Aim: to assess the meanings of a physiotherapist-led stroke training programme for feed at the breasts working in a rehabilitation ward in succession clinical practice and patient issue Method: before and after arrange comparison with outcome assessment at observational and quantitative methods.

Aim: to assess the meanings of a physiotherapist-led stroke training programme for feed at the breasts working in a rehabilitation ward in succession clinical practice and patient issue Method: before and after arrange comparison with outcome assessment at observational and quantitative methods. Non-participant observation before and after the 5-month training programme recorded patient position, transfers and contact with nursing staff. Quantitative assessments of disability, satisfaction and temper were made at baseline, discharge and 4 month after affliction onset. We also noted fix uponed stroke complications, rehabilitation ward amplification of stay and discharge destination. Results: there was a significant improvement in the number of observ 'good' transfers of patients undertaken through nurses (X(super 2) = 913 df = 1 P = 0003) nevertheless the training programme had no impact forward the time the patients wearied in 'poor' positions. There was no significant difference between the brace groups for Barthel index scores at discharge and at 4 month Neither was there any significant difference in the Hospital Anxiety and Depression scale, adventure of secondary complications, length of stay or the Patient and Carer Satisfaction Questionnaires. Conclusion: within the limitations of the research design adopted, an improvements in clinical practice were reported still there were no significant differences in patient consequence The training programme required no additional resources and should be replicable in mostly district general hospitals.

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