Research findings indicate that even though health professionals and participants have reported high levels of satisfaction and acceptance of telerehabilitation interventions, the overall quality of the evidence on telerehabilitation in poststroke care remains low [2,7].

In the article “Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study,” the authors examined whether telehealth technology impacts the perceived level of internal service quality delivered by the nurses of the relevant telehealth organization, the Visiting Nurse Association (VNA). A similar study of telehealth rehabilitation for patients recovering from stroke aimed to assess if home health agencies with telehealth capabilities caring for patients with chronic diseases and those receiving stroke rehabilitation can take care of patients in their home setting, thereby filling this gap [3]. Telerehabilitation for patients recovering from stroke is perceived as providing convenience and a sense of security to the patient, caregivers, and family members, allowing timely nursing interventions under supervised physician care [2,7]. Caring for the needs of the patients recovering from stroke represents a significant financial and emotional burden. Telehealth interventions can improve self-management, communication, and the engagement of caregivers involved in the long-term care of these patients [3].

Patients with chronic disease and patients recovering from stroke are generally provided with services including companion care, infusion pharmacy, home care, home health technology, hospice, and palliative care. Organizations using telehealth nursing services monitor the patient through assessment and the collection of data, including heart rate, blood pressure, weight, oxygen saturation, and temperature. Other members of the household or caregivers may monitor the health care process. The patients are triaged according to their vitals. The central station clinician is responsible for the initial interpretation of the data and contacts the patient with any health care concerns, including blood pressure changes, weight gain, or oxygen level fluctuations [3,4] (Table 1).

Some patients recovering from stroke are stable; however, others have urgent needs. It is largely older adults with chronic diseases, especially stroke and heart disease, that benefit from telehealth interventions [3,8]. Nationwide telehealth service quality studies related to the care of patients recovering from stroke would have a more significant impact on research and the perceptions of rehabilitation and telehealth quality service [9,10]. Patients that are handicapped and impaired and unable to reside in their home environment are not included in telerehabilitation services provided by home care agencies [3,9]. It would be informative to study the benefits of telerehabilitation and the care of patients recovering from stroke within nursing homes. Feedback from health care professionals and physician specialists will help to refine the collaborative care efforts for this vulnerable patient population. Future studies of telehealth interventions and stroke management in home care will be important, given the need for social distancing during the current global health pandemic [11,12]. Due to the rapid spread of coronavirus disease (COVID-19), the provision of rehabilitation and stroke care may place health care workers in a position of vulnerability as they may acquire the virus and spread it [13,14]. Telehealth management of patients would reduce their risk of exposure to any infectious agent, whether during a pandemic or community outbreak [13,14]. Therefore, future strategies should consider expanding telerehabilitation services for patients while addressing barriers and solutions with medical staff, caregivers, and patients [14,15]. This may shed light on whether telerehabilitation can have a supportive role alongside standard rehabilitation care in patients poststroke and uncover the barriers and facilitators of this method of health care delivery.