Download The 5 guiding principles

Stroke Care Management
SCM 301
relates to SfC QCF unit SCM 301
Group Agreement
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Confidentiality
Respect
Mobile Phones
Break times
Domestics (Fire, WC)
Introductions
relates to SfC QCF unit SCM 301
Aims
• Understand legislation, guidelines and
best practice to support stroke care
management.
• Explore the effects of stroke on an
individual and provide an understanding
of how a person centred approach may
support stroke care management
relates to SfC QCF unit SCM 301
Learning Outcomes
• Understand how to support individuals
to manage stroke according to
legislation, policy and guidance
• Understand specific communication
factors affecting individuals following a
stroke
relates to SfC QCF unit SCM 301
Learning Outcomes
• Understand physical changing needs of
individuals affected by stroke
• Understand the impact of the effects of
stroke on daily living
• Understand the associated
complications for an individual with
stroke
relates to SfC QCF unit SCM 301
Legislation
• National Stroke Strategy (2007)
• National Service Framework for Older
people (2001)
• National Service Framework For long
term conditions (2008)
• National clinical guideline for stroke
(2012)
relates to SfC QCF unit SCM 301
relates to SfC QCF unit SCM 301
relates to SfC QCF unit SCM 301
Key Themes and Best
Practice
relates to SfC QCF unit SCM 301
What is mental capacity?
Put simply it’s the ability to make a
decision
A person who lacks capacity is
someone who cannot make a decision
at the time it needs to be made,
because of an impairment in the
functioning of their mind or brain.
relates to SfC QCF unit SCM 301
The 5 guiding principles
• an assumption of capacity
• supporting people to make their own
decisions
• people have the right to make eccentric
or unwise decisions
relates to SfC QCF unit SCM 301
The 5 guiding principles
• where someone lacks capacity staff
must act in the person's best interests
• where someone lacks capacity any
action we take on their behalf must
generally be the least restrictive option
relates to SfC QCF unit SCM 301
What are the potential implications of a
stroke on someone's mental capacity?
How can we support someone?
relates to SfC QCF unit SCM 301
relates to SfC QCF unit SCM 301
Stroke and the Brain
relates to SfC QCF unit SCM 301
relates to SfC QCF unit SCM 301
relates to SfC QCF unit SCM 301
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Impact of Communication
difficulties
Frustration, anger, fear
Unable to communicate choice
Social exclusion/isolation
Role changes within the home/society
Unable to adapt to new identity
Family unable to communicate to their
loved one.
relates to SfC QCF unit SCM 301
How does stroke effect
communication
• Aphasia
• Dysarthria
• Apraxia
relates to SfC QCF unit SCM 301
Aphasia
• Impairment in language
• Damage to left side of the brain
• part of the brain responsible for
language and communication
Aphasia
• Depends on which communication
centre in the brain in affected
• Can be divided into two types;
• Expressive (message out)
• Receptive/comprehension (message in)
relates to SfC QCF unit SCM 301
Expressive aphasia
• Understanding remains however
difficulty in finding words and
expressing what they want to say
• Broca’s area of the brain affected in the
left hemisphere
• May have difficulty ready, writing and
naming objects
relates to SfC QCF unit SCM 301
Receptive aphasia
• Difficulty understanding what is being
said to them
• Wernicke's area of the brain
• In left hemisphere responsible for
understanding
relates to SfC QCF unit SCM 301
Apraxia
• May also be called dyspraxia
• Difficulty putting sounds and syllables
together
• Difficulty in using rhythm and inflections
relates to SfC QCF unit SCM 301
Dysarthria
relates to SfC QCF unit SCM 301
Communication methods and
aids
Low tech and high tech
relates to SfC QCF unit SCM 301
Supported conversations
relates to SfC QCF unit SCM 301
relates to SfC QCF unit SCM 301
Physical effects
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Mobility
Continence
Pain
Spatial awareness
Fatigue
Feelings
Sensations
Swallowing
relates to SfC QCF unit SCM 301
ANALYSE…
the fluctuating nature of stroke
relates to SfC QCF unit SCM 301
Real Stories
relates to SfC QCF unit SCM 301
Presentation
Spilt into two teams
Each time will be allocated a topic
• Learning outcome 4
OR
• Learning outcome 5
relates to SfC QCF unit SCM 301
Using the knowledge and
experience you have gained from
completing the other modules
prepare a presentation for the
other team
relates to SfC QCF unit SCM 301
• You will have access to all your
previous power points and your
completed workbooks
• You will be given a resource pack for
your learning outcome
• You must present your information on
flip chart
relates to SfC QCF unit SCM 301
Values game
relates to SfC QCF unit SCM 301
Active Participation
• Working in a way that recognises the
person’s right to participate in activities
and relationships of everyday life as
independently as possible.
• The person is regarded as an active
partner in their own care / support rather
than a passive recipient.
relates to SfC QCF unit SCM 301
relates to SfC QCF unit SCM 301
Evaluation
relates to SfC QCF unit SCM 301
relates to SfC QCF unit SCM 301