Assessment of a client at home

Question 1

Participation

Answer 1

• Work
• Involvement in social and leisure activities
• Using public transport
• Consider use of outcome measure
• MSCRIM (Maleka Stroke Community Re-Integration 
Measure)
• CIM (Community Integration Measure)
• CSI (Caregiver Strain Index)

Question 2

Why home-based rehabilitation?

Answer 2

• Availability of health care facilities
• SA has limited health care resources (human 
resources, medical supplies)
• Shortage of hospital beds
• Cost of institutional care
• Overcrowded hospitals to accommodate 
patients with chronic conditions.

Question 3

Benefits of HBR

Answer 3

• Cost effective
• Shorter LoS hospital without compromising patient
safety or functional outcomes
• Reduce risks of complication of inpatient hospital
stay
• Home environment more conducive to meeting
needs of patient and families
– Care planning occurs in environment which patient lives
– Family and patient become active participants in rehab
process
• Enhance autonomy, independence and community
re-integration