1. Stroke Training & Carers Issues Lynsey Duncan Stroke Training Co-ordinator

2. Stroke Training in Grampian Multi-disciplinary Meet the different needs of health & social care staff Delivered at different locations Aim to facilitate learning and/or build on knowledge & skills in stroke care Flexible Therapy Stroke Team

3. The training programmes... Core: Introductory Course in Stroke Care (part 1) Intermediate Course in Stroke Care (part 2) Advanced Study Days (Secondary prevention in stroke care & Post-stroke - what’s out there?)

4. Other training... Care Home Staff Study Days Social Service Staff Study Days Student Nurse Awareness Sessions Volunteer Session Shetland Isles

5. Evaluation Forms “I found the whole course really good, educational, interesting & stimulating. It made me more reflective about my current practice.” “very interesting course which has been very beneficial to my work area, thank you” “all staff working within stroke services should have the opportunity of attending this course”

6. Future Plans Advanced Topics ( Communication workshop 21st Nov 07 & Tone and Postural Management 29th May 08) Community Nurses Study Day (Long Term Conditions - update and refresher 27th Feb 08) in Aberdeenshire Orkney Isles Accreditation

7. Carers Issues Intermediate Course in Stroke Care (part 2) - Caring for carers - Impact of stroke - a carers perspective

8. Questionnaire... Do you feel you were given adequate support and advice about the impact this (the stroke) would have on you and your family prior to their discharge from hospital? Carer A - no Carer B - no, all I was told was that it would take time Carer C - no

9. Questionnaire... Since their discharge from hospital, are there any particular issues that you have found difficult to deal with? Carer A - my biggest worry is who takes care of the carer when they fall ill? Carer B - coping by myself is hard…arm and shoulder has been knotting up leaving…in agony which keeps them up all night, resulting in me having to stay up as well! Carer C - taking medication

10. Questionnaire... How has your life changed since becoming a carer? Carer A - we have to pace ourselves now…I find it takes longer to do various everyday things Carer B - from being a partner to being a parent again…personality has changed Carer C - loneliness

11. Questionnaire... Do you feel you have had adequate support since they have been discharged from hospital? Carer A - Yes, in most things I am happy to say Carer B - No Carer C - No support

12. Common issues Loneliness No support Not ready for the challenge that faces them when their partner gets discharged home from hospital Feeling that the needs of the carer are neglected

13. Any questions????