Transcript Slide 1
Stroke Care Management SCM 301 relates to SfC QCF unit SCM 301 Group Agreement • • • • • • Confidentiality Respect Mobile Phones Break times Domestics (Fire, WC) Introductions relates to SfC QCF unit SCM 301 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 relates to SfC QCF unit SCM 301 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 relates to SfC QCF unit SCM 301 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 relates to SfC QCF unit SCM 301 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) relates to SfC QCF unit SCM 301 relates to SfC QCF unit SCM 301 relates to SfC QCF unit SCM 301 Key Themes and Best Practice relates to SfC QCF unit SCM 301 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. relates to SfC QCF unit SCM 301 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 relates to SfC QCF unit SCM 301 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 relates to SfC QCF unit SCM 301 What are the potential implications of a stroke on someone's mental capacity? How can we support someone? relates to SfC QCF unit SCM 301 relates to SfC QCF unit SCM 301 Stroke and the Brain relates to SfC QCF unit SCM 301 relates to SfC QCF unit SCM 301 relates to SfC QCF unit SCM 301 • • • • • • 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. relates to SfC QCF unit SCM 301 How does stroke effect communication • Aphasia • Dysarthria • Apraxia relates to SfC QCF unit SCM 301 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) relates to SfC QCF unit SCM 301 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 relates to SfC QCF unit SCM 301 Receptive aphasia • Difficulty understanding what is being said to them • Wernicke's area of the brain • In left hemisphere responsible for understanding relates to SfC QCF unit SCM 301 Apraxia • May also be called dyspraxia • Difficulty putting sounds and syllables together • Difficulty in using rhythm and inflections relates to SfC QCF unit SCM 301 Dysarthria relates to SfC QCF unit SCM 301 Communication methods and aids Low tech and high tech relates to SfC QCF unit SCM 301 Supported conversations relates to SfC QCF unit SCM 301 relates to SfC QCF unit SCM 301 Physical effects • • • • • • • • Mobility Continence Pain Spatial awareness Fatigue Feelings Sensations Swallowing relates to SfC QCF unit SCM 301 ANALYSE… the fluctuating nature of stroke relates to SfC QCF unit SCM 301 Real Stories relates to SfC QCF unit SCM 301 Presentation Spilt into two teams Each time will be allocated a topic • Learning outcome 4 OR • Learning outcome 5 relates to SfC QCF unit SCM 301 Using the knowledge and experience you have gained from completing the other modules prepare a presentation for the other team relates to SfC QCF unit SCM 301 • 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 relates to SfC QCF unit SCM 301 Values game relates to SfC QCF unit SCM 301 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. relates to SfC QCF unit SCM 301 relates to SfC QCF unit SCM 301 Evaluation relates to SfC QCF unit SCM 301 relates to SfC QCF unit SCM 301