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đöČęĂéĎĒúøĆÖþćêćöĒîüìćÜĒóì÷ŤĒñîĕì÷øŠüöÖĆïÿĀüĉßćßĊóÙøïǰ6 đéČĂîĒúšüÝąÝĞćĀîŠć÷ÝćÖøąïïǰIMC ĒêŠÝąéĎĒúêćöõćüąÿč×õćó
đöČęĂéĎĒúøĆÖþćêćöĒîüìćÜĒóì÷ŤĒñîĕì÷øŠüöÖĆïÿĀüĉßćßĊóÙøïǰ6 đéČĂîĒúšüÝąÝĞćĀîŠć÷ÝćÖøąïïǰIMC ĒêŠÝąéĎĒúêćöõćüąÿč×õćó
LTC ĒúąðøąđöĉîÙüćöóĉÖćø
LTC ĒúąðøąđöĉîÙüćöóĉÖćø
F/U ôŚŪîô
F/U ôŚŪîôĎĎ
Discharge
Discharge
No Multiple impairment
with Multiple impairment
with Multiple impairment
Disability/Handicap
No Multiple impairment
Disability/Handicap
BI = 20 and
BI = 20 and
BI 11 – 19 or
BI < 11
BI < 11
BI 11 – 19 or
êøüÝüĉîĉÝÞĆ÷éšü÷ÖćøĒóì÷ŤĒñîĕì÷øŠüöÖĆïĒóì÷ŤĒñîðŦÝÝčïĆîǰüćÜĒñîÖćøéĎĒúøĆÖþćêćöĒîüìćÜĒóì÷ŤĒñîĕì÷øŠüöÖĆïÿĀüĉßćßĊó
ðøąđöĉîǰBI ìčÖǰ1 – 2 đéČĂîÝîÙøïǰ6 đéČĂî
Community rehabilitation
OPD rehabilitation
IPD intensive rehabilitation
Out-reached or
ēé÷ñĎšðśü÷ĒúąâćêĉøŠüöêĆéÿĉîĔÝ
Care Planning
ÖćøéĎĒúøĆÖþćǰIMC êćöÙüćöóøšĂöĒúąïøĉïì×ĂÜóČĚîìĊęǰ
BI < 15 or BI œǰ15 with Multiple Impairment
ĒúąÙüćöïÖóøŠĂÜìćÜÖćøĒóì÷Ť
- ðøąÿćîǰøóß. đóČęĂĔĀšǰRehabilitation
Assessment & Dx
- ÝĞćĀîŠć÷ǰóøšĂöĔĀšǰHome program
ðøąđöĉîǰBarthel index ADL
BI œǰ15 & No Multiple Impairment
Acute ĒúąÿõćüąìćÜÖćøĒóì÷ŤÙÜìĊę
Access & Entry
ñĎšðśü÷ǰStroke øóý. Ēúąǰøóì. ìĊęóšîøą÷ąǰ

• Intermittent Rehabilitation program as require

• Community health care

• Rehabilitation OPD/Home program
• Prevention of Recurrent stroke

• Balancing Life style

ÖćøéĎĒúñĎšðśü÷øą÷ąĀúĆÜĂĆöóùÖþŤĂĆöóćê