PBL Questions: Learning Objectives 1
- 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.
- 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.
- 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’
- 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.
- 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.
- Identify affects on the lifestyle of the patient with stroke.