Occupational Therapy and Stroke

by Edmans, Judi

• ISBN13: 9781405192668
• ISBN10: 1405192666
• Edition: 2nd
• Format: Paperback
• Copyright: 2017-10-23
• Publisher: Wiley-Blackwell

Summary

Occupational Therapy and Stroke guides newly qualified occupational therapists (and those new to the field of stroke management) through the complexities of treating people following stroke. It encourages and assists therapists to use their skills in problem solving, building on techniques taught and observed as an undergraduate.Written and edited by practising occupational therapists, the book acknowledges the variety of techniques that may be used in stroke management and the scope of the occupational therapist's role. Chapters span such key topics as early intervention and the theoretical underpinnings of stroke care, as well as the management of motor, sensory, cognitive and perceptual deficits. They are written in a user-friendly style and presented in a form that enables the therapist to review the subject prior to assessment and treatment planning. Complex problems are grouped together for greater clarity.This second edition has been fully revised and updated in line with the WHO ICF model, National Clinical Guidelines and Occupational Therapy standards. It is produced on behalf of the College of Occupational Therapists Specialist Section - Neurological Practice.

Author Biography

Judi Edmans is a Senior Research Fellow in the Division of Rehabilitation and Ageing, School of Community Health Science, University of Nottingham.

Table of Contents

List of Contributors	p. ix
Foreword	p. xi
Preface	p. xiii
Acknowledgements	p. xv
Introduction	p. 1
Definition of stroke	p. 1
Impact of stroke	p. 1
Symptoms of stroke	p. 2
Causes of stroke	p. 3
Classification of stroke	p. 4
International Classification of Functioning, Disability and Health	p. 4
Medical investigations following stroke and TIA	p. 6
The prevention of recurrence of stroke (secondary prevention)	p. 7
Neuroanatomy	p. 9
Damage that can occur in different areas of the brain	p. 13
Policy documents relating to stroke	p. 13
Self-evaluation questions	p. 23
Theoretical Basis	p. 24
Introduction	p. 24
Theoretical constructs	p. 24
Conceptual models of practice	p. 25
Frames of reference	p. 27
Neuroplasticity	p. 29
Intervention approaches	p. 36
Self-evaluation questions	p. 47
The Occupational Therapy Process	p. 49
Introduction	p. 49
The occupational therapy process	p. 49
Procedural reasoning in different stroke care settings	p. 53
Professional duties	p. 60
Self-evaluation questions	p. 63
Early Management	p. 64
Introduction	p. 64
Prior to assessment	p. 64
Initial interview	p. 66
Initial assessment	p. 67
Intervention	p. 75
Equipment	p. 75
Other impairments impacting on functional ability	p. 77
Swallowing	p. 80
Mood	p. 81
Fatigue	p. 83
Self-evaluation questions	p. 84
Management of Motor Impairments	p. 86
Introduction	p. 86
Assessment	p. 86
Management principles and intervention	p. 90
Therapeutic aims of intervention	p. 91
Positioning the early stroke patient	p. 91
Clinical challenges	p. 109
Upper limb re-education	p. 111
Avoiding secondary complications	p. 112
Self-evaluation questions	p. 116
Management of Visual and Sensory Impairments	p. 117
Introduction	p. 117
Visual processing	p. 119
Somatosensory processing	p. 127
Auditory processing	p. 137
Vestibular processing	p. 139
Olfactory and gustatory processing	p. 141
Self-evaluation questions	p. 142
Management of Cognitive Impairments	p. 144
Definition of cognition	p. 144
Cognitive functions	p. 144
Assessment of cognitive functions	p. 144
Cognitive rehabilitation	p. 146
Attention	p. 147
Memory	p. 149
Language	p. 151
Motor planning and apraxia	p. 151
Executive dysfunction	p. 155
Self-evaluation questions	p. 157
Management of Perceptual Impairments	p. 158
Introduction	p. 158
Definition of perception	p. 158
Normal perception	p. 158
Perceptual impairments	p. 160
Perceptual assessment	p. 162
Intervention	p. 165
Self-evaluation questions	p. 172
Resettlement	p. 173
Home visits	p. 173
Community rehabilitation	p. 174
Support available after a stroke and self-management	p. 177
Carers	p. 178
Younger people	p. 180
Lifestyle and long-term management	p. 180
Leisure rehabilitation	p. 181
Getting out of the house and transport	p. 183
Driving after stroke	p. 185
Vocational rehabilitation	p. 186
Resuming sexual activity	p. 188
Stroke education	p. 189
Self-evaluation questions	p. 190
Evaluation	p. 191
Record keeping	p. 191
Standardised assessments	p. 195
Evidence-based practice (EBP)	p. 199
Outcome measures	p. 203
Standards	p. 206
Self-evaluation questions	p. 207
Appendix: One-Handed Techniques	p. 208
References	p. 212
Definitions	p. 229
Useful Books	p. 231
Useful Organisations	p. 233
Index	p. 241
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