2 - Interprofessional Team Working Flashcards
What are the members of the interprofessional stroke team?
What is the role of an occupational therapist?
They enable people to participate in the activities of everyday life and maximise people’s indepedence with emphasis on useful or functional activities
What is the role of an occupational therapist for a stroke patient?
They class occupation as any activity a person wishes or neeeds to complete
Stroke patients need assessment and intervention with cognition, vision, upper limb function, transfers, activities of daily living, seating
What are some ways an occupational therapist may assess a stroke patients cognition and perception?
What are some ways an occupational therapist may assess a stroke patients vision and upper limbs?
What is the role of a physiotherapist in general?
Restore movement and function when someone is affected by injury, illness or disability. They manage pain, prevent disease and disability
- Hydrotherapy
- Specialist equipment and advice
- Manual therapy
What is a physiotherapists role in a stroke patients journey?
- Reduce risk of post stroke complications
- Prevent further strokes
- Help patient relearn lost abilities
- Help patient regain independence
What are some rehabilitation exercises physiotherapist may target in stroke patients?
- Gait reeducation
- Upper limb rehabilitation
- Respiratory care
- Treadmill training
- Outdoor mobility
- Botox injections
What is the role of a speech and language therapist in a stroke patient’s journey?
- Assess swallowing and communication via videofluoroscopy
- Help patient and caregivers to facilitate communication and implement dysphagia management (modifying diet and fluids)
What are some different types of communication disorders following a stroke?
- Dysphasia/Aphasia: inability to understand or use a word
- Dysarthria: slurred or slowed speech that can be difficult to understand
- Dyspraxia: brain struggles to make the movements, e.g of tongue and jaw, needed to make speech
- Dysphonia: hoarse voice often due to vocal cord issues
- Dysfluency: disruption of the ongoing flow of speech
What is the impact on stroke patients with communication difficulties?
- Increased length of stay
- Low mood
- Psychosocial: relationships and isolation
- Difficulty accessing information
- Difficult deciding if patient has mental capacity
How can we help stroke patients to express themselves?
How can we help stroke patients to understand us?
What is the role of a dietician on the stroke unit?
Mainly in the nutritional assessment of patients with dysphagia as stroke patients are at high risk of malnutrition due to dysphagia, poor nutrition and fatigue
What are the issues with dysphagia in stroke patients?
- Malnutrition
- Silent aspiration
- Risk of refeeding syndrome
Most resolve in the first few weeks but need to deal with them whilst they have dysphagia
What is silent aspiration?
What are some of the signs of aspiration?
What are some of the symptoms of aspiration/dysphagia?
What are some comorbities that mean a patient is at high risk of dysphagia?
What are the different tiers of assessment for dysphagia that a stroke patient will undergo?
1. Nurse Dysphagia Screen: done within 4 hours and then a second screening within 24 hours
2. SLT Bedside Assessment: they would assess and then change the consistency, quantity and strategy of food. May also look at changing the patient’s positioning
3. Instrumental Assessment: videofluroscopy or fibreoptic endoscopic evaluation of swallowing (F.E.E.S)
What are different ways that medication can be adminsitered to a patient that suffers with dysphagia?
ALWAYS CHECK WITH PHARMACIST IF YOU CAN MODIFY MEDICATION ADMINISTRATION (e.g could be slow release preparation)
What is risk feeding?
Made in the best interests and wishes of the patient and it aims to restrict modification and distress to the patient. It is often a palliative approach that focuses on keeping the patient comfortable but high risk of aspiration
If a patient following a stroke has severe dysphagia, what changes might a dietician recommend to the patient’s diet?
- Oral Nutritional supplementation
- Enteral feeding
- Modified consistency diet (with SLTs recommendation)
