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Stroke Program

A stroke specialists reviews her monitor searching for signs of stroke in a patient.

The stroke program at Tidelands Waccamaw Rehabilitation is accredited by the Commission on Accreditation of Rehabilitation Facilities.

A physical therapist supports a patient during a routine.

Support, when you need it

You don't have to face it alone. View our calendar for a list of upcoming support groups.

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Rehabilitation after a stroke requires an intensive multidisciplinary approach. Stroke patients make the greatest improvements when rehabilitation is started right away. Our integrated and intensive program is designed to help restore movement, speech, swallowing and home care skills and improve cognition and/or memory. Our experienced staff uses advanced therapeutic skills to help our patients maximize recovery after a stroke.

Our program also offers a stroke educational/support group meeting on the second and fourth Wednesday of each month that can be attended while in our rehabilitation program and once you have returned home.

Spotlight On Our Specialized Stroke Care

  • CARF accredited since 2009
  • Joint Commission Center of Excellence for Stroke
  • Affiliated with the Medical University of South Carolina’s REACH Program. Via telemedicine, we have immediate 24/7 access to the stroke care experts at MUSC.
  • Speech therapist trained in VitalStim Therapy - a breakthrough therapy that combines electrical stimulation with swallowing exercises to improve swallowing ability.
  • Physical therapist trained in neurodevelopmental treatment specializing in stroke intervention.
  • Concentrated physical, occupational and speech therapy up to five days per week.
  • TAP – Teach A Patient - you will receive a personalized binder with education material, such as medication education, home safety, follow-up appointments, home exercise programs, etc.
  • Evaluation of your living environment at home to help create an appropriate setting post-stroke
  • Transition room – simulated apartment to trial your abilities in preparation for transition to home
  • Comprehensive family training and education
  • Therapeutic passes and community outings
  • Therapeutic meal group - to work on your ability to swallow and feed yourself (if needed)
  • Cognitive/behavior programs – a specially designed program to restore function, re-learn lost skills and learn compensating strategies if you have had a disruption in your cognitive or behavioral process.
  • Neuropsychology/psychology/counseling services – as indicated
  • Team conferences are held weekly meetings to discuss patient progress and plan of care. Patients and family members are welcome to attend.
  • Continuum of care – once you are discharged, outpatient therapy services are offered at our 12 NextStep outpatient therapy locations, including the NextStep neurological rehabilitation center in Murrells Inlet

Our Stroke Treatment Outcomes 2016

Tidelands WRH

Weighted National Average

Total Patients



Discharged to Home



Discharged to Hospital



Discharged to Skilled Nursing Facility



Average Length of Stay (days)



Average Age



FIM Level at Admit



FIM Level at Discharge









FIM = Functional Independence Measure. FIM is an instrument used for a basic indicator of patient disability. FIM is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Tidelands WRH patients demonstrated greater functional gains when compared to weighted national averages.

Stroke Risk Factors

Many factors can lead to a risk of stroke. Some are controllable, while others are beyond our control.

Controllable Risk Factors

  • Weight management
  • Atrial fibrillation (a-fib)
  • High blood pressure
  • High cholesterol
  • Alcohol consumption
  • Diabetes management
  • Illegal drug use
  • Heart conditions
  • Lack of exercise
  • Tobacco use

Uncontrollable Risk Factors

  • Age
  • Gender
  • Family history
  • Previous stroke or heart attack

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