Community Reintegration & Support Flashcards

Which validated tool is most appropriate for assessing a stroke survivor's ability to perform instrumental activities of daily living (IADLs) in the community?

Answer: Lawton-Brody IADL Scale

The Lawton-Brody IADL Scale specifically measures complex daily tasks such as managing finances, using transportation, and cooking that are essential for community independence.

A stroke survivor with aphasia wants to return to work. Which community resource should the stroke coordinator prioritize connecting them with?

Answer: State vocational rehabilitation services

State vocational rehabilitation services provide job counseling, assistive technology, and job placement support for individuals with communication and other disabilities.

When educating a caregiver about preventing post-stroke depression in the survivor, which strategy is most evidence-based?

Answer: Encouraging social engagement and peer support group participation

Social engagement and peer support have strong evidence for reducing post-stroke depression by combating isolation and providing emotional validation.

Under the Americans with Disabilities Act (ADA), which type of employer accommodation would typically be required for a stroke survivor returning to work with mild hemiparesis?

Answer: Modified workstation or ergonomic equipment

The ADA requires employers to provide reasonable accommodations such as ergonomic modifications that allow qualified individuals with disabilities to perform essential job functions.

A stroke survivor reports feeling isolated after returning home. Which intervention by the ASC is most appropriate as a first step?

Answer: Refer to a community-based stroke support group

Community stroke support groups address social isolation while providing peer education and emotional support, making them an appropriate first-line community resource.

Which factor is the strongest predictor of successful long-term community reintegration following stroke?

Answer: Availability of caregiver and social support

Strong social support networks are consistently identified in research as the most powerful predictor of successful community reintegration after stroke.

A stroke survivor with cognitive impairment wishes to resume driving. What is the stroke coordinator's most appropriate action?

Answer: Refer for a formal driving evaluation with a certified driver rehabilitation specialist

A certified driver rehabilitation specialist uses specialized assessment tools to evaluate whether stroke survivors with cognitive or physical impairments can safely drive.