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Post Stroke Rehabilitation Case Study

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Since Samantha is 10 days post stroke and has been on rehabilitation ward for 1 week, education should have been provided to her and her family. As the acute and subacute phase of stroke are stressful and emotional for patients and their family, education provided in these stage should be brief and reinforced through repetition (Woodson, 2014). Therefore, we will split the education into 2 sessions, and firstly we will re-educate her on stroke, its impacts, proper handling for her shoulder and discourage her learned non-use.
As she presents with a moderate to severe hemiparesis and some weakness around her shoulder, she is at risk of developing a subluxed shoulder. We will educate all staff, Samantha and her family on proper manual handling and positioning to minimise trauma to the shoulder and to prevent shoulder subluxation.(National Stroke Foundations, 2010). Samantha’s attempt on not to use her affected arm has to be discouraged. Learned non-use of the hemiparetic limb could lead to poorer …show more content…
Task specific is one of the principles for stroke rehabilitation, and it is suggested that training provided should be relevant and meet the needs of the patients (Langhorne, Bernhardt & Kwakkel, 2011). Task specific training has shown to effectively improve functional outcomes and quality of life among stroke survivors (Rensink, Schuurmans, Lindeman & Hafsteinsdottir, 2009). In addition to task specific training, mirror therapy can also be used as suggested by the clinical guideline (National Stroke Foundations, 2010). Mirror therapy has been found to effectively improve the upper limb function among people with severe hemiparesis (Dohle et al., 2009) and those who have a stroke in the past 6 months (Lee, Cho & Song, 2012). The effectiveness of mirror therapy on upper limb functioning and ADLs have also been proved by a Cochrane review (Thieme, Mehrholz, Pohl, Behrens & Dohle,

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