Workshop 1A: Introduction to continuous program improvement processes
Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date:...
Transcript of Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date:...
![Page 1: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/1.jpg)
#strokeassembly
www.stroke.org.uk/uksa
Wedi’i drefnu gan | Hosted by
Hidden effects of stroke
Dr Samantha Fisher-Hicks - Abertawe Bro
Morgannwg University Health Board
Workshop: Session 2a
![Page 2: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/2.jpg)
#strokeassembly
www.stroke.org.uk/uksa
Wedi’i drefnu gan | Hosted by
The hidden effects of stroke
Dr Sam Fisher-Hicks, Ken Nazareth & Christine Maddocks
![Page 3: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/3.jpg)
• ‘People expect you to have visible disabilities, but I looked well. That’s what I found hard. People thought that I was making it up and I wasn’t. I thought I was going crazy. I went to my local supermarket and then suddenly it was too much for me – there were too many people. I couldn’t work out what I wanted and it was a panic attack. You feel better when you know it’s not just you’…….stroke survivor.
![Page 4: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/4.jpg)
A brief introduction…..
• 5 min video
![Page 5: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/5.jpg)
Outline of Session
• Introduction to psychological effects of stroke (20 mins)
• Ken & Chris (10 mins)
• Moving forwards (10 mins)
• ‘What I found helpful’ – Ken & Chris (10 mins)
• Questions (5 mins)
![Page 6: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/6.jpg)
Invisible symptoms
![Page 7: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/7.jpg)
Stroke Needs Survey
![Page 8: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/8.jpg)
Difficult Feelings
Psychological problems are the most frequently reported issues after stroke in survivors and carers.
![Page 9: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/9.jpg)
Common reactions after Stroke
• Sleep problems • Agitation • Irritability • Frustration • Loss / grief • Worrying about
the future/ another stroke
![Page 10: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/10.jpg)
Anxiety and depression
![Page 11: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/11.jpg)
This is important because…
Depression and anxiety:- • Cause significant distress • Are associated with poorer recovery after stroke • Cause people to become more socially isolated • Lead to lower levels of activity • Create greater dependency • Make it harder to manage physical health problems
![Page 12: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/12.jpg)
• Depression is not an inevitable consequence of stroke and much can be done to help those who have a depressive episode
(Kneebone and Dunmore, 2000)
![Page 13: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/13.jpg)
• Uncontrolled crying or laughing out of proportion to an event
• Caused by stroke (frontal lobes, brain stem and thalamus)
• Mood disorder or loss/grief can contribute
• Can be distressing, embarrassing and lead to social avoidance, anxiety and depression
Emotionalism
![Page 14: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/14.jpg)
Irritability and Anger
• Very common after stroke • There may be a number of causes e.g. Frustration, difficulties with
speech and communication, emotional difficulties and/or because the brain ins no longer as good at managing emotions
• Can be very difficult for loved ones to cope with
![Page 15: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/15.jpg)
Impact of stroke on self & others
• Physical
• Sensory
• Communication
• Cognitive
• Behavioural
• Emotional
They affect many levels -:
• Personal
Sense of self
Identity
Family
Role change
Work
Responsibilities
Finance
Society
Stigma
Social networks
Health services
![Page 16: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/16.jpg)
• Refers to mental abilities - speed of thought, memory, understanding, concentration, solving problems, language….
Cognitive Problems
•Around a 75% of people who survive a stroke present with persistent cognitive impairment
![Page 17: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/17.jpg)
![Page 18: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/18.jpg)
![Page 19: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/19.jpg)
![Page 20: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/20.jpg)
![Page 21: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/21.jpg)
(ROWE, 2009)
![Page 22: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/22.jpg)
• Ken & Chris (10 mins)
• Experience of emotional and cognitive problems
![Page 23: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/23.jpg)
The essentials of Happiness are:
• Something to do
• Something to love
• Something to look forward to
Simple happiness recipe
![Page 24: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/24.jpg)
A formula for happiness
![Page 25: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/25.jpg)
https://www.authentichappiness.sas.upenn.edu/testcenter 1 Once you follow the link it will take you to a page with a whole list of questionaires. 2 Scroll down to the one that says "VIA Survey of Character Strengths" and select "Take Test"
3 You will have to register to take the test. So select "register" and follow the instructions to creat your account.
4 At this point the link may take you back to the whole list of questionaires, if so simply scroll down again until you see "VIA Survey of Character Strengths" and select "Take Test"
Character Strengths
![Page 26: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/26.jpg)
Positive Emotion
w
Neil Frude, 2016
![Page 27: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/27.jpg)
w
The Wellbeing Daisy
Resilience
Positive Emotion
![Page 28: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/28.jpg)
w
The Wellbeing Daisy
w
Resilience
Positive Emotion
Optimism
![Page 29: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/29.jpg)
Integrated model of identity change. Y- shaped model (Gracey, Evan, Malley, 2009) and Seligman (2011)
![Page 30: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/30.jpg)
‘PERMA’ Model of Well-Being (Seligman, 2011)
• Positive emotion– joy, awe, compassion, delight, happiness, elation
• Engagement/flow– truly engaged in activity/ time seems to stop
• Relationships– positive relationships e.g. family, friends, neighbours
• Meaning– feeling connected to a bigger cause than ourselves e.g. religion, group
• Accomplishment – meeting our personal goals e.g. mastering a skill
Stroke can affect all aspects of PERMA
![Page 31: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/31.jpg)
• Ken & Chris (10 mins)
• Things that helped in moving forwards
![Page 32: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/32.jpg)
Questions
![Page 33: Workshop: Session 1a - Stroke Association...Workshop: Session 1a Author: Fiona Clark Created Date: 12/6/2017 2:12:28 PM ...](https://reader034.fdocuments.in/reader034/viewer/2022051806/5ffbc7989a08ec4393157ae3/html5/thumbnails/33.jpg)
What next?
Refreshments
3.05pm - Plenary 3:
Can the brain rewire itself?
Castell Suite