stroke

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Stroke Self Management

• Rachel Kravitt

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COGNITION
PSYCH
PHYS
SENSORY
MOTOR
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Physiology

• Genitourinary reproductive dysfunctions
• Sexuality
• Neurogenic bladder
• Health maintenance/restoration and exercise
• Fatigue

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fatigue
overwhelming sense of tiredness, exhaustion,
lack of energy, or difficulties of sustaining
routine actions

• 8 out of 10 survivors
• most predominant debilitating stroke-related
  impairment

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MOTOR
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• SPASTICITY
• WEAKNESS

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COGNITION
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• Perceptual processing
• Speech
• Praxis
• Info processing

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DEPRESSION
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SELF EFFICACY
POSITIVE EMOTIONS
COPING
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Sensory
SEE
HEAR
FEEL
SMELL
TASTE
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• stroke ? SPIRITUALITY OUTCOMES

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• spirituality ? STROKE OUTCOMES
• Health status
• Other benefits
• A form of coping?

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• autonomy/independence
• roles
• identity
• self worth

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Self-management
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Possible Directions for Model
Is it more effective to improve outcomes by
or
Are certain outcomes more sensitive to the
effects of self efficacy?
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Milkyway video

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• P factors help to understand the huge change in
  body and relation to the world and occupations
• Whole new set of responsibilities and
  interactions with the world that one must figure
  out
• A way to provide someone with self management
  skills will help them maneuver around barriers
• There is a need to self management skills to
  maintain quality of life and assume meaningful
  occupations
• Self efficacy needs to be bolstered
• Self management intervention will provide the
  missing link and provide the pathway to well
  being FOR PEACE ON EARTH