Counseling Flashcards
Attributes of Stroke
Suddenness
Unexpected despite awareness
Vulnerability if we live long
Helplessness
Emotional Impacts of Communicative Loss
Anxiety expressed with confusion
- pervasive emotional response
- guilt related to mistakes
- anticipatory worries
- catastrophic reactions
- inability to process complete info.
- incomprehension of reality and effects
- feelings of inadequacy / overwhelmed by new challenges
Management of Emotional Impacts
Integrate hope
Provide reassurance
Simplify information
Make manageable plans
Structure time to keep busy with purposeful tasks
Promote potentials beyond the known limit
Emotional Reactions
Anger expression with frustration
Depression expressed by loss of self esteem
Major Depression
- 5 symptoms that last for at least 2 weeks
- Feeling sad
- hopeless
- worthless living
- waste of life
- pessimismAnger Management
Validate frustration
Set limits to avoid problems
- anger isn’t a problem, but violence is
Focus on the process rather than the results
Find solutions
Depression Management
Reinstate confidence by showing past accomplishments, ways one can be helpful, and current successes
Provide access to resources
Increased opportunities for social activities for the patients and caregivers
Communicative Counseling
Receptive to wishes family wants to share
Presentation of pertinent info
Clarification of ideas and sharing feelings
Presentation of realistic options to change communication patterns
Info presented in small amounts
Written info whenever possible
Explanation of the role of an SLP
Suggest materials/procedures
Info on recovery process
Family Info Session
Listen to Family
Help them with: adjusting to life changes dealing with brain injury & behavior discussing realistic communication options providing realistic information
Provide information:
what is aphasia?
who can have it? etc.
Answer questions
can it be prevented?
is there a cure?
will he improve?
Vocational Issues
Acceptance of limitations
Work related issues
physical, mental fatigue
skilled multi-tasking
Best way: Reorganization at work: reducing job demands simplifying requirements retraining for a different job
Families Experience…
Role changes
Irritation of family members
guilty, altered social life
Handling of Visitors
Explain the patient’s condition
Visitation should be approved by the patient
Don’t discuss the patient’s condition in his presence
Encourage the visitor to talk to the patient
How to Help a Stroke Victim
Seek the best professional help
Be sensitive to the pt.
Be realistic toward the loved one
Increase understanding of stroke - knowledge reduces anxiety
Things Family Can Do to Help
EASE THE COMMUNICATIVE LOAD
Seek counseling
Join National Organization for networking
Explore different Care options
Discover how well he can communicate
Spend time with pt. when he’s alert
Make a list of new and old interests
Promote every opportunity for communication
Accept the pt. as he is now
Begin rehab ASAP
Be patient
Focus on what he can do
Easing the Communicative Load
Identify yourself
give patient time to talk
avoid medical jargon
maintain professionalism
promote all modalities of communication
speak slowly in short sentences
praise successful achievement
ignore labile (crying, cursing) behavior
don’t speak for the patient
use gestures
Suggestions for Clinicians
Slow down rate of speech
Simplify and shorten info.
Treat him with respect
State the purpose of each action
