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Flashcards in Counseling Deck (16):

Attributes of Stroke

Unexpected despite awareness
Vulnerability if we live long


Emotional Impacts of Communicative Loss

Anxiety expressed with confusion
- pervasive emotional response
- guilt related to mistakes
- anticipatory worries
- catastrophic reactions
- inability to process complete info.
- incomprehension of reality and effects
- feelings of inadequacy / overwhelmed by new challenges


Management of Emotional Impacts

Integrate hope
Provide reassurance
Simplify information
Make manageable plans
Structure time to keep busy with purposeful tasks
Promote potentials beyond the known limit


Emotional Reactions

Anger expression with frustration
Depression expressed by loss of self esteem
Major Depression
- 5 symptoms that last for at least 2 weeks
- Feeling sad
- hopeless
- worthless living
- waste of life
- pessimism


Anger Management

Validate frustration
Set limits to avoid problems
- anger isn't a problem, but violence is
Focus on the process rather than the results
Find solutions


Depression Management

Reinstate confidence by showing past accomplishments, ways one can be helpful, and current successes

Provide access to resources

Increased opportunities for social activities for the patients and caregivers


Communicative Counseling

Receptive to wishes family wants to share
Presentation of pertinent info
Clarification of ideas and sharing feelings
Presentation of realistic options to change communication patterns
Info presented in small amounts
Written info whenever possible
Explanation of the role of an SLP
Suggest materials/procedures
Info on recovery process


Family Info Session

Listen to Family

Help them with:
adjusting to life changes
dealing with brain injury & behavior
discussing realistic communication options
providing realistic information

Provide information:
what is aphasia?
who can have it? etc.

Answer questions
can it be prevented?
is there a cure?
will he improve?


Vocational Issues

Acceptance of limitations

Work related issues
physical, mental fatigue
skilled multi-tasking

Best way:
Reorganization at work:
reducing job demands
simplifying requirements
retraining for a different job


Families Experience...

Role changes

Irritation of family members
guilty, altered social life


Handling of Visitors

Explain the patient's condition

Visitation should be approved by the patient

Don't discuss the patient's condition in his presence

Encourage the visitor to talk to the patient


How to Help a Stroke Victim

Seek the best professional help

Be sensitive to the pt.

Be realistic toward the loved one

Increase understanding of stroke - knowledge reduces anxiety


Things Family Can Do to Help


Seek counseling

Join National Organization for networking

Explore different Care options

Discover how well he can communicate

Spend time with pt. when he's alert

Make a list of new and old interests

Promote every opportunity for communication

Accept the pt. as he is now

Begin rehab ASAP

Be patient

Focus on what he can do


Easing the Communicative Load

Identify yourself

give patient time to talk

avoid medical jargon

maintain professionalism

promote all modalities of communication

speak slowly in short sentences

praise successful achievement

ignore labile (crying, cursing) behavior

don't speak for the patient

use gestures


Suggestions for Clinicians

Slow down rate of speech

Simplify and shorten info.

Treat him with respect

State the purpose of each action


Family Don'ts

Feel sorry for him

believe there is a quick cure

do everything for him

delay starting rehab

readily provide pt. with missing words

use complicated words

keep him from family/friends

discourage him from writing with the other hand