DEFINITIONS
Dysphagia
Difficulty in swallowing
What does CVA stand for?
Cerebral Vascular Accident
What is NOT a warning sign of a stroke:
Weakness
Dizziness
Headache
Vision Issues
Trouble Speaking
Sweating
Sweating
Box 37-3 lists all the warning signs of a stroke in the text book page 859
TRUE or FALSE: it is important to make sure to swallowing assessment post-stroke to determine if there is any issues with dysphagia.
Bonus points: who from the health care team completes this assessment?
TRUE: we need to make sure we identify any changes from baseline.
SLP would complete this assessment!
Name one UN-controllable risk factor of a stroke
Age, gender, race, genetics
Dysphasia
Difficulty with speaking/language
What does TIA stand for?
Transient Ischemic Attack
True or False: depending on the location of the stroke, this will determine the loss of function in the person
TRUE: location matters. Depending on which area of the brain is affected, this will determine which functions the person will experience a deficit in.
Who from the health care team would assess a post-stroke patients mobility?
Physiotherapist
Name a controllable risk factor of a stroke:
diet and exercise
blood pressure
cholestrol
alcohol intake
Aphasia
Difficulty in remembering/recall
What is a TIA?
Temporary disruption of blood flow to the brain with no permanent damage
A TIA can indicate that a stroke may be on the horizon
What is HEMIPLEGIA?
paralysis on one side of the body
After a stroke, this member of the team would help carry out exercises such as passive and active ROM activities to help improve strength as directed from the PT
Occupational Therapy
What type of mood changes can we expect to see in someone who has had a stroke?
Sometimes moods are exaggerated/inappropriate. Outbursts of anger, moaning, laughing, crying for no reason can occur (page 859)
Apraxia
Which gender has a higher risk of stroke?
Males: have a slightly higher risk for strokes that women
Name the two types of stroke
Ischemic and Hemmorhagic
Why is skin care important after a stroke?
Incontinence: some patients may have changes in bladder and bowel function and may require more support with their ADLS surrounding elimination and hygiene. In addition, their ability to move around, shift their weight and get off pressure points could be diminished and therefore we as PSWs need to assist with this.
True or false: after a stroke, clients may forget how to do tasks they have previously learned how to complete and need to re-learn common everyday ADLs
TRUE! this is part of the rehabilitation process and something a PSW would be a part of!
Slurring speech
At which age group do strokes affect people the most?
65 and older
What is one common mental health concern that can affect someone after a stroke?
Depression (page 859)
Name a risk factor of a stroke:
age, gender, increased blood pressure, increased cholesterol, smoking, diabetes, lack of exercise, high alcohol intake
TRUE or FALSE: We always wait a little while to make sure the client is comfortable and ready to begin the rehabilitation process
FALSE! The sooner the better. The more intervention and the faster intervention can occur, will increase the likelihood of a patient regaining more function and getting closer to their original baseline. Testing will begin ASAP (ROM, mobility, cognitive function swallowing assessment, mood assessment etc.) and from there, the care plan will be created and carried out as quickly as we can make it happen!