Stroke Care Management SCM 301 relates to SfC QCF unit SCM 301.
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Transcript of 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
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
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
Physical effects • Mobility• Continence• Pain• Spatial awareness• Fatigue• Feelings • Sensations • Swallowing
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
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