Functional Intervention for Neuroplasticity After a Stroke. Mary Gessler, BS, COTA/L
|
|
- Brent Kelly
- 6 years ago
- Views:
Transcription
1 Functional Intervention for Neuroplasticity After a Stroke Mary Gessler, BS, COTA/L
2 ME BS degree from Northeastern University, Boston, MA Corporate employment 19 yrs. OTA graduation in 2011 Professional employment and specialization in CVA treatment 6 yrs.
3 ME Stroke team co-champion Responsible for monthly community stroke support group Began stroke community outings March 2017 Specialty Stroke Education American Stroke Association, Stroke Rehab Specialist training NDT training Hemi-Move 1 & 2 And many many more..
4 Stroke Facts Stroke is the fifth leading cause of death in the USA Stroke kills more than 130,000 Americans each year Someone in the USA has a stroke every 40 seconds Every four minutes a person dies from a stroke
5 Stroke Facts cont. Yearly 795,000 strokes occur in the USA 610,000 are first strokes 185,000 are recurrent strokes yr. olds make up 31% of all strokes
6 Stroke Facts cont. Stroke is the leading cause of long-term disability. Mobility is reduced more than half in stroke survivors 65 and over. 75% of stroke survivors experience UE impairments persisting into the chronic stage.
7 Symptoms of Stroke for All Confusion Depression Difficulty speaking Balance issues Numbness or weakness Severe headache Vision disturbance
8 Stroke in Multi-Cultures The following cultures have a higher risk of strokes: African American Hispanics Asian Pacific Islanders
9 Women Are Different Than Men According to University TX Southwestern Med Center Symptoms include: Difficulty breathing Feeling weak all over Hallucinations Seizures Sudden behavior changes Nausea / vomiting
10 Women Stroke Facts cont. Yearly in the USA approximately 55,000 more women than men experience stroke More women die from stroke than breast cancer yearly After stroke, women have greater disability than men Increased risk is due to hormone status, pregnancy, & childbirth
11 Risk Factors More Common in Women High blood pressure Diabetes High cholesterol Migraine headaches Atrial fibrillation Emotional stress Depression
12 Neuroplasticity Neuro = nervous system (brain & spinal cord) Plasticity = plastos or moldable Definition: Neuroplasticity is involved in motor learning rehabilitation after stroke
13 So What is Neuroplasticity? Our brain continues to change throughout our life time The brain has the ability to rewire itself after trauma Research shows that the brain can generate new neurons (known as neurogenesis)
14 Neuroplasticity cont. Key to changes in Neuroplasticity: Chemical Signals Altering it s Structure Altering it s Functional Change
15 Chemical Transferring chemical signals between neurons and triggers actions and reactions. This represents our Short Term Memory Change happens very rapidly
16 Structure Altering the structure Brain changes the connections between neurons which takes more time. Physical changes takes time which represents our Long Term Memory.
17 Functional Changes Altering function as you use a brain region it becomes more and more excitable easy to use again. With learning different networks of brain activity is happening. The brain shifts how and when they are activated
18 What Does Pavlov Have to do With This? Pavlov used a type of neuroplasticity Rang a bell = Salivation For Motor Learning to Occur: Challenging NEW/novel task Repetitive Practice Functional task Novel environment
19 Motor Learning Definition: a relatively permanent change in behavior due to practice. Motor learning: a set of processes associated with practice leading to a permanent change in the capacity for skilled action Acquiring the capacity for skilled action Learning takes practice and practice Learning must be performed Learning produces a change in behavior
20 Motor Learning The brain should be focused on task in order for motor activity and motor learning to occur The activity must be: Meaningful to the patient Challenging Changed frequently
21 Motor Learning cont. Motor Performance is the temporary change in movement behavior seen during a practice session Motor Learning is a permanent change in movement behavior measured after a retention period Motor Learning is only due to practice
22 Types of Learning Declarative Learning Facts or Knowledge that can be expressed in declarative sentences Remembering a phone number Controlled by the cortex Practice can transform declarative learning to procedural learning
23 Procedural Learning Procedural Learning Occurs without attention or conscious thought Walking, swimming, riding a bike, dancing Develops slowly through very high repetition Expressed through improved performance on a task Controlled by the cerebellum Therefore performance is still possible in the absence of cortex (brain injury, dementia)
24 Characteristics of MCA Middle Cerebral Artery Syndrome (MCA) Weakness on affected side of body in the arm more than the leg Sensory and weakness on affected side in face Gaze impairment Homonymous Hemianopsia Aphasia Ataxia on the affected side Perception difficulties
25 Characteristics of ACA Anterior Cerebral Artery Syndrome (ACA) Weakness and sensory loss Urinary incontinence Frontal Lobe damage Akinetic Mutism Definition: A medical term describing patients tending to neither move(akinesia) nor speak (mutism). First described in 1941 as a mental state where patients could not move or speak.
26 Characteristics of PCA Posterior Cerebral Artery Syndrome (PCA) Memory deficits Involuntary movements Homonymous Hemianopsia Difficulty recognizing people Dyslexia with reading only, writing in tact
27 Characteristics of Pontine Stroke Double vision Dizziness Vertigo Slurred speech Imbalance
28 Video of Carl Video
29 Cerebellum Stroke Decreased Balance Decreased Movement Vertigo Headache Vomiting Ataxia
30 Video Video of H.B. dancing with wife.
31 Right Hemisphere Damage Highly distractible; with short attention span Poor judgment and safety May be disoriented Poor insight into their condition Confusion, time, space concepts Motor problems Eye hand coordination
32 Right Hemisphere cont. Balance issues Visual field loss Left Neglect Spatial perceptual Impulsive Difficulty with visual cues
33 Left Hemisphere Damage Aphasic Visual deficits Difficulty with following directions, repeating words, or actions Slow and cautious Perseverates Uses yes/no inappropriately Anomic unable to name objects
34 Other Interventions Bioness Mirror Therapy Modified Constraint-Induced Movement Therapy (MCIMT) Dynavision Mental Practice (MP) Functional Activities cooking, grocery shopping, laundry
35 Pushers Patients who use non-affected side to push toward affected side. Takes approximately 3-4 weeks to resolve Some cases can last up to 6 months Associated more with Left hemisphere strokes
36 Pusher cont. Use a wall and mat for patient to sit on so they can t move unaffected side Have a mirror with tape down the middle in front of patient so they can see what midline looks like Have the patient reach for an article of clothing using the unaffected hand Have patient look in mirror sitting up in midline position
37 Interventions What s is a routine task that s important to the person? Example: Putting on a bra (Theraband, in front on table, W/C, chair /c arms, EOB, sitting on toilet, Standing, sports bra, back close, front close (types: hook & eye, snap, velcro, shoe string one hand, etc)
38 Intervention Activity Audience participation pass out information
39 Sex is an ADL Sexuality is a core characteristic for human beings Important part of development and growth The ability to be intimate with one another Some sexual expressions include: holding hands, kissing, flirting, and sexual intercourse
40 Sex is an ADL cont. Patients may feel more comfortable talking to their OT The necessary aspects of therapeutic relationship include: empathy, openness, and sensitivity Suggest the patient and spouse, or significant other sit down and talk with you Ask the couple what is important to them right now in wanting to be intimate Tell story about H.T.
41 Community Resources Avenues Rehab driving program Ability Rehab driving program Next Step Stroke Foundation Ability Rehab Program (formally known as Rehab Institute) Stroke Support Groups
42 Community Outing
43 Important Websites (National Stroke Association) (American Stroke Association) (Next Step website)
44 References Stroke Facts. (n.d.). Retrieved July 19, 2017, from Stroke Fact Sheet. (n.d.). Retrieved July 19, 2017, from Thomas, A., & Doherty, M. (2017, June 05). Thinking it through: Using Mental Practice to improve motor recovery and activity performance in clients with a stroke. OT Practice, 22(10), 1-4.
45 References Bajwa, R. (n.d.). Brain Plasticity; Rewiring the brain. Retrieved September 13, 2017, from Neuroplasticity. (n.d.). Retrieved July 16, 2017, from
46 References Mac Rae, N. (n.d.). Sexuality and the Role of Occupational Therapy. Retrieved August 14, 2017, from Mc grath, M., & Sakellariou, D. (2016). Why has so little progress been made in the practice of Occupational therapy in relation to sexuality. The American journal of occupational therapy,70(1), 1-5.
47 References Walker, L. (2017, June 5). Group Discipline Incorporating Evidence -Based Modified Constraintinduced movement therapy in an inpatient rehabilitation facility. OT Practice, Why are women at higher risk for stroke than men. (2016). Retrieved July 19, 2017, from /stroke-symptoms-women-risk
48 Questions
49 Notes
Inside Your Patient s Brain Michelle Peterson, APRN, CNP Centracare Stroke and Vascular Neurology
Inside Your Patient s Brain Michelle Peterson, APRN, CNP Centracare Stroke and Vascular Neurology Activity Everyone stand up, raise your right hand, tell your neighbors your name 1 What part of the brain
More informationStroke School for Internists Part 1
Stroke School for Internists Part 1 November 4, 2017 Dr. Albert Jin Dr. Gurpreet Jaswal Disclosures I receive a stipend for my role as Medical Director of the Stroke Network of SEO I have no commercial
More informationLong term effects of Acquired Brain Injury. Dr Alyson Norman
Long term effects of Acquired Brain Injury Dr Alyson Norman Overview Consequences of Acquired Brain Injury (ABI): Cognitive (the way people think) Physical Affective (emotional effects) Behavioural Psychosocial
More informationA Healthy Brain. An Injured Brain
A Healthy Brain Before we can understand what happens when a brain is injured, we must realize what a healthy brain is made of and what it does. The brain is enclosed inside the skull. The skull acts as
More informationAcoustic neuroma s/p removal BPPV (Crystals)- 50% of people over 65 y/ o with dizziness will have this as main reason for dizziness
Dizziness and the Heart Mended Hearts Inservice Karen Hansen, PT, DPT, Cert Vestibular Rehab, CEAS Tennessee Therapy & Balance Center, LLC July 21, 2016 Balance We maintain balance with input from our
More informationBrain Injury and Epilepsy
Slide 1 Brain Injury and Epilepsy Presented by: Paula St. John, MA Education and Community Outreach Manager Minnesota Brain injury Alliance www.braininjurymn.org l 612-378-2742 800-669-6442 Slide 2 Objectives:
More informationStroke: clinical presentations, symptoms and signs
Stroke: clinical presentations, symptoms and signs Professor Peter Sandercock University of Edinburgh EAN teaching course Burkina Faso 8 th November 2017 Clinical diagnosis is important to Ensure stroke
More informationSTROKE INTRODUCTION OBJECTIVES. When the student has finished this module, he/she will be able to:
STROKE INTRODUCTION Stroke is the medical term for a specific type of neurological event that causes damage to the brain. There are two types of stroke, but both types of stroke cause the same type of
More information3/16/2016 INCIDENCE. Each year, approximately 795,000 people suffer a stroke. On average, someone in the United States has a stroke every 40 seconds
USING THE PRINCIPLES OF NEUROPLASTICITY AND MOTOR LEARNING TO IMPROVE FUNCTIONAL OUTCOMES IN STROKE SURVIVORS: TRANSLATING THE EVIDENCE INTO PRACTICE Angie Reimer MOT/OTR adreimer@embarqmail.com Each year,
More informationCertificate in the Principles of Dementia Care
CACHE Level 2 Certificate in the Principles of Dementia Care LE EQUALITY AND DIVERSITY ACTIVITIES P INTERACTION M PERSON-CENTRED SA MEDICATION Workbook 1 COMMUNICATION In this section, you will learn about
More informationE X P L A I N I N G STROKE
EXPLAINING STROKE Introduction Explaining Stroke is a practical step-by-step booklet that explains how a stroke happens, different types of stroke and how to prevent a stroke. Many people think a stroke
More informationStroke: Every Minute Counts! Primary Stroke Center, Ingalls Memorial Hospital
Stroke: Every Minute Counts! Primary Stroke Center, Ingalls Memorial Hospital Objectives Describe the A & P of the nervous system Outline pathophysiological changes in the nervous system that may alter
More informationPamela S. Klonoff, PhD Clinical Director Center for Transitional Neuro-Rehabilitation Barrow Neurological Institute, Phoenix, Arizona
Neuropsychology Pamela S. Klonoff, PhD Clinical Director Center for Transitional Neuro-Rehabilitation Barrow Neurological Institute, Phoenix, Arizona Top Ten Ways to Understand and Cope with a Brain Tumor
More informationPrimary Stroke Center
Primary Stroke Center Stroke is the fifth leading cause of death and a leading cause of disability in the United States. Approximately 800,000 Americans will suffer a stroke this year; that s someone every
More informationNearly 1/3 of men can t recognize even one stroke symptom so they can act FAST and help the women in their lives survive stroke.
Nearly 1/3 of men can t recognize even one stroke symptom so they can act FAST and help the women in their lives survive stroke. Most people don t know that stroke kills twice as many women as breast cancer
More informationOVER- REACT. HOW MANY OF THE 10 STROKE SYMPTOMS DO YOU KNOW? Learn them inside > If you suspect STROKE, CALL 911 immediately
OVER- REACT We were out with friends when my husband suddenly had trouble walking. I suspected stroke, so I CALLED 911 IMMEDIATELY. It helped save his life. If you suspect STROKE, CALL 911 immediately
More informationUnderstanding Stroke
MINTO PREVENTION & REHABILITATION CENTRE CENTRE DE PREVENTION ET DE READAPTATION MINTO Understanding Stroke About This Kit Stroke is the fourth leading cause of death in Canada after heart disease and
More informationCerebrovascular Disorders. Blood, Brain, and Energy. Blood Supply to the Brain 2/14/11
Cerebrovascular Disorders Blood, Brain, and Energy 20% of body s oxygen usage No oxygen/glucose reserves Hypoxia - reduced oxygen Anoxia - Absence of oxygen supply Cell death can occur in as little as
More informationRECOGNISE AND REMOVE
RECOGNISE AND REMOVE Remember the 4 R s of concussion management: RECOGNISE REMOVE RECOVER RETURN Identifying concussion is not always easy, and players may not exhibit the signs or symptoms immediately
More informationAlan Barber. Professor of Clinical Neurology University of Auckland
Alan Barber Professor of Clinical Neurology University of Auckland Presented with L numbness & slurred speech 2 episodes; 10 mins & 2 hrs Hypertension Type II DM Examination P 80/min reg, BP 160/95, normal
More information/ / / / / / Hospital Abstraction: Stroke/TIA. Participant ID: Hospital Code: Multi-Ethnic Study of Atherosclerosis
Multi-Ethnic Study of Atherosclerosis Participant ID: Hospital Code: Hospital Abstraction: Stroke/TIA History and Hospital Record 1. Was the participant hospitalized as an immediate consequence of this
More informationConcussion guidance. Introduction CONCUSSION FACTS
Introduction This World Rugby Concussion Guidance document has been developed to provide guidance and information to persons involved in the non-elite level of the game of Rugby regarding concussion and
More informationOverview of Stroke: Etiologies, Demographics, Syndromes, and Outcomes. Alex Abou-Chebl, MD, FSVIN Medical Director, Stroke Baptist Health Louisville
Overview of Stroke: Etiologies, Demographics, Syndromes, and Outcomes Alex Abou-Chebl, MD, FSVIN Medical Director, Stroke Baptist Health Louisville Disclosure Statement of Financial Interest Within the
More informationWHAT IS A STROKE? What causes a stroke? What disabilities can result from a stroke?
Know Stroke Stroke is the third leading cause of death in the United States and a leading cause of serious, long-term disability in adults. About 600,000 new strokes are reported in the U.S. each year.
More informationSPRINGFIELD CLINIC S
SPRINGFIELD CLINIC S HEAD INJURY MANAGEMENT GUIDE FOR PARENTS Given the complexities of concussion management, Springfield Clinic recognizes the importance of managing concussions on an individualized
More informationNeuroanatomy of a Stroke. Joni Clark, MD Professor of Neurology Barrow Neurologic Institute
Neuroanatomy of a Stroke Joni Clark, MD Professor of Neurology Barrow Neurologic Institute No disclosures Stroke case presentations Review signs and symptoms Review pertinent exam findings Identify the
More informationSeniors Helping Seniors September 7 & 12, 2016 Amy Abrams, MSW/MPH Education & Outreach Manager Alzheimer s San Diego
Dementia Skills for In-Home Care Providers Seniors Helping Seniors September 7 & 12, 2016 Amy Abrams, MSW/MPH Education & Outreach Manager Alzheimer s San Diego Objectives Familiarity with the most common
More informationI will explain the most important concepts of functional treatment while treating our 4 patients: Tom Clint Alice Dick
Every step we ve covered so far, from Evaluation to Clinical Reasoning to Establishing Goals and Preparation for Function has laid the groundwork for the final step: Treatment Using Functional Activities.
More informationNational Stroke Association s Guide to Choosing Stroke. Rehabilitation Services
National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills
More informationBACKGROUND HISTORY QUESTIONNAIRE
BACKGROUND HISTORY QUESTIONNAIRE Name: Sex M F Address: Home Number: Work Number: Cell Number: Email: SSN: Name and Address of Employer: Date of Birth: Age: Ethnicity: Referred By: Referral Question or
More information10/17/2017. Causes of Dementia Alzheimer's Disease Vascular Dementia Diffuse Lewy Body Disease Alcoholic Dementia Fronto-Temporal Dementia Others
1 Dementia Dementia comes from the Latin word demens, meaning out of mind. It is the permanent loss of multiple intellectual functions. It is progressive deterioration of mental powers accompanied by changes
More informationSECTION 1: as each other, or as me. THE BRAIN AND DEMENTIA. C. Boden *
I read all the available books by other [people with] Alzheimer s disease but they never had quite the same problems as each other, or as me. I t s not like other diseases, where there is a standard set
More informationLearning Area 3 The Impact of Stroke on Swallowing. Stroke Helpline stroke.org.uk
Learning Area 3 The Impact of Stroke on Swallowing The hidden aspect of stroke Hidden: Concealed, obscured, covert Something that can not be seen Not often associated with stroke Can be hidden from: Professionals
More informationLanguage After Traumatic Brain Injury
Chapter 7 Language After Traumatic Brain Injury 10/24/05 COMD 326, Chpt. 7 1 1 10/24/05 COMD 326, Chpt. 7 2 http://www.californiaspinalinjurylawyer.com/images/tbi.jpg 2 TBI http://www.conleygriggs.com/traumatic_brain_injury.shtml
More informationNeurological Problems
Neurological Problems Paediatric Palliative Care For Home Based Carers Funded by British High Commission, Pretoria Small Grant Scheme Neurological Problems The child s nervous system may be damaged through:
More informationIf you have any of these symptoms or see them in someone else, call 911! Treatment can be more effective if given quickly. Every minute counts!
Sudden numbness or weakness of face, arm or leg, especially on one side of the body Sudden confusion, trouble speaking or understanding Sudden trouble seeing in one or both eyes Sudden trouble walking,
More informationObjectives. Stroke Facts 2/27/2015. EMS in Stroke Care: A Critical Partnership
EMS in Stroke Care: A Critical Partnership Spokane County EMS Objectives Identify the types and time limitations for acute ischemic stroke treatment options Identify the importance of early identification
More informationSTROKE POSITIONING, TRANSFERRING & SHOULDER MANAGEMENT IN ACUTE AND REHAB
STROKE POSITIONING, TRANSFERRING & SHOULDER MANAGEMENT IN ACUTE AND REHAB PRESENTED BY: Francine Carrier-Stevens, PT. Natasha Uens, PT. Chelsea Foster, RN. OVERVIEW Objectives Factors affecting mobility
More informationYour guide to recovery. Treating concussions
Your guide to recovery Treating concussions About concussions A concussion is a condition, usually caused when a blow to the head or body causes the brain to move rapidly within the skull, that can temporarily
More informationIMPAIRMENT OF THE NERVOUS SYSTEM
IMPAIRMENT OF THE NERVOUS SYSTEM The following information provides criteria for the evaluation of permanent impairment resulting from dysfunction brain, spinal cord and cranial nerves and certain peripheral
More informationExercise, Physical Therapy and Fall Prevention
Exercise, Physical Therapy and Fall Prevention University of Davis Medical Center Rosy Chow Neuro Clinical Specialist Physical Therapist Outline of Talk Role of Physical Therapy in care of people with
More informationStroke. Objectives: After you take this class, you will be able to:
Stroke Objectives: After you take this class, you will be able to: 1. Describe the signs of a stroke and how a stroke happens. 2. Discuss stroke risk factors. 3. Detail the care and rehabilitation of a
More informationStroke Awareness. Presented by: Duane Anderson, MD Snoqualmie Valley Hospital Emergency Department Medical Director
Stroke Awareness Presented by: Duane Anderson, MD Snoqualmie Valley Hospital Emergency Department Medical Director What is a stroke? Stroke can happen to anyone. Stroke is the fourth leading cause of death
More informationPreventing Traumatic Brain Injury in Older Adults. U.S. Department of Health and Human Services Centers for Disease Control and Prevention
Preventing Traumatic Brain Injury in Older Adults U.S. Department of Health and Human Services Centers for Disease Control and Prevention Most of us worry about staying safe, healthy, and independent as
More informationIntroduction to Physiological Psychology Review
Introduction to Physiological Psychology Review ksweeney@cogsci.ucsd.edu www.cogsci.ucsd.edu/~ksweeney/psy260.html n Learning and Memory n Human Communication n Emotion 1 What is memory? n Working Memory:
More informationDEMENTIA Dementia is NOT a normal part of aging Symptoms of dementia can be caused by different diseases Some symptoms of dementia may include:
DEMENTIA Dementia is NOT a normal part of aging Symptoms of dementia can be caused by different diseases Some symptoms of dementia may include: 1. Memory loss The individual may repeat questions or statements,
More informationwhat do the numbers really mean? NIHSS Timothy Hehr, RN MA Stroke Program Outreach Coordinator Allina Health
what do the numbers really mean? NIHSS Timothy Hehr, RN MA Stroke Program Outreach Coordinator Allina Health NIHSS The National Institutes of Health Stroke Scale (NIHSS) is a tool used to objectively quantify
More informationFundamentals of Cognitive Psychology, 3e by Ronald T. Kellogg Chapter 2. Multiple Choice
Multiple Choice 1. Which structure is not part of the visual pathway in the brain? a. occipital lobe b. optic chiasm c. lateral geniculate nucleus *d. frontal lobe Answer location: Visual Pathways 2. Which
More informationhomeinstead.com Each Home Instead Senior Care franchise office is independently owned and operated Home Instead, Inc.
Each Home Instead Senior Care franchise office is independently owned and operated. 2010 Home Instead, Inc. homeinstead.com Many of us may joke about having old timers disease, but when cognitive impairment
More informationOvercoming Psychological Barriers to Maximize Treatment Efficacy
Overcoming Psychological Barriers to Maximize Treatment Efficacy Dr. Rob Winningham Western Oregon University, Northwest Rehabilitation Associates 2010, Dr. Rob Winningham All Personality and Mental Health
More informationNCFE Level 2 Certificate in The Principles of Dementia Care
The Principles of Dementia Care S A M P LE NCFE Level 2 Certificate in The Principles of Dementia Care Part A 1 These learning resources and assessment questions have been approved and endorsed by ncfe
More informationDivine Intervention Episode 59 Neurology Clerkship Shelf Review Part 8 (Final Part) Some PGY1
Divine Intervention Episode 59 Neurology Clerkship Shelf Review Part 8 (Final Part) Some PGY1 1 Paresthesias in a patient who is being treated for TB. Paresthesias/loss of joint and position sense/le hyperreflexia
More informationThe Language of Stroke
The Language of Stroke Examination / Imaging / Diagnosis / Treatment Dr Suzanne Busch A lot of letters! CBF CVA ICH CVD CBV DWI US MRI/MRA CAA CTA CTP ICA MCA SAH WMD TIA MCA Agnosia A lot of big words!
More informationPSYC 223 BIOLOGICAL PSYCHOLOGY
PSYC 223 BIOLOGICAL PSYCHOLOGY Session 5 ORGANIZATION OF THE NERVOUS SYSTEM PART II Lecturer: Dr. Adote Anum, Dept. of Psychology Contact Information: aanum@ug.edu.gh College of Education School of Continuing
More information10/23/2018. What is a Concussion? Understand What is a concussion? Learn typical signs and symptoms and red flags
Maria Chininis, Sports Medicine and Concussion Institute Understand What is a concussion? Learn typical signs and symptoms and red flags Understand trajectories that affect concussion recovery What is
More informationDementia is an overall term for a set of symptoms that is caused by disorders affecting the brain.
Vascular Dementia Vascular Dementia Other Dementias This information sheet provides an overview of a type of dementia known as vascular dementia. In this information sheet you will find: An overview of
More informationVague Neurological Conditions
Vague Neurological Conditions Dr. John Lefebre, MD, FRCPC Chief Regional Medical Director Europe, India, South Africa, Middle East and Turkey Canada 2014 2 3 4 Agenda Dr. John Lefebre, M.D., FRCPC 1. TIA
More informationBiological Psychology. Unit Two AB Mr. Cline Marshall High School Psychology
Biological Psychology Unit Two AB Mr. Cline Marshall High School Psychology What happens in your nervous system when you react to stimuli? Did you know that the brain is sometimes uninvolved with reflexes?
More informationUrgent Care/Triage & Transport of the Severe Stroke Patient in the Field. Robert Knight, BSN, RN, CEN, NRP, CCEMT/P INTEGRIS TeleStroke
Urgent Care/Triage & Transport of the Severe Stroke Patient in the Field Robert Knight, BSN, RN, CEN, NRP, CCEMT/P INTEGRIS TeleStroke Suggested Protocols Suggested protocols are just that. They are not
More informationStroke Care for CNAs
Stroke Care for CNAs This course has been awarded Two (2.0) contact hours. This course expires on February 28, 2018. Copyright 2005 by RN.com. All Rights Reserved. Reproduction and distribution of these
More informationT1: RESOURCES TO ADDRESS THE NEEDS OF PERSONS WITH DEMENTIA AND THEIR CAREGIVERS 2014 GOVERNOR S CONFERENCE ON AGING AND DISABILITY
T1: RESOURCES TO ADDRESS THE NEEDS OF PERSONS WITH DEMENTIA AND THEIR CAREGIVERS 2014 GOVERNOR S CONFERENCE ON AGING AND DISABILITY Melanie Chavin, MNA, MS Alzheimer s Association, Greater Illinois Chapter
More informationOutline. Chest Pain/Heart Attack Stroke Fits + fainting Making a 999 Call
Street Medicine Outline Chest Pain/Heart Attack Stroke Fits + fainting Making a 999 Call Terminology Physiology: The biological study of the functions of living organisms and their parts Pathology: the
More informationQuiz ACUTE STROKE UNIT ORIENTATION MODULE 9: COGNITION, PERCEPTION, AND BEHAVIOUR A. PERCEPTION
ACUTE STROKE UNIT ORIENTATION 2014 MODULE 9: COGNITION, PERCEPTION, AND BEHAVIOUR Name: Date: A. PERCEPTION 1. Perception refers to: 1. How we process information 2. How we interpret information 3. Vision,
More informationCommon Forms of Dementia Handout Package
Common Forms of Dementia Handout Package Common Forms of Dementia 1 Learning Objectives As a result of working through this module, you should be better able to: 1. Describe clinical features of 4 major
More informationReview Evaluation of Residuals of Traumatic Brain Injury (R-TBI) Disability Benefits Questionnaire * Internal VA or DoD Use Only*
Review Evaluation of Residuals of Traumatic Brain Injury (R-TBI) Disability Benefits Questionnaire * Internal VA or DoD Use Only* Name of patient/veteran: SSN: Your patient is applying to the U. S. Department
More informationAdding Exercise to Your Life
Adding Exercise to Your Life Beginning to Exercise When you return home, you should do activities similar to those in the hospital for 2 to 3 days. You will be showering, napping, deep breathing, and walking
More informationClinical Learning Exercise #1
Clinical Learning Exercise #1 Exercise: We are going to assume nothing is wrong with the peripheral nervous system and attempt to identify the central nervous system anatomical location for the following
More informationThe Cerebellum. Physiology #13 #CNS1
Physiology #13 #CNS1 The cerebellum consists of cortex and deep nuclei, it is hugely condensed with gray mater (condensed with neurons (1/3 of the neurons of the brain)). Cerebellum contains 30 million
More informationUNIVERSITY OF MASSACHUSETTS SPORTS MEDICINE PROGRAM Concussion Management Plan
UNIVERSITY OF MASSACHUSETTS SPORTS MEDICINE PROGRAM Concussion Management Plan University of Massachusetts Sports Medicine personnel will evaluate student-athletes with a suspected concussion as follows:
More information1. Processes nutrients and provides energy for the neuron to function; contains the cell's nucleus; also called the soma.
1. Base of brainstem; controls heartbeat and breathing 2. tissue destruction; a brain lesion is a naturally or experimentally caused destruction of brain tissue 3. A thick band of axons that connects the
More informationHomelessness & Brain Injuries: Cause or Effect?
Homelessness & Brain Injuries: Cause or Effect? Stephen Hwang, MD, MPH Research Scientist, Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St.
More informationAssessing the Stroke Patient. Arlene Boudreaux, MSN, RN, CCRN, CNRN
Assessing the Stroke Patient Arlene Boudreaux, MSN, RN, CCRN, CNRN Cincinnati Pre-Hospital Stroke Scale May be done by EMS o One of many o F facial droop on one side o A arm drift (hold a pizza box, close
More informationYour Risk for Stroke and How to Be Prepared
Your Risk for Stroke and How to Be Prepared TABLE OF CONTENTS 01 / 02 / 03 / 04 / 06 / 07 / 08 / 09 / 14 / Stroke Education Stroke: The No. 5 Cause Of Death In The U.S. Is Stroke Preventable? Stroke Risk
More informationVascular Disorders. Nervous System Disorders (Part B-1) Module 8 -Chapter 14. Cerebrovascular disease S/S 1/9/2013
Nervous System Disorders (Part B-1) Module 8 -Chapter 14 Overview ACUTE NEUROLOGIC DISORDERS Vascular Disorders Infections/Inflammation/Toxins Metabolic, Endocrinologic, Nutritional, Toxic Neoplastic Traumatic
More informationTalking About The Facts: Stroke In Children
Talking About The Facts: Stroke In Children AWARENESS LEADS TO A QUICKER RESPONSE AND LIFESAVING OUTCOMES FOR CHILDREN. Pediatric Stroke Warriors continues to strengthen communities by providing support
More informationMULTIPLE SCLEROSIS INTRODUCTION OBJECTIVES. When the student has finished this module, he/she will be able to:
MULTIPLE SCLEROSIS INTRODUCTION Multiple sclerosis (MS) is a chronic disease of the nervous system. Multiple sclerosis causes inflammation and damage to the protective coatings in the brain and the nerves.
More informationQuiz ACUTE STROKE UNIT ORIENTATION MODULE 7: MOBILITY, POSITIONING, AND TRANSFERS
ACUTE STROKE UNIT ORIENTATION 2014 MODULE 7: MOBILITY, POSITIONING, AND TRANSFERS Name: Date: 1. Fill in the blanks (2 points) The goal of assisting the stroke survivor is to functional recovery and independence
More informationWhat Is A Concussion?
What Is A Concussion? A concussion is a brain injury, and all brain injuries are serious. Concussions can range from mild to severe, and they can change the way your brain normally functions. Symptoms
More informationStroke Prevention. For more information about stroke, call University Hospital s Heart Line at 706/ or toll free at 866/
Stroke Prevention Drug Use: The use of illicit drugs, including cocaine and crack cocaine, can cause stroke. Cocaine may act on other risk factors, such as hypertension, heart disease and vascular disease,
More informationSaebo Mirror Box Product Manual
Saebo Mirror Box Product Manual No Plateau In Sight Introduction Saebo is pleased to introduce a simple and effective therapy tool used to treat motor dysfunction. Saebo s Mirror Box Therapy, a treatment
More informationPast Surgical History
Name: DOB: Check All That Apply Past Medical History o Anemia o Aneurysm o Asthma o Bipolar o Bleeding Disorder o Blood Clot o Brain Tumor o Bronchitis o Cancer o Crohn s Disease/Ulcerative Colitis o Depression
More information: STROKE. other pertinent information such as recent trauma, illicit drug use, pertinent medical history or use of oral contraceptives.
INTRODUCTION A cerebral vascular accident (CVA) or stroke is a lack of blood supply to the brain as a result of either ischemia or hemorrhage. 80% of CVAs are a result of ischemia (embolic or thrombotic)
More informationThe road to recovery. The support available to help you with your recovery after stroke
The road to recovery The road to recovery The support available to help you with your recovery after stroke We re for life after stroke Need to talk? Call our confidential Stroke Helpline on 0303 3033
More informationWHAT YOU SHOULD KNOW ABOUT. Glioblastoma (GBM)
Helpful Information for People With Glioblastoma (GBM) and Their Families WHAT YOU SHOULD KNOW ABOUT Glioblastoma (GBM) Learning the basics of glioblastoma If you or someone you know has been diagnosed
More informationNEURORADIOLOGY DIL part 4
NEURORADIOLOGY DIL part 4 Strokes and infarcts K. Agyem MD, G. Hall MD, D. Palathinkal MD, Alexandre Menard March/April 2015 OVERVIEW Introduction to Neuroimaging - DIL part 1 Basic Brain Anatomy - DIL
More informationP1: OTA/XYZ P2: ABC c01 BLBK231-Ginsberg December 23, :43 Printer Name: Yet to Come. Part 1. The Neurological Approach COPYRIGHTED MATERIAL
Part 1 The Neurological Approach COPYRIGHTED MATERIAL 1 2 Chapter 1 Neurological history-taking The diagnosis and management of diseases of the nervous system have been revolutionized in recent years by
More informationStroke/TIA. Tom Bedwell
Stroke/TIA Tom Bedwell tab1g11@soton.ac.uk The Plan Definitions Anatomy Recap Aetiology Pathology Syndromes Brocas / Wernickes Investigations Management Prevention & Prognosis TIAs Key Definitions Transient
More informationStroke 101. Maine Cardiovascular Health Summit. Eileen Hawkins, RN, MSN, CNRN Pen Bay Stroke Program Coordinator November 7, 2013
Stroke 101 Maine Cardiovascular Health Summit Eileen Hawkins, RN, MSN, CNRN Pen Bay Stroke Program Coordinator November 7, 2013 Stroke Statistics Definition of stroke Risk factors Warning signs Treatment
More informationExplaining Unpredictable Emotional Episodes
Explaining Unpredictable Emotional Episodes Pseudobulbar affect (PBA) after a stroke Stroke and Pseudobulbar Affect Pseudobulbar affect (PBA) is a medical condition that causes sudden and unpredictable
More informationWEBINAR SERIES: AGING IN INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES
WEBINAR SERIES: AGING IN INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 1 CMS Medicare-Medicaid Coordination Office (MMCO) Established by Section 2602 of the Affordable Care Act Purpose:
More informationFunctional Neuroanatomy and Traumatic Brain Injury The Frontal Lobes
Functional Neuroanatomy and Traumatic Brain Injury The Frontal Lobes Jessica Matthes, Ph.D., ABN Barrow TBI Symposium March 23, 2019 jessica.matthes@dignityhealth.org Outline TBI Mechanisms of Injury Types
More informationStroke Impact Scale VERSION 3.0
Stroke Impact Scale VERSION 3.0 The purpose of this questionnaire is to evaluate how stroke has impacted your health and life. We want to know from YOUR POINT OF VIEW how stroke has affected you. We will
More informationDOCTOR REFERRAL LETTER
DOCTOR REFERRAL LETTER Dear Living Longer Living Stronger Program Co-ordinator, I am recommending my patient/client undertake a monitored Living Longer Living Stronger strength training program that incorporates
More informationBACK AND NECK PAIN QUESTIONNAIRE
Neurological Surgery and Spine Surgery, S.C. 1 Westbrook Corporate Center, Suite 800 Westchester, Illinois 60154 BACK AND NECK PAIN QUESTIONNAIRE Please PRINT all information CLEARLY and answer all questions
More informationThe Leeds Teaching Hospitals NHS Trust Total Hip Replacement A guide to your Rehabilitation
n The Leeds Teaching Hospitals NHS Trust Total Hip Replacement A guide to your Rehabilitation Information for patients Your questions answered What are hip precautions? There are precautions to follow
More informationNervous System and Special Senses HEALTH SCIENCE
Nervous System and Special Senses HEALTH SCIENCE Bellwork!! What s your reaction time? Go to this website and check it out: https://www.justpark.com/creative/reaction-time-test/ State Standards 8) Outline
More informationPRINCIPLES OF CAREGIVING DEVELOPMENTAL DISABILITIES MODULE
PRINCIPLES OF CAREGIVING DEVELOPMENTAL DISABILITIES MODULE CHAPTER 1: KNOWLEDGE OF DEVELOPMENTAL DISABILITIES CONTENT: A. Developmental Disabilities B. Introduction to Human Development C. The Four Developmental
More informationAlan Barber. Professor of Clinical Neurology University of Auckland
Alan Barber Professor of Clinical Neurology University of Auckland Presented with L numbness & slurred speech 2 episodes; 10 mins & 2 hrs Hypertension Type II DM Examination pulse 80/min reg, BP 160/95
More informationPre-Hospital Stroke Care: Bringing It To The Street. by Bob Atkins, NREMT-Paramedic AEMD EMS Director Bedford Regional Medical Center
Pre-Hospital Stroke Care: Bringing It To The Street by Bob Atkins, NREMT-Paramedic AEMD EMS Director Bedford Regional Medical Center Overview/Objectives Explain the reasons or rational behind the importance
More informationPartners in Teaching: Seizure Awareness Workshop
Partners in Teaching: Seizure Awareness Workshop Learning Objectives 1. Facts About Epilepsy and Seizures 2. Seizure Recognition 3. First Aid and Safety Considerations 4. Learning and Behavioural Impacts
More information