HANDOUT PACKAGE · • Vision • Hearing • Time • Body Neglect Compensate for neglect If you...
Transcript of HANDOUT PACKAGE · • Vision • Hearing • Time • Body Neglect Compensate for neglect If you...
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HANDOUTPACKAGE
TOPICS
Module 1: Understanding Stroke........................................................3
Module 2: Physical Changes and Challenges...............................12
Module 3: Swallowing and Nutrition...............................................19
Module 4: Cognition, Perception and Communication..........26
Module 5: Emotions, Roles and Relationships...........................34
Module 6: Reducing the Risk of Stroke and Moving Forward...40
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MODULE 1: Understanding Stroke
Warning signs of a stroke
• Weakness
• Trouble speaking
• Vision problems
• Headache
• Dizziness
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MODULE 1: Understanding Stroke
Two types of stroke
Cause determined by CT scan
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MODULE 1: Understanding Stroke
A stroke can impact your ability to:
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• Move
• Feel
• See
• Communicate
• Think
• Chew and swallow
MODULE 1: Understanding Stroke
LEFT vs. RIGHT side of brain
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MODULE 1: Understanding Stroke
Risk factors you CANNOT control
• Age
• Gender
• Ethnicity
• Family history
• Previous stroke or TIA
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MODULE 1: Understanding Stroke
Risk factors you CAN control
• High blood pressure
• Heart disease
• High cholesterol
• Diabetes
• Eating fatty foods
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MODULE 1: Understanding Stroke
Risk factors you CAN control
• Smoking
• Excessive alcohol consumption (9 glasses per week for women 14 glasses per week for men)
• Decreased physical activity
• Being overweight
• Stress
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MODULE 1: Understanding Stroke
My role in my recovery
Take medications
Take blood pressure
Eat healthy
Exercise
Reduce stress
See doctor regularly
I do this now
I plan to do this in the
future
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MODULE 1: Understanding Stroke
My role in my recovery
Quit smoking
Limit drinking
Lose weight
I do this now
I plan to do this in the
future
Does not apply to
me
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MODULE 2: Physical Changes and Challenges
Physical changes
• Weak face, arm, and leg
• Difficulties with balance
Physical challenges
•Manyoftenallowphysicalchangestolimit their activities.
•Fear, embarrassment, or an all-or-nothing attitude are often the underlying reason for activity limitations.
•Underlying beliefs and attitudes are the real BARRIERS, not the physical limitations.
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MODULE 2: Physical Changes and Challenges
Strategies
•PHYSICALACTIVITYcanimproveyourstrength, walking ability, coordination and balance and prevent falls
•Thisincludesdoingexercises and household chores
•Beinginvolvedinphysicalactivities has both physical and emotional benefits
•Use your weak arm or leg as much as possible
•Useweakhandasastabilizer
•Sitonachair or stool for grooming or cooking activities to help your balance and decrease your fatigue
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MODULE 2: Physical Changes and Challenges
Physical activities
Walk
Climb stairs
Shower
Get dressed
Cook
I do this now
I plan to do this in the
futureI did this before
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MODULE 2: Physical Changes and Challenges
Physical activities
Clean
Wash dishes
Do laundry
Indoor maintenance
Outdoor maintenance
I do this now
I plan to do this in the
futureI did this before
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MODULE 2: Physical Changes and Challenges
Physical activities
Garden
Shop
Exercise
Yoga/Tai Chi
Swimming
I do this now
I plan to do this in the
futureI did this before
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Physical activities
Play sports
Go to gym
Community Centre
Mall walking
Other _______
I do this now
I plan to do this in the
futureI did this before
MODULE 2: Physical Changes and Challenges
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MODULE 2: Physical Changes and Challenges
Physical goal
Walking
Exercise at home
Cleaning _____________
Shopping
Community Centre or Gym
Other: _______
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MODULE 3: Swallowing and Nutrition
Safe swallowing strategies
Wear your glasses, hearing, aids and/or dentures
Eat and drink when you are awake
Sit upright
Eat slowly
Swallow again between bites
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MODULE 3: Swallowing and Nutrition
Safe swallowing strategies
Do not drink and eat at the same time
No talking while chewing or swallowing
Sit up for 30 minafter eating
Something else
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MODULE 3: Swallowing and Nutrition
Di�erent textures
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Solids
Puree
Minced/ chopped
Soft
Regular
Liquids
Pudding
Honey
Nectar
Thin
MODULE 3: Swallowing and Nutrition
Canada’s food guide
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Eat 6+ grain products
Eat 7+ vegetables and fruit
Eat 3+ milk products
Eat 2+ meat or meat alternative products
MODULE 3: Swallowing and Nutrition
Eat more high-fibre foods
•Whole grain breads and cereals
•Legumes: lentils, dried beans and peas
•Brown rice and whole wheat pasta
•Fruits and vegetables
Limit
•Salt
•Fat
•Sugar
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MODULE 3: Swallowing and Nutrition
Diet goal
Reduce salt
Reduce fat
Eat more fruits and vegetables
Eat more whole grains
Read food labels
Other: _______
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MODULE 4: Cognition, Perception and Communication
Cognitive di�culties after stroke
•Thinkingclearly
•Concentrating
•Remembering
•Payingattention
•Makingdecisions
•Planning
Let’s �nishthis job �rst.
I ’ll make thatdish.
Pop!
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MODULE 4: Cognition, Perception and Communication
Coping strategies
•Establishroutines
•Simplify tasks and instructions
•Pace yourself
•Focusonone thing at a time
•Breaktasksintosmall steps
•Organize yourself
•Usememory aids
•Minimize distractions(e.g.,turnoffTV or radio if trying to have a conversation)
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MODULE 4: Cognition, Perception and Communication
Perceptual problems after stroke
•Vision
•Hearing
•Time
•Body Neglect
Compensate for neglect
If you have di�culty paying attention to one side of your body or an object on that side try to:
•Positionyourhand in front of you
•Remindyourselftocheck that side
•Put objects you need to reach on your a�ected side (e.g., plate or cup)
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Left
Right
MODULE 4: Cognition, Perception and Communication
Communication di�culties after a stroke
•Speaking
•Understanding
•Reading
•Writing
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MODULE 4: Cognition, Perception and Communication
Strategies to help caregivers get their message across
• ACKNOWLEDGE that you know that the person with aphasia knows what they want to say but cannot say it
• LOOK at the person with aphasia when speaking
• Communicate ONE idea at a time
• WRITE down KEYWORDS
• Use YES/NO questions
• DRAW simple pictures
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MODULE 4: Cognition, Perception and Communication
• Use GESTURES and FACIAL EXPRESSIONS
• VERIFY to make sure you have understood the information correctly
• WRITE down a word or DRAW if you can
• POINT to something
• Attempt to identify the TOPIC first then move on to the details
• Use words communication partner wrote down
Strategies to help caregivers get their message across
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Strategies to help the person with aphasia get their message across
MODULE 4: Cognition, Perception and Communication
Communication strategies
• If you do not have TIME to communicate or are having trouble, try to return to finish the conversation at another time
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MODULE 4: Cognition, Perception and Communication
Cognition,perceptionand/or communication goal
Use memory aids
Pay more attention to your affected side
Teach others communication strategies
Use more gestures and pointing Write down key words
Other: _______
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Left
Right
MODULE 5: Emotions, Roles and Relationships
Emotions after stroke
Happy
Sad
Worried
Depressed
Angry
Stressed
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MODULE 5: Emotions, Roles and Relationships
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GERIATRIC DEPRESSION SCALEChoose the best answer for how you have felt over the past week:
1. Are you basically satisfied with your life? YES / NO
2. Have you dropped many of your activities and interests? YES / NO
3. Do you feel that your life is empty? YES / NO
4. Do you often get bored? YES / NO
5. Are you in good spirits most of the time? YES / NO
6. Are you afraid that something bad is going to happen to you? YES / NO
7. Do you feel happy most of the time? YES / NO
8. Do you often feel helpless? YES / NO
9. Do you prefer to stay at home, rather than going out and doing new things? YES / NO
10. Do you feel you have more problems with memory than most? YES / NO
11. Do you think it is wonderful to be alive now? YES / NO
12. Do you feel pretty worthless the way you are now? YES / NO
13. Do you feel full of energy? YES / NO
14. Do you feel that your situation is hopeless? YES / NO
15. Do you think that most people are better off than you are? YES / NO
Scoring:
The facilitator will help you assess your risk of depression.
MODULE 5: Emotions, Roles and Relationships
Do you experience any of these feelings?
Lack of energy
Difficulties concentrating
Lonely
Tired all the time
Loss of appetite
Trouble sleeping
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MODULE 5: Emotions, Roles and Relationships
How to deal with mood changes
Be ENGAGED IN LIFE
Stay PHYSICALLY ACTIVE
Avoid SOCIAL isolation
Stay in touch with FAMILY and FRIENDS
Talk to other STROKE SURVIVORS and CAREGIVERS
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LIFE
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MODULE 5: Emotions, Roles and Relationships
How to deal with mood changes
Learn about STROKE to help you understand what’s happening
Talk to your HEALTHCARE TEAM about your concerns
Speak to your physician about MEDICATION if you think you are depressed
Set GOALS and work toward them to help you maintain a sense of CONTROL, improve your CONFIDENCE and raise your SELF-ESTEEM
Take an ACTIVE role in your recovery, one step at a time
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MODULE 5: Emotions, Roles and Relationships
Maintaining social relationships
Meet up at a coffee shopor restaurant
Go to the park
Go to the movies
Join a community centre
Attend your place of worship
Join a support group
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MODULE 5: Emotions, Roles and Relationships
Wellness goal
Be physically active
Be social
Join a group
Talk to doctor about medications
Other: ________
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My role in my recovery
Take an ACTIVE role in your recovery and better understand stroke
Take MEDICATIONS as prescribed
EAT HEALTHY
Stay PHYSICALLY ACTIVE
Teach others about aphasiaand helpful COMMUNICATION STRATEGIES
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MODULE 6: Reducing the Risk of Stroke and Moving Forward
My role in my recovery
Maintain connections with FAMILY and FRIENDS
Reduce STRESS
OVERCOME BARRIERS tomaking changes
Set GOALS and work toward them
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MODULE 6: Reducing the Risk of Stroke and Moving Forward
Before After
MODULE 6: Reducing the Risk of Stroke and Moving Forward
My role in my recovery
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Self care goal
Be more physically active
Join a community centre or gym
Eat a healthier diet
Take my medications as prescribed
Reduce unhealthy habits
Reduce stress
Socialize more
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MODULE 6: Reducing the Risk of Stroke and Moving Forward