12 Things To Think About And Ask At YourClinical Follow Up?*philipcollis@gmail.com
**Following a Stroke the first 3 – 6 Months stillput you at high risk of a secondary stroke.*You are probably still coming...
**Are you having difficulties washing, dressing,cooking, eating independently?*Would further therapy help you to carry out...
**Are you safe? Positioning is important, use ofcushions can help support arms, legs that may beneglected, ensure furnitur...
**This is when involuntary movement occurs inupper or lower limbs, it occurs in a number ofways i.e. a leg may ‘kick out’ ...
**Where do you get pain?*Would medication help?*Could exercise help reduce pain?*Could relaxation techniques help?*Would r...
**Are you in control?*Do you need assistance?*Are you able to communicate when you have aneed?*Are toileting facilities ac...
**It’s a two way thing – are you having anydifficulties exchanging your thoughts, feelings,opinions, information or experi...
** We all have good and bad days but have you noticed that youbecome aggravated easily?* Do your frustrations make you ang...
** Are you having problems remembering things?* Are you having difficulty seeing things?* Are you having difficulty listen...
** What are your hopes, fears or inspirations?* Do you feel isolated?* Are you able to return to work? ( Disabled Employme...
**Has/how has your role changed.*If you have children do they understand/knowabout what has happened.*If you have a partne...
**Are you being cared for in a safe environmentand being treated with dignity and respect?*Are those that care for you rec...
*These thoughts and ideas are not an exhaustivelist just some of the things that you might like todiscuss at the various c...
*AbouttheAuthor:PhilCollissufferedasubarachnoidbrainhemorrhageattheageof17.Thiscausedasubstantialstrokeleavingtheleftsideo...
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Ok so you have had a stroke

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Transcript of "Ok so you have had a stroke"

  1. 1. 12 Things To Think About And Ask At YourClinical Follow Up?*philipcollis@gmail.com
  2. 2. **Following a Stroke the first 3 – 6 Months stillput you at high risk of a secondary stroke.*You are probably still coming to terms withyour stroke and how it has affected you.*It is important that you cancel out your riskfactors, check your blood pressure regularly,e.g. Quit smoking & alcohol, ensure you have agood healthy diet etc.*Adhere to the medical advice you have beengiven.philipcollis@gmail.com
  3. 3. **Are you having difficulties washing, dressing,cooking, eating independently?*Would further therapy help you to carry outthese activities?*Could assistive devices help to carry out sometasks – single hand knife/fork, magnetic tinopener, cup grip? Whatever the difficulty askyour occupational therapist about alternativedevices.philipcollis@gmail.com
  4. 4. **Are you safe? Positioning is important, use ofcushions can help support arms, legs that may beneglected, ensure furniture is safe to use i.e. notlikely to tilt or allow you to slide etc.*Are you steady on your feet, are you at risk offalling? Ensure areas are clear of obstacles oruneven surfaces? Have you had training on how toget up safely should you have a fall? Get advicefrom ‘stop falls’ teams.*Are you using walking aids? ensure you know how touse them safelyphilipcollis@gmail.com
  5. 5. **This is when involuntary movement occurs inupper or lower limbs, it occurs in a number ofways i.e. a leg may ‘kick out’ or uncontrollableshaking or spasm to (groups) muscles etc.*Would further concentrated therapy help?*Is there medication that could help?*Are there strategies that can be used? i.e.frame to raise blankets at the end of the bedto reduce weight on feet etc.philipcollis@gmail.com
  6. 6. **Where do you get pain?*Would medication help?*Could exercise help reduce pain?*Could relaxation techniques help?*Would referral to a pain management specialistbe appropriate?philipcollis@gmail.com
  7. 7. **Are you in control?*Do you need assistance?*Are you able to communicate when you have aneed?*Are toileting facilities accessible to you?*Would adjustments help – raised toilet seat,grip bar, toilet frame?*Controlling the amount of fluid intake?philipcollis@gmail.com
  8. 8. **It’s a two way thing – are you having anydifficulties exchanging your thoughts, feelings,opinions, information or experiences to others?*Would more Speech & Language therapy help?*Could access to community based specialistorganisations help i.e. Connect UK,Speakability etc.?*Could access to communication aids, tools ordevices be beneficial?philipcollis@gmail.com
  9. 9. ** We all have good and bad days but have you noticed that youbecome aggravated easily?* Do your frustrations make you angry?* Do you find sometimes that you become upset on occasionswith little or no reason?* Are you excessively reactive to certain things or situations?* Would coping strategies help or therapeutic input help?* Do you often feel lonely or isolated?* Do thoughts comparing the past with the present upset you?* Would talking to peers and learning how they deal with theseissues help?philipcollis@gmail.com
  10. 10. ** Are you having problems remembering things?* Are you having difficulty seeing things?* Are you having difficulty listening or understanding?* Are you having problems with perception or gaugingdistances i.e. when crossing a road?* Do you have difficulty paying attention?* Do problems occur when you plan things like getting dressed?* When things like this happen are they usually short or longterm?* Do these kind of things tend to happen when you are tired ormaybe in a low mood?philipcollis@gmail.com
  11. 11. ** What are your hopes, fears or inspirations?* Do you feel isolated?* Are you able to return to work? ( Disabled EmploymentAdvisors can advise individuals and employers about supportto return to work/education)* Are you part of a community group?* Would re training be of benefit?* What hobbies do you have?* Would access to peer support be beneficial?There are many things to think about and try during yourrecovery some will work some may not ? Importantly is toremain positive and never say never ;-)philipcollis@gmail.com
  12. 12. **Has/how has your role changed.*If you have children do they understand/knowabout what has happened.*If you have a partner how and in what ways hasyour relationship been affected?*Has your families social life been affected?*Are you able to discuss your predicament withyour family?philipcollis@gmail.com
  13. 13. **Are you being cared for in a safe environmentand being treated with dignity and respect?*Are those that care for you receiving anysupport with your care?*Could they benefit from access to respite carefor you or them?*Would a health/social care assessment assistthem with their support for you?philipcollis@gmail.com
  14. 14. *These thoughts and ideas are not an exhaustivelist just some of the things that you might like todiscuss at the various clinical follow up meetingsyou attend during your recovery?As the saying goes – ‘Falling down is life, it’s thegetting back up that’s LIVING’!philipcollis@gmail.com
  15. 15. *AbouttheAuthor:PhilCollissufferedasubarachnoidbrainhemorrhageattheageof17.Thiscausedasubstantialstrokeleavingtheleftsideofhisbodyparalyzed.Philisnowalmost55 andgivingupwasneveranoptionforhim.Philworksasacommunitystroke‘specialist’,developingservicesacrosshealth,socialcareandvoluntarysectorsinconsultationwithlocalpeopleaffectedbystroketoimprovetheirindependence,wellbeingandlifeinsociety.Healsoprovidesstrokeawareness/preventiontrainingandpresentations.http://uk.linkedin.com/in/philcollisphilipcollis@gmail.comMobile: 0785 285 6498philipcollis@gmail.com

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