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Flashcards in recovery from a stoke the late management Deck (28)
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1
Q

who is involved in the rehabilitation of a stroke patient

A

multidisciplinary team, goal orientated

2
Q

What are the stages in recovery from stroke

A

First few days- resolution of stroke and repercussion of ischeamic penumbra.
weeks/months- neuronal plasticity (brain changes and adapts through forming new synapses)

3
Q

define neuronal plastcity (change made in the brain after a stroke)

A

brain changes and adapts forming new synapses
dendrite sprouting
synaptic remodelling.

4
Q

what are the 3 main aims of post stroke management

A

increasing personal care and independence
motility
social activities.

5
Q

which hemisphere in the brain is affected is visual information is lost on the right

A

left

6
Q

which side of the hemisphere is affected in neglect, and in which lobe does it occur

A

right hemisphere
(does not happen in the left hemisphere)
parietal lobe.

7
Q

what type of defect is neglect

A

visual or somatosensory

8
Q

which aspect of the brain helps you perceive where something is? ventral or dorsal

A

dorsal

9
Q

which aspect of the brain helps you perceive what something is? ventral or dorsal

A

ventral

10
Q

define agnosia

A

Modality-specific inability to access semantic knowledge of an object (or other stimulus)

11
Q

define visual agnosia

A

Unable to recognise common object by sight alone. May be able to do so when allowed to use other modalities, e.g. touch

12
Q

define prosopoagnosia

A

inability to recognise faces.

13
Q

how long are you banned from driving post stroke

A

minimum is 1 month.

14
Q

when is driving 100% not allowed

A

seizure within the past year

visual field defect, visual neglect.

15
Q

how might a patient still be able to drive a car if they have limb weakness

A

adapt the car.

16
Q

define dyspraxia

A

loss of ability to conceptualise, plan and execute complex sequence of motor tasks

17
Q

what defect of the brain causes dyspraxia

A

Loss of cortical pathways for initiating and performing skilled actions

18
Q

where might an anatomical lesion be which causes dyspraxia

A

left inferior parietal lobe

supplementary motor area

19
Q

What are the commonly used transfer methods

A

Hoist, standing hoist, ETAC turner, banana board

20
Q

what must be included in a patients discharge package post stroke

A

patient’s ability and whether a carer is required
are friends or family willing to provide care.
are there any modifiable risks
adaptations and accessibility of the environment they will be discharged into.

21
Q

where is information obtained from to form the patients dischargee package

A

History from patient, family and friends
Ward based multidisciplinary assessment
OT environmental visit to place of discharge

22
Q

define spastic hemipareitic gait

A

one sided walk in which the legs are held together and move in a stiff manner, the toes seeming to drag and catch.

23
Q

how can a hemiparetic gait be corrected

A

Splints to correct foot drop, physiotherapy, manage spasticity, walking aides

24
Q

define spasticity

A

Hyperexcitability of the stretch reflex (due to tendon or tissue shortenting)

25
Q

what are the consequences of spasticity

A

Loss of function: impaired balance, manual dexterity
Unable to maintain skin hygiene in flexures
Pain

26
Q

how is spasticity managed

A

physiotherapy and splinting to maintain joint range of movement
drugs- botulinum (local) and baclofen (systemic)

27
Q

Is it a combination of personal and environmental factors which cause impairment, limitation and restrictions in the body

A

True

28
Q

what impact does stroke have upon the family

A

depression