Stroke Flashcards
what is it
- sudden disease
- affects arteries that lead to the brain
- arteries becomes blocked, oxygen and nutrients cannot be carried
- blocks can be caused by clots of blood vessels
- cause of long term disability
Hemorrhagic Stroke
Rupture of artery
Aneurysm - artery walls widen
Arteriovenous Malformations
- tangles of blood vessels
Ischemic Stoke
blockage
plaque buildup in artery wall
Classifications/ Types
Transient Ischemic Attack
- temporary blockage
Cryptogenic Stoke
- when the cause is unknown
Brain Stem Stroke
- in the brain steam
- cannot speak or move below the neck
Risk Factors
high blood pressure (hypertension)
heart rhythm disorder
high cholesterol levels
drug use
unhealthy lifestyle
aging
during pregnancy
Stats in Canada
3rd leading cause of death
1/4 strokes were those under age 65
higher in men than women
physical features
paralysis
weakness of the body
eating difficulties
increased muscle tone
vision and hearing difficulties
pain
nerve damage
Cognitive features
memory loss
spatial neglect, one sided neglect
lack of attention and concentration
vascular dementia
emotional features
depression
inability to communicate clearly
alterations in personality
social features
reduced interaction and increased isolation
strain on relationships
fear of abandonment within social network
redefined social roles and responsibilities
reduced or less of employment
intrapersonal barriers
self-doubt
shame
embarrassment
isolation
post-stoke depression
loss of control
interpersonal barriers
communication impairment
spouse/ caregiver support
practitioners predictions
lack of knowledge
structural barriers
financial stress
finding programming
transportation
sociocultural barriers
work limitations or refusal
inability to return to their social role
loss of societal value
lack of knowledge
3 diff Therapy Approach
- physical therapy
- speech therapy
- Occupational therapy
alternative management strategies
acupuncture
stress reduction
weight management
nutrition
STEP Framework
S
- smooth surface
- space well lit
T
- interval tasks
- increase target size
E
- use slower moving targets
- lighter equipment
P
- do activities in smaller groups
- highlight strengths and positive feedback