114. Occupational Therapy And Stroke

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114. Occupational Therapy And Stroke

 

 

CATEGORY:Alternative Medicines 300 Courses

COURSE NUMBER: 114

FEES: 555/- INR only

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BOOKS/ MANUALS: Pages

Syllabus

List of Contributors ix
Foreword xi
Preface xiii
Acknowledgements xv
1 Introduction 1
Judi Edmans, Fiona Coupar and Adam Gordon
Definition of stroke 1
Impact of stroke 1
Symptoms of stroke 2
Causes of stroke 3
Classification of stroke 4
International Classification of Functioning, Disability
and Health 4
Medical investigations following stroke and TIA 6
The prevention of recurrence of stroke (secondary
prevention) 7
Neuroanatomy 9
Damage that can occur in different areas of the brain 13
Policy documents relating to stroke 13
Self-evaluation questions 23
2 Theoretical Basis 24
Janet Ivey and Melissa Mew
Introduction 24
Theoretical constructs 24
Conceptual models of practice 25
Frames of reference 27
Neuroplasticity 29
Intervention approaches 36
Self-evaluation questions 47

3 The Occupational Therapy Process 49
Melissa Mew and Janet Ivey
Introduction 49
The occupational therapy process 49
Procedural reasoning in different stroke care settings 53
Professional duties 60
Self-evaluation questions 63
4 Early Management 64
Sue Winnall and Janet Ivey
Introduction 64
Prior to assessment 64
Initial interview 66
Initial assessment 67
Intervention 75
Equipment 75
Other impairments impacting on functional ability 77
Swallowing 80
Mood 81
Fatigue 83
Self-evaluation questions 84
5 Management of Motor Impairments 86
Stephanie Wolff, Ther ́ ese Jackson and Louisa Reid `
Introduction 86
Assessment 86
Management principles and intervention 90
Therapeutic aims of intervention 91
Positioning the early stroke patient 91
Clinical challenges 109
Upper limb re-education 111
Avoiding secondary complications 112
Self-evaluation questions 116
6 Management of Visual and Sensory Impairments 117
Melissa Mew and Sue Winnall
Introduction 117
Visual processing 119
Somatosensory processing 127
Auditory processing 137
Vestibular processing 139
Olfactory and gustatory processing 141
Self-evaluation questions 142

7 Management of Cognitive Impairments 144
Ther ́ ese Jackson and Stephanie Wolff `
Definition of cognition 144
Cognitive functions 144
Assessment of cognitive functions 144
Cognitive rehabilitation 146
Attention 147
Memory 149
Language 151
Motor planning and apraxia 151
Executive dysfunction 155
Self-evaluation questions 157
8 Management of Perceptual Impairments 158
Louisa Reid and Judi Edmans
Introduction 158
Definition of perception 158
Normal perception 158
Perceptual impairments 160
Perceptual assessment 162
Intervention 165
Self-evaluation questions 172
9 Resettlement 173
Pip Logan and Fiona Skelly
Home visits 173
Community rehabilitation 174
Support available after a stroke and self-management 177
Carers 178
Younger people 180
Lifestyle and long-term management 180
Leisure rehabilitation 181
Getting out of the house and transport 183
Driving after stroke 185
Vocational rehabilitation 186
Resuming sexual activity 188
Stroke education 189
Self-evaluation questions 190
10 Evaluation 191
Fiona Coupar and Judi Edmans
Record keeping 191
Standardised assessments 195
Evidence-based practice (EBP) 199

Outcome measures 203
Standards 206
Self-evaluation questions 207
Appendix: One-Handed Techniques 208
References 212
Definitions 229
Useful Books 231
Useful Organisations 233
Index 241

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