Occupational Therapy and Stroke / Edition 2

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Occupational Therapy and Stroke guides newly qualified occupational therapists (and those new to the field of stroke management) through the complexities of treating people following stoke. It encourages and assists therapists to use their skills in problem solving, building on techniques taught and observed as an undergraduate.

Written and edited by practising occupational therapists, the book acknowledges the variety of techniques that may be used in stroke management and the scope of the occupational therapist's role. Chapters span such key topics as early intervention and the theoretical underpinnings of stroke care, as well as the management of motor, sensory, cognitive and perceptual impairments. They are written in q user-friendly style and presented in a form that enables the therapist to review the subject prior to assessment and intervention planning. Complex problems are grouped together for greater clarity.

This second edition has been fully revised and updated in line with the WHO ICF model, National Clinical Guidelines and Occupational Therapy standards. It is produced on behalf of the College of Occupational Therapists Specialist Section neurological Practice.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Retta P Johnson, B.S, OT, MA, Allied Health Sci(University of Alabama at Birmingham)
Description: This is a useful guide to occupational therapy (OT) practice in the treatment of stroke produced by members of the National Association of Neurological Occupational Therapists in the United Kingdom. It covers basic background information on stroke and discusses assessment, management of specific deficits, and specific techniques utilized within the scope of our practice.
Purpose: The book adequately meets the objectives intended by the authors, to provide entry-level occupational therapists and those new to the field of neurological rehabilitation with a guide to background information and current practice techniques in the management of clients who have sustained a stroke.
Audience: It is an excellent but basic tool for those with minimal experience in the field of neurological OT practice. The editors are members of the stroke clinical forum of the NANOT in the United Kingdom and have many years of experience in the treatment of clients who have sustained a stroke.
Features: The introduction provides the reader with useful information about the causes of stroke, presentation based upon the region(s) of the brain that have been damaged, WHO classification of impairments, and medical management. The remainder of the book reviews OT frames of reference, treatment approaches currently used in the OT profession, and useful assessment tools that help to identify specific problem areas related to functional loss after stroke. The book also details treatment approaches related to specific deficits addressed in an OT setting, including motor and sensory deficits, cognitive and perceptual deficits, ADL problems related to stroke, and behavioral style and resettlement issues noted after a client sustains this disorder. Other treatment interventions covered include management of fatigue, return to work, driving, leisure skills, and sexual activity. This book is also an excellent resource for references, assessments, publications, and addresses of facilities and experts in the area of stroke rehabilitation in our profession. Although this is a useful text for new therapists, greater detail and depth would make the book a more important resource for those who practice in the field of occupational therapy.
Assessment: This is a unique tool for those who have minimal experience in treating clients who have sustained a stroke. It is well written and well organized, but reference is made in numerous areas of the book to standards for OT practice in the United Kingdom, which may distract readers from other regions. My overall impression is that it is a significant resource for those who are just entering this field of practice. Illustrations and photographs as well as improved graphics would help to sustain the interest level of the reader.

2 Stars from Doody
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Product Details

  • ISBN-13: 9781405192668
  • Publisher: Wiley
  • Publication date: 7/13/2010
  • Edition number: 2
  • Pages: 264
  • Product dimensions: 6.80 (w) x 9.50 (h) x 0.70 (d)

Meet the Author

Dr Judi Edmans is an Occupational Therapy Researcher in the Division of Rehabilitation and Ageing, School of Community Health Sciences, Queens Medical Centre, Nottingham. She is Editor of 'Neurological Practice'.

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Table of Contents

List of Contributors ix

Foreword xi

Preface xiii

Acknowledgements xv

1 Introduction Judi Edmans Fiona Coupar Adam Gordon 1

Definition of stroke 1

Impact of stroke 1

Symptoms of stroke 2

Causes of stroke 3

Classification of stroke 4

International Classification of Functioning, Disability and Health 4

Medical investigations following stroke and TIA 6

The prevention of recurrence of stroke (secondary prevention) 7

Neuroanatomy 9

Damage that can occur in different areas of the brain 13

Policy documents relating to stroke 13

Self-evaluation questions 23

2 Theoretical Basis Janet Ivey Melissa Mew 24

Introduction 24

Theoretical constructs 24

Conceptual models of practice 25

Frames of reference 27

Neuroplasticity 29

Intervention approaches 36

Self-evaluation questions 47

3 The Occupational Therapy Process Melissa Mew Janet Ivey 49

Introduction 49

The occupational therapy process 49

Procedural reasoning in different stroke care settings 53

Professional duties 60

Self-evaluation questions 63

4 Early Management Sue Winnall Janet Ivey 64

Introduction 64

Prior to assessment 64

Initial interview 66

Initial assessment 67

Intervention 75

Equipment 75

Other impairments impacting on functional ability 77

Swallowing 80

Mood 81

Fatigue 83

Self-evaluation questions 84

5 Management of Motor Impairments Stephanie Wolff Thérèse Jackson Louisa Reid 86

Introduction 86

Assessment 86

Management principles and intervention 90

Therapeutic aims of intervention 91

Positioning the early stroke patient 91

Clinical challenges 109

Upper limb re-education 111

Avoiding secondary complications 112

Self-evaluation questions 116

6 Management of Visual and Sensory Impairments Melissa Mew Sue Winnall 117

Introduction 117

Visual processing 119

Somatosensory processing 127

Auditory processing 137

Vestibular processing 139

Olfactory and gustatory processing 141

Self-evaluation questions 142

7 Management of Cognitive Impairments Thérèse Jackson Stephanie Wolff 144

Definition of cognition 144

Cognitive functions 144

Assessment of cognitive functions 144

Cognitive rehabilitation 146

Attention 147

Memory 149

Language 151

Motor planning and apraxia 151

Executive dysfunction 155

Self-evaluation questions 157

8 Management of Perceptual Impairments Louisa Reid Judi Edmans 158

Introduction 158

Definition of perception 158

Normal perception 158

Perceptual impairments 160

Perceptual assessment 162

Intervention 165

Self-evaluation questions 172

9 Resettlement Pip Logan Fiona Skelly 173

Home visits 173

Community rehabilitation 174

Support available after a stroke and self-management 177

Carers 178

Younger people 180

Lifestyle and long-term management 180

Leisure rehabilitation 181

Getting out of the house and transport 183

Driving after stroke 185

Vocational rehabilitation 186

Resuming sexual activity 188

Stroke education 189

Self-evaluation questions 190

10 Evaluation Fiona Coupar Judi Edmans 191

Record keeping 191

Standardised assessments 195

Evidence-based practice (EBP) 199

Outcome measures 203

Standards 206

Self-evaluation questions 207

Appendix: One-Handed Techniques 208

References 212

Definitions 229

Useful Books 231

Useful Organisations 233

Index 241

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