• ESD Programs were initiated in response to the need to accelerate the discharge of stroke patients admitted to hospital.
• ESD programs have been shown to impact on 3 key areas:
1.Resource Use: ESD programs are a cost effective alternative to conventional treatment, particularly where services are provided to stroke survivors with mild to moderate disability and where there is a support network at home (Anderson et.al., 2000; Fisher et.al., 2011).
2.Health Outcomes: ESD programs can reduce long-term dependency and admission to institutional care as well as reducing the length of hospital stay (Fearon & Langhorn, 2012).
3.Carer Outcomes: The evidence relating to carer burden and participation in ESD is conflicting. With some studies reporting increased carer burden (Anderson et.al., 2000) while others report no additional carer burden (Askim,et.al. 2004).