Stroke Care Management SCM 301 relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Group Agreement Confidentiality Respect Mobile Phones Break times Domestics (Fire, WC) Introductions Recap aims and objectives Catch up from home work and any questions from previous sessions House keeping relates to SfC QCF unit SCM 301

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

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

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

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) 1.1 recap legislation and ask about home work Home work to identify key themes from the legislation relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 1.1 relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 1.1 relates to SfC QCF unit SCM 301

Key Themes and Best Practice Ask learners to shout out to the front Making list of themes and best practice in initial stages of stroke Refer to the 10 point action plan from stroke strategy Collate flip chart with key themes Also emphasise the nice quality markers Prevention First contact Treatment and rehab Long term support and review 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. Explain limitations of the training course and no way replace MCA and DOLS training Ask about understanding of capacity Temp AND Decision Specific 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 Ask if can name the five principles Watch Lucy's video if applicable to the group 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 Ask if can name the five principles Watch Lucy's video if applicable to the group relates to SfC QCF unit SCM 301

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? Group discussion and flip chart paper feed back to front relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Video to recap the stroke awareness element about changes in the brain Looking at where the stroke occurs dominant and non dominant side of the brain If it occurs left right effected if right left effected Brain damage to cells or cell death Stroke and the Brain relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Relate this to communication Liz’s help with explaining the parts of the brain connected with communication Allow the learners to try and name some of the conditions we have already talked about in ABI and SICN units relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Recap who we communicate and reiterate this is one study and lots of other explains of communicate available this is just a widely accepted one. relates to SfC QCF unit SCM 301

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. Animation first to allow learners to shout out to the board and then list relates to SfC QCF unit SCM 301

How does stroke effect communication Aphasia Dysarthria Apraxia Different types again goo back to previous units and recap other conditions aswell Liz to explain in greater depth to the front using flip chart and pens 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 Perhaps have hand out of the brain so learners also have a visual to help understand the link between the brain and communication

relates to SfC QCF unit SCM 301 Aphasia Depends on which communication centre in the brain in affected Can be divided into two types; Expressive (message out) Receptive/comprehension (message in) Perhaps have hand out of the brain so learners also have a visual to help understand the link between the brain and communication Liz to explain in greater depth to the front using flip chart and pens relates to SfC QCF unit SCM 301

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 Again relate to brain and reiterate cognitive functioning may still be very high do not mean the person does not have understanding Liz to explain in greater depth to the front using flip chart and pens relates to SfC QCF unit SCM 301

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 Liz to explain in greater depth to the front using flip chart and pens relates to SfC QCF unit SCM 301

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 Liz to explain in greater depth to the front using flip chart and pens relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Dysarthria Video to demonstrate the difference for stroke4 carers relates to SfC QCF unit SCM 301

Communication methods and aids Low tech and high tech Shout out to board as already covered in SICN unit relates to SfC QCF unit SCM 301

Supported conversations video from scotish carers discuss after wards List to the boards methods of supported conversations Using hand out snd time looking at the + and – of each and learners to summerise relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Physical effects Mobility Continence Pain Spatial awareness Fatigue Feelings Sensations Swallowing Give each pair a topic and ask them to look at why and how these effect someone and start to introduce the idea of fluctuating nature of stroke Feed back to the front of the board relates to SfC QCF unit SCM 301

the fluctuating nature of stroke ANALYSE… the fluctuating nature of stroke Reiterate what anaylse means Already fed back to front so give learners time to discuss with tutors Refer back to study skills information Stroke journey not a straight line Depends on damage and area Fatigue, mood, motivation and support all play apart in the changing nature of stroke relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Real Stories Using the video to consolidate knowledge and answer some of the learning outcomes 4 and 5 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 Peer to peer learning One tutor with each group Groups have already been given the home work of researching there given outcome Each to formulate a presentation to the group based on there homework and the information sheets. Learners have completed all other modules so very little new infomration needed to complete this task Tutors to fill in any important information that is missed and feedback to the group relates to SfC QCF unit SCM 301

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 When feeding back Tutor to ask any questions of each team to add in more information or any bits that may be missing in order to meet the outcomes. relates to SfC QCF unit SCM 301

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

relates to SfC QCF unit SCM 301 Values game Using the values pyramid to shape discussion and explore person centeredness Draw on knowledge from the PCA unit as leaners have already completed this. relates to SfC QCF unit SCM 301

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. Refer back to PCA unit and ask to explain active participation Shape discussion around learning outcome relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Evaluation Evaluation forms for the whole course as well as for this unit relates to SfC QCF unit SCM 301

relates to SfC QCF unit SCM 301 Last UNIT!!! Good luck and goodbye relates to SfC QCF unit SCM 301