Post Stroke Interventions Flashcards | Quizlet

What are the main objectives of post-stroke rehabilitation?

To understand types of stroke, clinical manifestations, diagnostic tests, medical interventions, medications, rehabilitation processes, and patient teaching related to TIA and stroke.

What are common complications after a stroke?

Post-stroke pain, weakness or paralysis, dysphasia, dysphagia, personality changes, and memory difficulties.

What should be continuously monitored in post-stroke patients?

Cardiac system, musculoskeletal defects, muscle tone, balance, skin integrity, GI and urinary changes, and communication difficulties.

What does the nursing process ADPIE stand for?

Assessment, Diagnosis, Planning, Implementation, Evaluation.

What are the goals for impaired communication after a stroke?

Maximize communication abilities through nursing interventions, collaborative care, and speech therapy.

What is aphasia?

A total loss of communication ability due to stroke damage, often affecting the dominant hemisphere of the brain.

What side of the brain is usually affected when a patient is experiencing aphasia or dysphasia?

Left hemisphere

What are the types of aphasia?

Broca's Aphasia (expressive, nonfluent), Wernicke's Aphasia (receptive, fluent), Global Aphasia (both expressive and receptive), and Neologism Aphasia (creating new words).

What is dysarthria?

Difficulty with muscular control of speech, including articulation, phonation, pronunciation

What precautions should be taken for patients with impaired swallowing?

Conduct swallow studies, assess swallowing and gag reflex, monitor breath sounds, and maintain an upright position during and after feeding.

Who performs a swallow study?

Speech therapist

What are the steps for a swallow study?

1. Test, swallowing, chewing, gag reflex. 1. Assess breath sounds prior to feeding. 3. Transferred to chair for feeding. 4. Check for pocketing of food. 5. Feedings must be followed by scrupulous oral hygiene. 6. Assess breath sounds after feeding aspiration. 7. Head of bed remains upright for 30 minutes at 30°.

What are the types of liquids recommended for patients with swallowing difficulties?

Thin liquids, thickened or nectar thick, and honey thick.

What is hemiplegia?

One-sided paralysis, often resulting from a stroke.

What is hemiparesis?

Weakness on one side of the body

What is ataxia?

Uncoordinated or unsteady gait

What is diplopia?

Double vision

What is the goal for patients with impaired physical mobility?

Maintain optimal function, prevent contractures, minimize atrophy, and ensure safety to prevent falls.

What interventions are important for preventing falls in post-stroke patients?

Assist with walking and self-care, ensure a safe environment, and use assistive devices.

What is the goal for managing impaired urinary elimination post-stroke?

Maintain independence with elimination through adequate hydration and a scheduled toileting routine every 2 hours.

What emotional responses may patients experience during recovery from a stroke?

Common emotional responses include frustration, sadness, and sometimes inappropriate reactions due to losses experienced.

What is the importance of patient and family teaching in stroke rehabilitation?

To ensure understanding of the rehabilitation process and to support effective coping strategies.

What is dysphasia?

Difficulty comprehending or speaking, which can occur after a stroke.

What is dysphagia?

Difficulty swallowing, which poses a risk for aspiration in post-stroke patients.

What is the significance of SMART goals in stroke rehabilitation?

Goals should be Specific, Measurable, Achievable, Relevant, and Time-bound to ensure effective rehabilitation.