- Strokes can have significant psychological and social impacts on individuals. The article discusses research on these post-stroke effects, which include depression, changes in relationships, social activities and quality of life. - Specifically, strokes can cause stress in families, loss of contact with friends, and difficulties with communication and daily living that require social and family support. However, some patients also reported increased family time and desire to see loved ones. - Gathering more data on the effects of medical trauma like strokes is important to help rehabilitate patients and support them socially and psychologically.

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LESSONS IN PSYCHOLOGY FROM CLINICAL ISSUES OF CHRONIC ILLNESS:
PSYCHOLOGY OF: STROKE and the PSYCHOLOGICAL IMPACT FROM THE EVENT
(February, 2019)
It seems that individual social impacts of strokes are or were well researched in one article by
Northcott, Moss, Harrison and Hiliari, 2015. Post stroke changes in stroke patients and individuals come
of high interest to some degree in the medical field and in scientific research. There seem to be major
sociological and medical interest in the effects that strokes (cerebral vascular accidents) have on the
dimensions of people's lives (after an individual has a stroke [CVA]). This article gathered an extravagant
amount of real and relevant data regarding this topic.
This interest could be due to the severity of a stroke [CVA] and the impact a stroke has on all of the
dimensions of a person's life, because the event is such a life changing medical and social event in the
person's life and health. The person that suffers a Cerebral vascular accident is said to also face suffering
from "depression, attitude changes, changes in relationships with friends and family, social support,
changes in social activities, activities of daily living, health related quality of life (HRQOL), cognition,
physical functioning, satisfaction, love and opportunities for contribution" (Northcott, Moss, Harrison &
Hilari, 2015).
The social implications specifically, were stated in the article to be "stress within the family and family
rearrangement," as well as "losing touch with friends," and "having trouble speaking, talking, associating,
remembering, thinking [and communicating clearly]." There are also said to be social problems and signs
of social problems that stem from rehabilitating from a stroke because of institutional residency and
location, as well as increased dependency for daily living needs for normal social association and
engagement (Northcott, Moss, Harrison & Hilari, 2015).
Yet there were positive aspects post-stroke (post Cerebral vascular accident [ CVA]) as well, such as
increased social time with family members, increased family accommodations and increased visiting time

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as well as some patients reported an "increased desire to see family and close friends" (Northcott, Moss,
Harrison & Hilari, 2015).
These reports and this kind of medical / biopsychosocial data is very valuable and should inspire us to
keep gathering reports and data with stroke patients as well as patients that suffer from other medical
conditions and traumatic incidents, regarding changes from their previous self, and relevant implications
that stem from medical trauma or medical incident in general.
The negative aspects biologically, socially, and psychologically of a stroke, are very traumatic and
serious, and most likely every patient that has suffered a stroke becomes sensitive to common aspects of a
normal daily life, as these patients may need accommodations in most or all areas of their daily life to
assist in rehabilitation and for general support.
Northcott, S., Moss, B., Harrison, K. & Hilari, K. (2015) A systematic review of the impact of stroke on
social support and social networks: associated factors and patterns of change. Clinical Rehabilitation. 30.
8. 811-931. Retrieved February 7, 2019 from https://journals-sagepub-
com.libproxy.uwyo.edu/doi/10.1177/0269215515602136 (Links to an external site.)Links to an external
site.
To Whome it may,
What a great article, I do (we) appreciate what you shared, and I feel very remorseful for you in this
incident. I have met a lot of people in the last few years that have struggled with disorders, been sick, or
have had patients or family suffer from major disorders or traumas etc., I find this a giant psychology
issue, as people that have been affected by disorder or disease, or malfunction or abnormality wake with

3. (STOTLER, 2019)
that specific experience everyday. I already chose to do what I do because of that, I chose the hard life,
because I cannot justifiably feel the joy in the morning of living and having been appreciated by the
business world, if I am not dedicated, seriously and viscerally trying to solve these bigger issues, and/or at
least trying to provide people information that they need and don't have or has not been gleamed yet.
My question to how has this event changed your life, your knowledge base and your outlook on these
kinds of medical issues? Have you learned a lot and focused on learning about TIA (transient ischemic
attacks) and strokes in a medical aspect because of this? Lastly, have you found any major prevention
methods that could prevent these traumatic calamities from taking over a person's health
Thank you please see my post well below here.
from
Feb 8, 2019 10:50pm
Jacob Stotler
To Whom it May,
Insightful. I appreciated your view of pinpointing the person's independence as a major factor of a
quality, healthy and important aspect of the person's life. Being independent is a personal aspect of life,
and when this independence becomes impossible, there is only complete dependence, and the family and
support systems (while also the caretakers) of the individual then become liable and responsible for the
individual's needs, movements, resources, and life applications and articulation. All of the duties that the
person once fulfilled are then endowed unequally upon everyone in their life and also in their treatment
facility.

4. (STOTLER, 2019)
This "automatic obligation" to be present for long periods of time and for long ongoing intervals may be
the reason that the individual's kindred and acquaintances / resources seem burdened or may have a
tendency to "abandon" an individual; they may see that caring for the individual is caring for the disorder,
such that they may feel they are "mis-investing" their time, they may be in grief, they may feel this
circumstance is extremely overwhelming, or perhaps these kindred and contacts feel burdened because of
a mixture of these things (while money is relevant too in these applications).
Perhaps another prevention plan to prevent abandonment issues in cases like this are to allocate rounds
of visitation so no contact or close resource ever "burns out", perhaps utilize a rotating visitation schedule
so people are always fresh, and no one is expected to "over-invest" their time or money. Another way to
prevent abandonment may be to have legal demands on advanced directives, and have people in
agreements of who is expected to do what in the case of such emergency in every person's life.
What are your ideas about this?
Feb 10, 2019 8:17pm
Jacob Stotler
To Whom it May,
Good question. That is a topic that should be heavily engrained in everyone here. I think it reminded me
firstly of strokes in children. I was unaware of strokes happening in children, and since I have not known
many people that have suffered a stroke, I have been severely uneducated about strokes.
I found, in children strokes affect 2-8 children per 100,00 children - that is a very low prevalence rate,
although it is known to happen. Grurner, Del Vecchio & Arnoff (2014) also reported that CT scans are the
most used or best approach to identifying if a child stroke was ischemic or hemorrhagic; MRI's were can
also be used.

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In the study that these researchers (MD's) had conducted 86% of the children that they studied had
suffered ischemic type strokes (the study was a meta-analysis of 12 different studies conducted before
them). In both the groups studied major causes of the stroke were found to have been from irregular,
stenotic, occluded, abnormal or malformed arteries, vessels or ducts among, disease, thrombosis (in
ischemic) and venous bleeds, and hemangiomas (in hemorrhagic type strokes) (Gurner, Del Vecchio &
Aronoff, 2014).
My question is what do you think could provide adequate support systems for children with chronic
illness? Are there any institutions or agencies in which you know of that specialize in this (even if the
parents and guardians are present)? Thank you for the post, really good question.
References
Gurner, L, Del Vecchio, M. & Aronoff, S. (2014). Strokes in children: a systematic review. Pediatric
Emergency Care. 30.9. 660-664. Retrieved February 10, 2019 from https://ovidsp-tx-ovid-
com.libproxy.uwyo.edu/sp-
3.32.2a/ovidweb.cgi?QS2=434f4e1a73d37e8c031d611929c36740961bd1cd6606152c377d9a19d25f48a7
b84 (Links to an external site.)Links to an external site.
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