clinician Handbook (2016) – Chapter 7 Post-Stroke Depression and Community Reintegration
Assessment Resources
Patient & Family Resources
Driving
Driving After Stroke
Canadian Stroke Best Practice Recommendations state that following a stroke or TIA, driving should be restricted in accordance with the Canadian Council of Motor Transport Administrators Medical Standards for Drivers.
The following resources provide additional information on specific restrictions, screening and assessment requirements and educational materials to support healthcare providers address return to driving.
Health Care Provider Resources
- Canadian Stroke Best Practice Recommendations: Resumption of Life Roles following Stroke: Section 11
- Canadian Council of Motor Transport Administrators ( Chapter 4 – Cerebrovascular Disease)
- Canadian Partnership for Stroke Recovery – Stroke Engine: Driving After Stroke Clinician Information
- Driving and Dementia e-Learning Module
- Service Ontario: Accessible Parking Permit
- Ontario Ministry of Transportation – Medical Review of Drivers
- Stroke Engine: Driving after Stroke Clinician Information
- EBRSR: Psychosocial Issues: Driving (Page 95)
- Topics in Stroke Rehabilitation: Predictors of driving ability following stroke: A systematic review
Assessment Resources
- Canadian Stroke Best Practice Recommendations: Table 5.11 Stroke Assessment Tools for PreDriving Screening (December 2015)
- Stroke Engine: Trail Making Test
- Figure of Rey/Ray-Osterreith
- University of Nottingham: Stroke Drivers' Screening Assessment: Revised Manual 2012
- Stroke Engine: Motor-Free Visual Perception Test (MVPT)
- Digit Symbol Substitution Test
- Symbol Digit Modalities Test
- Rookwood Driving Battery
- Stroke Engine: Mini-Mental state Examination
- Stroke Engine: Montreal Cognitive Assessment
- Montreal Cognitive Assessment (MOCA)
- CMA Driver's Guide (9th edition)
- Driveable: Cognitive Assessments for Today's Driver
Patient & Family Resources
Dysphagia
Health Care Provider Resources
- Canadian Stroke Best Practices: Assessment and Management of Dysphagia and Malnutrition Following Stroke
- Stroke Engine: Dysphagia: Clinician Information
- EBRSR: Evidence Reviews: Chapter 15: Dysphagia and Aspiration Following Stroke
- EBRSR: Stroke Rehabilitation Clinician Handbook: 6.1 Dysphagia
- Central LHIN & partners: Swallowing Screening Flowsheet
- Central LHIN & partners: Staff Swallowing Screening Information
- A Conversation on Management of Dysphagia
- A Conversation on Management of Dysphagia: Facilitator's Guide
- A Step-by-Step Approach: Implementing Best Practice Guidelines for Dysphagia & TorBSST(c) Dysphagia Screening
- Make Feeding Safer for Residents with Dysphagia (developed for LTC) - POSTER
- Make Feeding Safer for Residents with Dysphagia (developed for LTC) - HANDOUT
- Webinar Presentation by Catriona M. Steele - The International Dysphagia Diet Standardization Initiative (IDDSI): History, Framework and Steps Towards Implementation
- TACLS: Section 3.2 – Nutrition
Assessment Resources
- Canadian Stroke Best Practices: Table 3: Canadian Stroke Best Practice Recommendations Swallow Screening and Assessment Tools
- The Swallowing Lab: TOR-BSST©
Patient / Family Resources
- CESN: Swallow Screening Patient and Family Brochure
- Central LHIN & partners: Patient-Family Swallowing Screening Brochure
- Stroke Engine: Dysphagia: Patient Information
- Heart & Stroke: Swallowing (Dysphagia)
Dysphagia Brochures translated into multiple languages from University Health Network and the Toronto Stroke Networks
Falls Prevention
Health Care Provider Resources
- Canadian Stroke Best Practices: 6.3 Falls Prevention and Management (2016 update)
- Table 2: Canadian Stroke Best Practice Recommendations Suggested Screening/Assessment Tools for Risk of Falling Post Stroke
- RNAO: Preventing Falls and Reducing Injury from Falls, Fourth Edition (2017)
- British Columbia: Falls Prevention Resources
- Seniors’ Health, Wellness and Fall Prevention
- STARS: Moving, Handling and Safety Module
- What works in falls prevention after stroke? A systematic review and meta-analysis
- Cochrane: Interventions for improving the ability to rise to stand from sitting following stroke
- Cochrane: Interventions for preventing falls in people after stroke
Assessment Resources
Patient & Family Resources
Incontinence
Health Care Provider Resources
- Inpatient Prevention and Management of Complications following Stroke: section 9.7
- RNAO: Promoting Continence Using Prompted Voiding
- RNAO: Prevention of Constipation in the Older Adult Population
- Taking Action for Optimal Community and Long-Term Stroke Care: page 47
- Stroke Engine: Urinary Incontinence
- EBRSR: Medical Complications: page 81
- Stroke Core Competencies: Core Competency 15: Incontinence
- Presentation: Urinary Continence & Management Post Stroke
- Stroke Journal: Urinary Incontinence After Stroke
Assessment Resources
Patient / Family Resources
Neurological Assessment
Health Care Provider Resources
- Canadian Stroke Best Practices: Acute Stroke Management: 4. Emergency Department Evaluation and Management of Patients with Acute Stroke and TIA
- RNAO: Stroke Assessment across the Continuum of Care
- Heart and Stroke: Stroke Assessment and Prevention Pocket Cards
- Stroke Network of Southwestern Ontario: Acute Stroke Unit Orientation 2018; Module 4: Diagnostics and Assessments & Module 5: Canadian Neurological Scale (CNS) Training
- The Canadian Neurological Scale: A Preliminary Study in Acute Stroke
- Retrospective Assessment of Initial Stroke Severity: Comparison of the NIH Stroke Scale and the Canadian Neurological Scale
- Ischemic Stroke Prognosis in Adults
Assessment Resources
- Stroke Engine: Canadian Neurological Scale (CNS)
- Stroke Engine: National Institutes of Health Stroke Scale (NIHSS)
- NIH Stroke Scale Booklet
Patient & Family Resources
Nutrition & Hydration
Health Care Provider Resources
- Canadian Stroke Best Practices: Stroke Rehabilitation, Updated 2016 - 7. Assessment and Management of Dysphagia and Malnutrition Following Stroke
- Institute of Medicine from the National Academies. Panel on Dietary Reference Intakes for Electrolytes and Water Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. Food and Nutrition Board. Dietary Reference intakes for water, sodium, chloride, and sulfate.
- Merck Manual. Professional Version. Overview of Disorders of Fluid Volume.
- An Inter-professional Approach to Malnutrition in Hospitalized Adults: Dietitians Leading the Way
Assessment Resources
- Mini Nutritional Assessment (click on the HCP Content button on top right of the webpage)
- Malnutrition Universal Screening Tool (MUST)
- Canadian Malnutrition Task Force
- The Mini Nutritional Assessment (MNA®) Review of the Literature – What does it tell us?
- Development and validation of a hospital screening tool for malnutrition: the short nutritional assessment questionnaire (SNAQ)
- Diagnosing Malnutrition: SGA
- Subjective Global Assessment Form
- Canadian Nutrition Society: SGA DVD
Patient & Family Resources
Pain
Health Care Provider Resources
- Canadian Stroke Best Practices: Management of Shoulder Pain & Complex Regional Pain Syndrome (CRPS) following Stroke
- RNAO: Assessment and Management of Pain
- Stroke Engine: Interventions – Positioning; Shoulder Pain
- EBRSR: Hemiplegic Shoulder Pain & Complex Regional Pain Syndrome
- EBRSR: Thalamic/Central Pain States Post Stroke (CPSP) – see page 24
- University of Glasgow: Pain Management Following Acute Stroke (2011)
- St. Joseph’s Health Care London: Palliative pain and symptom management consultation program
- Stroke Network of Southeastern Ontario - Presentation by Carrier-Steven, Uens & Foster: Positioning, transferring and shoulder management in acute and rehab
- Cochrane Collaboration: ES for preventing and treating post-stroke shoulder pain
Assessment Resources
- Visual Analog Scale (VAS)
- Numeric Rating Scale
- Chedoke McMaster Stroke Assessment (CMSA) Shoulder Pain Subscale
Patient / Family Resources
Perception
Health Care Provider Resources
- Canadian Stroke Best Practices, Stroke Rehabilitation (updated 2015), Section 8. Rehabilitation of Visual Perceptual Deficits
- Stroke Engine – Visual Perception
- Evidence-based reviews for Stroke Rehab (EBRSR) – Chapter 13, Perceptual Disorders (2018)
- EBRSR Clinician’s Handbook – Clinical Consequences of Stroke (2016)
- Cochrane – Non-pharmacological interventions for perceptual disorders following stroke and other adult-acquired, non-progressive brain injury
- Cochrane - Interventions for eye movement disorders in people with stroke
Assessment Resources
- Canadian Stroke Best Practices – Table 1: Stroke Rehabilitation Screening and Assessment Tools (Page 11)
- Clock Drawing Test (CDT)
- Clock Drawing Test (CDT)
- Comb and Razor Test
- Behavioural Inattention Test
- Line Bisection Test
- Line Bisection Test
- Rivermead Perceptual Assessment Battery
- Ontario Society of Occupational Therapists (OSOT) Perceptual Evaluation
- Motor-Free Visual Perception Test (MVPT)
- Florida Apraxia Screening Test
- Apraxia Screen of TULIA (AST)
- Single Letter Cancellation Test (SLCT)
- Single Letter Cancellation Test (SLCT)
- *Other cancellation tests (star, double letter, Bells) are listed here
- Comprehensive Trail Making Test
Patient & Family Resources
Upper Extremity
VIATherapy - Upper Extremity
Best practice and evidence-based recovery interventions for upper extremity stroke rehabilitation –
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Virtual Care
