PBL Questions: Stroke

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PBL Questions

Definitions
  • Define stroke
  • Define dysarthria and aphasia(expressive/receptive)
  • Define the significance of ‘up going plantars’
  • Define knee arthroscopy
  • Define bridging (bed mobility)
  • Define homonymous hemianopia
Anatomy and physiology
  • Explore anatomy of the cerebral and carotid arteries.
  • Review muscles of the trunk – flexors and extensors.
  • Identify areas of the brain affected by the brain in terms of haemorrhagic infarct.
Pathology
  • Identify the risk factors for stroke- Hypertension/Smoking?
  • Explore the pathological processes of stroke.
  • Identify how a diagnosis of stroke is made and what investigations can be performed (ie CT scan)
  • Describe the clinical symptoms of a stroke.
  • Explain what is meant by sensory inattention
  • Describe what a haemorrhagic infract is?
  • Identify secondary problems of a patient post stroke (tightness of tendo achilles and reduced shoulder flexion- cause of pain at end of range).
  • Discuss what is meant by ‘over active’ with limb range.
  • Explore the muscle tone of patients with stroke.
MDT Management
  • Describe the role of the key worker within the stroke unit
  • Identify the role of the physio assistant
  • Identify the role of the speech and language therapist and the significance of a soft/texture diet’
Physiotherapy Management
  • Explore the stroke grading system for muscle weakness.
  • Recognise the role of the physiotherapist on the first few days after admission.
  • Explain the rehabilitation process of a stroke patient (short and long term) and the role of physiotherapists (types of exercise/gym work)
  • Compae the difference between an initial assessment and a comprehensive assessment.
  • Elaborate on transfers, bed and chair positioning for stroke patients.
  • Discuss the issue of manual handling involved with mobilising a patient with stroke.
  • Compare and contrast the normal sitting, posture and balance with that of a patient with stroke.
  • Explain how comprehension, sensation, proprioception and body awareness are assessed.
Medical Management
  • Define: Lacidipine, Simvastin, Aspirin, Lisinopril
  • Explore criteria for leaving Ana E to a general medical ward.
  • Distinguish between the local stroke unit and a general medical ward.
Pyschosocial
  • Identify affects on the lifestyle of the patient with stroke.
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