stroke care management scm 301 relates to sfc qcf unit 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

stroke care management scm 301 relates to sfc qcf unit scm 301

Documents

sfc qcf unit scm

communication slide

stroke care management

effects of stroke

brain responsible

capacity staff

assumption of capacity

aphasia impairment