Stroke Care Management SCM 301

Stroke Care Management SCM 301

relates to SfC QCF unit SCM 301

Group Agreement

• Confidentiality

• Respect

• Mobile Phones

• Break times

• Domestics (Fire, WC)

• Introductions


Aims • Understand legislation, guidelines and

best practice to support stroke care management.

• Explore the effects of stroke on an individual and provide an understanding of how a person centred approach may support stroke care management


Learning Outcomes

• Understand how to support individuals to manage stroke according to legislation, policy and guidance

• Understand specific communication factors affecting individuals following a stroke


Learning Outcomes • Understand physical changing needs of

individuals affected by stroke

• Understand the impact of the effects of stroke on daily living

• Understand the associated complications for an individual with stroke


Legislation

• National Stroke Strategy (2007)

• National Service Framework for Older people (2001)

• National Service Framework For long term conditions (2008)

• National clinical guideline for stroke (2012)




Key Themes and Best Practice


What is mental capacity?

Put simply it’s the ability to make a decision

A person who lacks capacity is someone who cannot make a decision at the time it needs to be made, because of an impairment in the functioning of their mind or brain.


The 5 guiding principles

• an assumption of capacity

• supporting people to make their own decisions

• people have the right to make eccentric or unwise decisions


The 5 guiding principles• where someone lacks capacity staff

must act in the person's best interests

• where someone lacks capacity any action we take on their behalf must generally be the least restrictive option


What are the potential implications of a stroke on someone's mental capacity?

How can we support someone?



Stroke and the Brain


http://southernstrokeforum.org/cd1-3.html



Impact of Communication difficulties

• Frustration, anger, fear

• Unable to communicate choice

• Social exclusion/isolation

• Role changes within the home/society

• Unable to adapt to new identity

• Family unable to communicate to their loved one.


How does stroke effect communication

• Aphasia

• Dysarthria

• Apraxia


Aphasia

• Impairment in language

• Damage to left side of the brain

• part of the brain responsible for language and communication

Aphasia • Depends on which communication

centre in the brain in affected

• Can be divided into two types;

• Expressive (message out)

• Receptive/comprehension (message in)


Expressive aphasia • Understanding remains however difficulty in

finding words and expressing what they want to say

• Broca’s area of the brain affected in the left hemisphere

• May have difficulty ready, writing and naming objects


Receptive aphasia

• Difficulty understanding what is being said to them

• Wernicke's area of the brain

• In left hemisphere responsible for understanding


Apraxia • May also be called dyspraxia

• Difficulty putting sounds and syllables together

• Difficulty in using rhythm and inflections


Dysarthria


Communication methods and aids

Low tech and high tech


Supported conversations



Physical effects • Mobility• Continence• Pain• Spatial awareness• Fatigue• Feelings • Sensations • Swallowing


ANALYSE… the fluctuating nature of stroke



Real Stories

http://www.youtube.com/watch?v=3hcnBCwae-0

Presentation

Spilt into two teams

Each time will be allocated a topic

•Learning outcome 4

OR

•Learning outcome 5


Using the knowledge and experience you have gained from

completing the other modules prepare a presentation for the

other team


• You will have access to all your previous power points and your completed workbooks

• You will be given a resource pack for your learning outcome

• You must present your information on flip chart


Values game


Active Participation• Working in a way that recognises the

person’s right to participate in activities and relationships of everyday life as independently as possible.

• The person is regarded as an active partner in their own care / support rather than a passive recipient.




Evaluation


Documents

Stroke Care Management SCM 301