Returning To Work After A Mild Stroke: What You Need To Know

Returning to work after a stroke is a big decision and a challenging process. The recovery timeline after a stroke varies from person to person, and getting back to work depends on factors such as the effects of the stroke, the type of care and support received, the nature of one's job, and the level of support provided by the employer. While some individuals may resume work within a few weeks, others may take months or even years. Planning ahead, seeking support, and understanding the impact of physical and cognitive changes on work life are crucial steps in returning to work after a stroke.

Planning your return to work

Understand the Impact of Your Stroke

Start by assessing how the effects of your stroke will impact your work. Consider any changes in your physical abilities, thinking, communication, and energy levels. Fatigue can be a significant factor, and it may last longer than expected, so be sure to factor this into your planning. Discuss your return-to-work plan with your doctor and rehabilitation team, especially if you've had issues with insight and awareness, to ensure a smooth transition.

Identify Your Goals and Strengths

Returning to work is a goal in itself, but it's important to break it down into smaller, achievable goals. Identify the specific tasks and responsibilities that you need to perform in your job and compare them to your current strengths. This will help you determine what adjustments or accommodations you may need in the workplace.

Re-learn and Practice Key Skills

Work with your rehabilitation team to re-learn or practice the key skills necessary for your job. This may include strategies to improve concentration or memory, such as using verbal or written cues. They can also help you develop new skills or adapt existing ones to compensate for any ongoing challenges.

Communicate with Your Employer

Open and honest communication with your employer is crucial. Discuss your accommodation needs and be prepared to suggest modifications to your duties or work hours. Your rehabilitation team may be able to support you in these conversations and advocate for the support you require. Ask your employer about their policies and procedures regarding return-to-work processes and any available resources, such as occupational health and safety representatives.

Access Available Resources and Support

There are various resources and support services available to help you return to work. These include state vocational rehab agencies, job-seeking assistance, and tax benefits for employers who accommodate your needs. You can also seek advice from organisations like JobAccess if you have a disability. If you're a union member, your representative may assist in negotiating the accommodations you require. Additionally, consider reaching out to your general practitioner for referrals to appropriate allied health services that can aid in your return to work.

Obtain Medical Clearance

Before returning to work, ensure you have medical clearance from your doctor stating that you are safe and well enough to perform your job. This step is essential, especially if you have ongoing medical issues. Your treating team may recommend adjustments to your work hours or responsibilities, and having this information in writing will help communicate your needs to your employer effectively.

Rehabilitation and recovery

Returning to work after a stroke requires careful planning and support. The recovery process is different for everyone, and the timeline can vary from a few weeks to several years. Here are some important considerations for a successful return to work:

Understand the Effects of Your Stroke

Recognize how the physical, cognitive, and emotional impacts of your stroke may affect your work. Fatigue, for instance, is a common issue that can last longer than expected. If your stroke has affected your insight and awareness, consult with your doctor and health professionals to fully understand your capabilities and limitations.

Work with Your Rehabilitation Team

Your rehabilitation team can help you review your strengths and practice the key skills needed for your job. They can also teach you strategies to improve concentration and memory, such as using verbal or written cues. This team can also communicate with your employer about the support you need.

Make Necessary Accommodations

A successful return to work may involve making changes to your job duties and work hours. You may require specialized equipment or modifications to perform your job more easily. Discuss these needs with your employer and explore the different types of assistance available.

Plan Your Return with Your Employer

Keep your employer informed about your recovery progress and expected return date. Ask about their policies on returning to work after sick leave and any accommodations they can provide. It is helpful to provide them with factual updates and discuss your thoughts, concerns, and options with a trusted person who can support your decision-making process.

Access Available Resources

Take advantage of resources such as employment readiness checklists, goal-setting worksheets, and state vocational rehab agencies. These tools can help you set short- and long-term goals and monitor your progress. Additionally, seek financial support if needed, as returning to work after a stroke can be costly.

Be Mindful of Your Wellbeing

Do not rush back to work too quickly. Give yourself time to recover and only return when you feel well enough and have a plan in place. Returning to work can provide a sense of purpose and focus, but it is important to ensure you can cope with the demands of your job. Consider trying voluntary work first to regain your confidence and independence.

Financial support

Returning to work after a mild stroke is possible, but it's important to take the necessary time to recover and plan your return. The financial impact of a stroke can be significant, and understanding the available financial support is crucial. Here is some information on financial support to consider when planning your return to work:

Benefits and Grants:

The benefits system can provide financial assistance to those recovering from a stroke. Universal Credit is the main benefit for working-age people, offering support with housing costs, low income, or illness/disability. Personal Independence Payment (PIP) is another benefit that helps with the extra costs associated with long-term illness or disability, and it is not means-tested, so you can claim it while working.

There are also grants and loans available to help with hardship and home adaptations. You can contact your local council or seek advice from organisations like Citizens Advice to learn more about these options.

Employer Support:

Your employer may offer financial support during your recovery. Check their policy on pay during sickness absence, as some organisations provide full pay or Statutory Sick Pay. If you are self-employed, you may qualify for the New Style Employment and Support Allowance. It is worth reviewing any personal insurance policies you have, as they might provide coverage for serious illnesses or loss of earnings.

Healthcare Costs:

Managing the cost of prescription drugs and therapy can be challenging. The American Stroke Association's Finances After Stroke Guide offers guidance on navigating these expenses. Additionally, organisations like the Patient Advocate Foundation provide support in managing healthcare costs.

Career Development Support:

The Ticket to Work Program supports career development for people ages 18-64 who receive Social Security disability benefits. This program can help you successfully re-enter the workforce and develop your career.

Managing Finances:

There are tools and resources available to help you manage your finances effectively. For example, the AARP Money Map is a free online money management tool that can assist with budgeting, debt reduction, and building savings.

Remember, seeking financial support is essential to alleviate the financial burden after a stroke. These resources can provide much-needed assistance during your recovery and transition back to work.

Workplace discrimination

Returning to work after a mild stroke is possible with the right care, support, and advice. The recovery process after a stroke varies for each individual, and it is important to consult with doctors, nurses, and therapists about what to expect. While some people can return to work within a few weeks, others may take months or years.

Discrimination occurs when an employee is treated less favourably due to their disability. This may be direct or indirect, such as requiring access to a building via stairs, which can be challenging for those with physical disabilities. Harassment and victimisation linked to a disability are also considered forms of discrimination.

The legal definition of a disability is a physical and/or mental impairment that has a substantial and long-term effect on one's ability to carry out daily activities. This includes the emotional and cognitive problems that can arise after a stroke. The Equality Act 2010, for example, protects individuals from disability-based discrimination in the workplace, ensuring that a disability should not prevent someone from working or having the same rights and opportunities as others.

Employers have a duty to make 'reasonable adjustments' to support disabled employees. These adjustments aim to remove barriers and may include changing work times, transferring to another post, or providing specialist equipment.

If you feel you are facing workplace discrimination due to a disability, it is important to seek advice from professionals, such as solicitors, trade unions, or organisations like Citizens Advice or Acas.

Changing careers

Returning to work after a stroke is a big decision and one that requires careful consideration and planning. It is important to remember that every stroke and recovery is different, and there is no set pattern for returning to work. While some people may be able to return to work within a few weeks, others may take months or even years. It is crucial to seek advice from medical professionals, such as doctors, nurses, and therapists, to understand what to expect during your recovery journey.

During your recovery, it is important to focus on getting the right care, support, and advice. This may involve working with a rehabilitation team, including physiatrists, neurologists, physical and occupational therapists, speech-language pathologists, and nurses. They can help you address any physical, cognitive, or emotional challenges you may be facing and develop strategies to improve your overall functioning.

As you plan your return to work, it is essential to consider how the effects of your stroke will impact your job performance. Be mindful of any changes in your physical abilities, thinking, communication, and energy levels. If your stroke has caused problems with insight and awareness, it is crucial to involve your doctor and health professionals in your return-to-work plan. They can help you understand your strengths and limitations and develop strategies to enhance your performance.

If you are considering changing careers after your stroke, it is important to identify your strengths and transferrable skills. Your rehabilitation team can assist you in this process by reviewing your strengths and helping you re-learn or practice key skills. They can also teach you strategies, such as using verbal or written cues, to improve your concentration or memory. Additionally, you may need specialized equipment or modifications in your new career to accommodate any ongoing challenges.

When changing careers, it is beneficial to seek support from various sources. Your rehabilitation team may be able to communicate with your new employer about the support you need to succeed in your new role. You can also explore resources such as State Vocational Rehab Agencies, income support services, and job-seeking assistance. These services can provide guidance and advice on transitioning into a new career, ensuring that you have the necessary tools and accommodations to thrive in your new path. Remember, a successful return to work involves understanding the impact of your stroke and proactively seeking the support you need to excel in your chosen career.

Frequently asked questions