International Journal of Clinical Case Reports, 2025, Vol.15, No.2, 79-89 http://medscipublisher.com/index.php/ijccr 82 Personalized recovery plans need to integrate motor function assessment, cognitive levels and family support resources. Studies have confirmed that the monitoring scheme of wearable devices based on the Internet of Things enables the accuracy rate of rehabilitation movements to reach 93% and shortens the hospital stay by 4.7 days (Nir et al., 2004). The optimization plan should include three elements: exercise therapy, family collaborative training and environmental adaptability transformation, forming a closed loop of full-cycle management (Torres-Arreola et al., 2009). 3.2 Functional rehabilitation (such as limb, language, and swallowing) and care guidance Functional recovery training is the core link of stroke rehabilitation, mainly focusing on improving limb movement, language expression and swallowing function. Adopting a targeted rehabilitation program that combines life scene training and intensive training can effectively improve motor coordination ability and daily self-care level (Dobkin, 2004). For example, when patients repeatedly conducted targeted movement training in life scenarios and actively used the damaged limbs, significant improvements were made in movement strength, reaction speed and accuracy (Ali et al., 2019). Professional care guidance plays a key role in the process of functional training. Nursing staff help patients and their families correctly master rehabilitation training methods by providing them with necessary guidance and assistance. This type of guidance includes demonstrations of standard movements, practical skills for dealing with muscle stiffness and limb movement disorders, and helping patients maintain their motivation for rehabilitation through psychological care (Wei 2010; Ali et al., 2019). Studies have confirmed that conducting continuous rehabilitation training programs for patients and their families is of positive significance for maintaining functional progress and improving the quality of life (Ali et al., 2019). 3.3 Psychological support and emotional guidance strategies Paying attention to mental health and providing emotional counseling are important components of comprehensive rehabilitation for stroke. Patients often encounter emotional distress such as depression and unease, which may delay the recovery process. Taking targeted psychological care measures is particularly crucial for improving the overall prognosis. The systematic care program including psychological counseling has been proven to alleviate patients' depressive symptoms and enhance their self-health awareness and self-confidence at the same time (Nir et al., 2004; Ali et al., 2019). Effective psychological support strategies include regular psychological state screening, professional counseling and mutual assistance community activities. The nursing team plays an important role in identifying signs of psychological abnormalities and implementing intervention measures. Creating an environment that encourages honest communication and helping patients relieve emotional stress can effectively alleviate the psychological impact brought by the disease. Integrating psychological support into the rehabilitation system can not only improve the emotional state, but also contribute to enhancing the functional recovery effect and life satisfaction (Nir et al., 2004; Ali et al., 2019). 4 Nutritional Support Program 4.1 Nutritional screening and dietary plan design Scientific assessment of the nutritional status of stroke patients is a fundamental link in formulating care plans. Nursing staff need to use tool systems such as the modified Water Intake Test (MWST) to screen for swallowing dysfunction. The incidence of this complication is as high as 67% in the stroke population and directly affects the level of nutritional intake (Westergren, 2006). By constructing a three-dimensional assessment system including biochemical indicators, body composition analysis and dietary investigation, the risk of protein-energy malnutrition can be accurately identified (Kumlien and Axelsson, 2002). Studies have shown that the adoption of the standardized swallowing function assessment process (SSA) can reduce the risk of aspiration by 42% (Westergren, 2006). Personalized dietary plans need to integrate metabolic requirements and dietary preferences, with a focus on adjusting the proportions of the three major nutrients. Clinical practice shows that daily protein intake of 1.2~1.5
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