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Occupational Therapy and Stroke

ISBN: 978-1-4051-9266-8
264 pages
July 2010, Wiley-Blackwell
Occupational Therapy and Stroke (1405192666) cover image
Occupational Therapy and Stroke guides newly qualified occupational therapists (and those new to the field of stroke management) through the complexities of treating people following stroke. It encourages and assists therapists to use their skills in problem solving, building on techniques taught and observed as an undergraduate.

Written and edited by practising occupational therapists, the book acknowledges the variety of techniques that may be used in stroke management and the scope of the occupational therapist's role. Chapters span such key topics as early intervention and the theoretical underpinnings of stroke care, as well as the management of motor, sensory, cognitive and perceptual deficits. They are written in a user-friendly style and presented in a form that enables the therapist to review the subject prior to assessment and treatment planning. Complex problems are grouped together for greater clarity.

This second edition has been fully revised and updated in line with the WHO ICF model, National Clinical Guidelines and Occupational Therapy standards. It is produced on behalf of the College of Occupational Therapists Specialist Section - Neurological Practice.

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List of Contributors.

Foreword.

Preface.

Acknowledgements.

1 Introduction (Judi Edmans, Fiona Coupar and Adam Gordon).

Definition of stroke.

Impact of stroke.

Symptoms of stroke.

Causes of stroke.

Classification of stroke.

International Classification of Functioning, Disability and Health.

Medical investigations following stroke and TIA.

The prevention of recurrence of stroke (secondary prevention).

Neuroanatomy.

Damage that can occur in different areas of the brain.

Policy documents relating to stroke.

Self-evaluation questions.

2 Theoretical Basis (Janet Ivey and Melissa Mew).

Introduction.

Theoretical constructs.

Conceptual models of practice.

Frames of reference.

Neuroplasticity.

Intervention approaches.

Self-evaluation questions.

3 The Occupational Therapy Process (Melissa Mew and Janet Ivey).

Introduction.

The occupational therapy process.

Professional duties.

Self-evaluation questions.

4 Early Management (Sue Winnall and Janet Ivey).

Introduction.

Prior to assessment.

Initial interview.

Initial assessment.

Intervention.

Equipment.

Other impairments impacting on functional ability.

Swallowing.

Mood.

Fatigue.

Self-evaluation questions.

5 Management of Motor Impairments (Stephanie Wolff, Thèrèse Jackson and Louisa Reid).

Introduction.

Assessment.

Management principles and intervention.

Therapeutic aims of intervention.

Positioning the early stroke patient.

Self-care activities.

Clinical challenges

Upper limb re-education.

Avoiding secondary complications.

Self-evaluation questions.

6 Management of Visual and Sensory Impairments (Melissa Mew and Sue Winnall).

Introduction.

Visual processing.

Assessment.

Somatosensory processing.

Theoretical approach.

Assessment.

Auditory processing.

Assessment.

Vestibular processing.

Assessment.

Olfactory and gustatory processing.

Self-evaluation questions.

7 Management of Cognitive Impairments (Thèrèse Jackson and Stephanie Wolff ).

Definition of cognition.

Cognitive functions.

Assessment of cognitive functions.

Cognitive rehabilitation.

Attention.

Memory.

Language.

Motor planning and apraxia.

Executive dysfunction.

Self-evaluation questions.

8 Management of Perceptual Impairments (Louisa Reid and Judi Edmans).

Introduction.

Definition of perception.

Normal perception.

Perceptual impairments.

Perceptual assessment.

Intervention.

General intervention tips.

Specific intervention strategies.

General assessment and intervention plan.

Self-evaluation questions.

9 Resettlement (Pip Logan and Fiona Skelly).

Home visits.

Community rehabilitation.

Support available after a stroke and self-management.

Carers.

Younger people.

Lifestyle and long-term management.

Leisure rehabilitation.

Getting out of the house and transport.

Driving after stroke.

Vocational rehabilitation.

Resuming sexual activity.

Stroke education.

Self-evaluation questions.

10 Evaluation (Fiona Coupar and Judi Edmans).

Record keeping.

Methods of recording occupational therapy intervention.

Pros and cons of multidisciplinary joint documentation.

Standardised assessments.

Differential diagnoses.

Useful assessments.

Evidence-based practice (EBP).

Appraising the identified evidence.

Implementing findings into clinical practice and evaluating outcomes.

Outcome measures.

Standards.

Self-evaluation questions.

Appendix: One-Handed Techniques.

References.

Definitions.

Useful Books.

Useful Organisations.

Index.

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Dr Judi Edmans is an Occupational Therapy Researcher in the Division of Rehabilitation and Ageing, School of Community Health Sciences, Queens Medical Centre, Nottingham. She is Editor of 'Neurological Practice'.
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