Stroke Week: MDT Flashcards
What is occupational therapy?
Primary goal is to enable people to participate in activities of every day life and enable them to do things that matter most to them
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State some specific roles of occupational therapist in stroke patients
- Assess pt within 72 hours of referral
- Pts should have 45 mins of occupational therapy everyday
- Assess pt safety & independence
- Pt should be mobilised in 24-48 hours
- Ask about work and leisure
.. and more
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State 3 components that affect occupational performance
State some roles of physiotherapists
- Restore movement & function disability
- Management of pain, preventing disease and disability
- Help to relearn lost abilities, regain independence and reduce risk of further strokes
What is the minimum treatment reccomendation for physiotherapy treatment in stroke patients?
- Assess pt within 72 hours
- Minimum 45 mins, 5 days a week
- Rehab
- Access to community rehab
Suggest some functions which are assessed in the stroke physiotherapy assessment
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What may rehabilition physiotherapy involve for a stroke patient?
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State and describe the 5 types of communication disorder which can occur following a stroke
- Dysphasia/aphasia: dys=partial, a=complete. Difficult with anything to do with language; this can be speaking, understanding, reading, writing, numbers, gesture
- Dysarthria: speech disorder due to weakness or abnormal muscle tone of the muscles that are articulators. May see facial paralysis, drooling, poor respiration etc…
- Dyspraxia/apraxia of speech: difficulty coordinating muscles to say what they want to say
- Dysphonia: typically caused by disorder of vocal cords
- Dysfluency: disruption of fluent speech
State some impacts of communication difficulties
- Increased length of stay
- Low mood
- Independence and need for assistance
- Barriers to rehabilitation and effective care
- Psychosocial (relationships, isolation etc)
Communication disorders can act as a barrier to decision making in clinical care; who would you contact in this case and what can they do?
Speech and language therapists can provide accessible information that’s aphasia frienldy using e.g. graphics, written info etc… NOTE: this is only case if pt has capacity
Suggest some ways in which we can help patients to express themselves
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Suggest some ways in which we can help patients understand
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What investigation can we do to determine if pt has abnormal swallow?
Videofluroscopy
What do we mean by silent aspiration?
Aspiration without coughing
In addition to the primary motor areas and brainstem, other areas have been associated with swallowing problems- state some of these areas
- Thalamus
- Cerebellum
- Basal ganglia
- Pyramidal tracts