What is a stroke - Care Show

Document Sample
What is a stroke - Care Show Powered By Docstoc
					                   Learning Area 3
       The Impact of Stroke on Swallowing
Stroke Helpline 0303 3033 100
stroke.org.uk
Supporting people after
stroke
 A snap shot of how swallowing
 and communication can be
 affected by stroke




 Cate Burke , Training delivery manager
 Life after stroke training

Stroke Helpline 0303 3033 100
stroke.org.uk
        Life                    • 15 flexible modules which
                                  make up 3 days of training
       After                    • Stand alone course with
                                  fixed module topics
      Stroke                    • University level courses
     Training                   • Accredited QCF training


Stroke Helpline 0303 3033 100
stroke.org.uk
Stroke Helpline 0303 3033 100
stroke.org.uk
What is a stroke?
• Damage to part of the brain

• Caused by a problem with its
  blood supply

• Blood is supplied through arteries

• There is a ‘blockage’ or ‘burst’

• Usually happens quickly and
  strikes suddenly- brain attack

Stroke Helpline 0303 3033 100
stroke.org.uk
                                                   Parietal Lobe

        The brain                                  •
                                                   •
                                                       Taste, temperature, pain
                                                       Understanding language
                                                         • Auditory & visual memory
                                                               • Calculations
    Frontal Lobe
                                                               • Reading & writing
    •   Planning actions
                                                               • Spatial awareness
    •   Learning New
        tasks
    •   Motivation
                                                                         Occipital Lobe
    •   Behaviour
                                                                         •   Visual Perception
        regulation
                                                                         •   Colour
                                                                              recognition

Temporal Lobe
•       Memory functions
•       Word based memory                                                Brain Stem
         (dominant)                                                  •   Breathing
•       Visual Memory                                                •   Blood Pressure
         (non-domination)                                            •   Digestion
                                                                     •   Heart Rate
                                                                     •   Other Autonomic
                               Cerebellum
                                                                         Functions
                                •   Coordination
                                •   Balance
                                •   Equilibrium
                                •
    Stroke Helpline 0303 3033 100   Muscle tone
    stroke.org.uk
The
swallowing
process
Four stages to a swallow:       Stroke can affect any stage,
                                and lead to dysphagia
• Oral preparatory stage
• Oral stage                    • At least 40% of stroke
• Pharyngeal stage                survivors initially
• Oesophageal stage               experience some difficulty
                                  swallowing

Stroke Helpline 0303 3033 100
stroke.org.uk
Videofluoroscopy                 Normal swallow
                                  27 yr old male




 Stroke Helpline 0303 3033 100
 stroke.org.uk
                                Delayed swallow
Videofluoroscopy
                                  85 yr old male




Stroke Helpline 0303 3033 100
stroke.org.uk
Signs of swallowing
problems
• Inability, difficulty chewing or   • A hoarse voice/ gargly or
 swallowing                            a wet sounding voice

• Coughing or choking before,        • The sensation of food or
 during or after swallowing            drink ‘catching’ in the
                                       throat
• Difficulty controlling food or
 fluid in the mouth, drooling        • In the long term
                                       symptoms may include
• Bringing food back up,               unexplained weight loss
 sometimes through the nose
                                     • Frequent chest infections
Stroke Helpline 0303 3033 100
stroke.org.uk
What are the Hazards?
                                          Aspiration




                       Aspiration
                                                              Malnutrition
                       pneumonia

                                          HAZARDS




                                Choking                Dehydration



Stroke Helpline 0303 3033 100
stroke.org.uk
Tips for safe swallowing
              Arrange seating, upright
              position, even if in bed         Regular, smaller meals


              Ensure the person is fully
              awake
                                               Remain sitting upright for 30
                                               minutes after oral intake

              Allow time

                                               Persist with thickeners and
                                               drink supplements as
              Quiet environment, free from     prescribed
              distractions and interruptions


                                               Make sure medication is
              Remain calm                      prescribed in a suitable form
Stroke Helpline 0303 3033 100
stroke.org.uk
Supporting
communication after
stroke




Stroke Helpline 0303 3033 100
stroke.org.uk
                                   Writing


                Facial                                     Reading
                expressions


    Body                                                             Drawing
    language




                                 Communication
Intonation                        is more than                          Listening
                                   just speech




        Touch                                                        Gesturing



                       Music                               Technology

 Stroke Helpline 0303 3033 100
 stroke.org.uk                               Eye contact
Speech and
Language
Language                        Speech

                                • Articulation How speech
• What words mean
                                  sounds are made

• How to make new words         • Voice Use of the vocal
                                  folds and breathing to
• How to put words together       produce sound


• What word combinations        • Fluency The rhythm of
  are best in what situations     speech
Stroke Helpline 0303 3033 100
stroke.org.uk
Someone with aphasia
may have difficulty…

                                  Writing      Understanding
    Speaking

                                            Reading


                                Using
     Concentrating              numbers
Stroke Helpline 0303 3033 100
stroke.org.uk
The communication chain
                                             4. Think of
                                               an idea
                                                            5. Find the
                                   3. Understand               words
                                         it
                                                          6. String the
                                  2. Remember           sounds together
                                        it
                                                        7. Programme
                                                          the muscle
                                What do    1. Hear it      patterns
                                we write
                                 with?                  8. Articulate
                                                         the words



Stroke Helpline 0303 3033 100
stroke.org.uk
                                       Writing and using
                 Facial                    key words
              expressions
                                                                 Drawing


        Body
      language
                                                                           Listening



                                        Supported
     Talking                           conversation                        Gesturing




           Pointing                                                 Technology


                                Maps
                                                           Communication
Stroke Helpline 0303 3033 100
stroke.org.uk                                                 book
Useful resources
                                             Pocketcomms
                                Hospital
                                Communication
                                Book
                                                           Photo Dictionary


                       Medical             Applications
                       Passport
                                                             Stroke
                                                             Association’s
                                                             communication
                                                             chart
                                   Communication
                                   Passport Accident and
Stroke Helpline 0303 3033 100
stroke.org.uk                      Emergency
                   Learning Area 3
       The Impact of Stroke on Swallowing
Stroke Helpline 0303 3033 100
stroke.org.uk

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:2
posted:4/17/2013
language:simple
pages:20