How we can help
COMMUNITY STROKE COORDINATOR:
Stroke Tairawhiti provide free critical services to stroke survivors, and their family / whānau and carers to achieve the best possible outcomes for recovery.
Our Community Stroke Coordinator is a professional advisor for stroke survivors and family/whanau members or carers living in Tairawhiti. The aim of the service is to help stroke survivors realise their full potential for recovery and wellbeing following a stroke.
⦁ Makes hospital and home visits to introduce and explain the service
⦁ Works with stroke survivors, family/whānau and carers to assess needs
⦁ Develops an action plan to meet current needs and to achieve specific goals in partnership with the client, collaborating with other health professionals as required
⦁ Provides support, information and advice to build knowledge and skills that assist effective adaptation to disability and minimise risk of further strokes. Information includes the nature of stroke, its causes and risk factors, prevention tips, the role of treatment and rehabilitation and how to optimise life after stroke and manage after-effects such as fatigue and depression. A wide range of printed resources are available
⦁ For individuals diagnosed with Transient Ischaemic Attack (TIA) offers plain language information about TIA, lifestyle changes to minimise risk of further strokes and how to identify and respond if one is occurring
⦁ Networks in the community and provides service coordination and navigation to ensure clients are referred to the best services to meet their needs. This includes our rehabilitation support programs and other groups for social support
⦁ Supports working age people to return to work in conjunction with employers
⦁ Provides advocacy support where clients face barriers to accessing services
⦁ Provides information on transport options when unable to drive and how to obtain Total Mobility half price taxi fares if the client is eligible.
Engagement with the Community Stroke Coordinator service
A stroke survivor and their immediate family, whānau and carer or carers are welcome to engage with the Community Coordinator.
Before beginning with our service an ‘Agreement to Participate’ is completed. This process confirms each client understands how their health information will be used during their engagement with our service.
Clients are provided with The Code of Health and Disability Services Consumers’ Rights. The Coordinator can contact a health and disability advocate for a client if necessary.
Referrals for our service
· People with stroke, their families, whānau can request this service themselves
· Any medical and rehabilitation service, community group or residential facility can make a referral to the service.
· You can contact your local Community Stroke Coordinator or local office by text, phone or email - see below for details.
Stroke Community Coordinator
06 863 2716
Make a referral
DHB professionals are encouraged to incorporate referral to the Community Coordinator service as a standard component of discharge planning. Referrals are accepted from any health or support professional, from a family/whanau member or by self-referral.
Preferred mechanism for health professionals is to utilise our service referral form. A copy is available from the Stroke Coordinator. With client consent, attaching additional information such as a copy of the client’s discharge summary significantly assists the quality of what the Stroke Coordinator can deliver.
Download this form as a Word Document: