Occupational Therapy and Stroke

by Edmans, Judi; Champion, Annette; Hill, Louise; Ridley, Mike; Skelly, Fiona; Jackson, Therese; Neale, Moya

• ISBN13: 9781861561985
• ISBN10: 1861561989
• Edition: 1st
• Format: Paperback
• Copyright: 2000-10-23
• Publisher: Wiley

Summary

This book has been produced on behalf of the National Association of Neurological Occupational Therapists (UK) and is intended to guide newly-qualified occupational therapists (and those new to the field of stroke) through the complexities of treating people following stroke. Writen and edited by practising occupational therapists, the book acknowledges the many different techniques that may be used in stroke management and the scope of the occupational therapy role in the UK.This book will provide occupational therapists with the foundations for effective occupational therapy in stroke rehabilitation.Written in a user-friendly style, the book's chapters are presented in a form that enables the therapist to review the subject prior to assessment and treatment planning. Complex problems are grouped together to avoid confusion.This book encourages therapists to use their skills in observation and problem solving, adapting and building on the techniques seen on clinical placement and taught in college.

Author Biography

Dr. Judi Edmans is an Occupational Therapy Researcher in the Division of Rehabilitation and Ageing, School of Community Health Sciences, Queens Medical Centre, Nottingham. She is Editor of Neurological Practice.

Table of Contents

Preface	viii
Stroke: Good Practice in Occupational Therapy	ix
Contributors	x
Introduction	1	(12)
Definition of Stroke	1	(1)
Causes of Stroke	1	(1)
Classification of Stroke	1	(1)
International Classification of Impairment, Disabilities and Handicap	2	(1)
Medical Investigations	3	(3)
Damage that can Occur in Different Areas of the Brain	6	(7)
Early Management	13	(41)
Occupational Therapy, the Stroke Wheel	13	(3)
Frames of Reference/Models	16	(2)
Treatment Approaches	18	(9)
Initial Assessment	27	(8)
Standardized Assessments	35	(2)
Standardized ADL Assessments	37	(2)
Positioning	39	(9)
Equipment	48	(6)
Management of Motor/Sensory Deficits	54	(10)
Therapeutic Aims	54	(1)
Management Principles	54	(10)
Management of Cognitive/Perceptual Deficits	64	(14)
Cognition	64	(4)
Perceptual Deficits	68	(10)
Resettlement	78	(17)
Mood	78	(2)
Fatigue	80	(1)
Resuming Sexual Activity	81	(1)
Leisure Rehabilitation	82	(3)
Work	85	(2)
Driving	87	(6)
Stroke Education	93	(2)
Therapeutic Challenges	95	(22)
Pusher Syndrome and Overuse	95	(3)
Shoulder/Hand Syndrome	98	(2)
Motor Planning and Dyspraxia	100	(7)
Dysexecutive Function	107	(4)
Ataxia	111	(1)
Speech and Language Deficits	112	(3)
Dysphagia	115	(2)
Evaluation	117	(19)
Occupational Therapy Stroke Standards	117	(6)
Methods of Recording Occupational Therapy Intervention	123	(4)
Evidence-based Practice	127	(6)
Outcome Measures	133	(3)
New Approaches	136	(15)
Isokinematic Training	136	(1)
Ensuring Best Practice:	137	(9)
- OT clinical audit	137	(1)
- OT research	137	(9)
Competency Framework	146	(5)
Glossary	151	(2)
References	153	(7)
Useful Books	160	(3)
Useful Assessments	163	(3)
Useful Addresses	166	(2)
Stroke Association Publication List	168	(3)
Index	171