Stroke Rehabilitation Quotes

“Early in the interaction, practitioners should obtain information from clients about their perception of the problem, needs, and goals. The implementation of a client-centered approach requires the use of a top-down approach37,49 in which clients identify what they perceive to be the important issues causing them difficulty in carrying out their daily activities in work, self-maintenance, leisure, and rest.7 A client-centered approach requires practitioners to view clients in the contexts of their lives and help them not only to acquire the skills to handle the immediate issues influencing their health but to also learn strategies and link with community resources that promote, protect, and improve their health over the long term. This approach extends from the agency or institution into the community, requiring the practitioner to take an active role in advocating for”
― Glen Gillen, Stroke Rehabilitation - E-Book: A Function-Based Approach

“Some expect persons to care for themselves. Sometimes therapists go too far in expecting an individual to perform self-care; some individuals prefer to spend their time in other occupations and accept the help of others to do basic self-care. Therapists are familiar with the use of personal attendants with persons following spinal cord injuries; persons who have had a stroke benefit from a personal attendant, so that they have choice in how they spend their time in occupations more important and meaningful to them.”
― Glen Gillen, Stroke Rehabilitation - E-Book: A Function-Based Approach

“For a person to be self-reliant in any community, a level of competence is required that enables the accomplishment of tasks beyond those of basic self-care (which are referred to as physical self-maintenance). For this reason, M. Powell Lawton identified the use of the telephone, food preparation, housekeeping, laundry, shopping, money management, driving or use of transportation, and medication management as important daily activities and proposed the term instrumental activities of daily living (ADL) to describe them35 (see Chapters 14, 21, 22, 23, and 28).”
― Glen Gillen, Stroke Rehabilitation - E-Book: A Function-Based Approach

“It has been argued that memory loss need not be a criteria for dementia, particularly when one’s executive functioning is impaired and one’s mental speed is diminished. It has also been argued that dementia may have a slow onset, starting with cognitive disorders of the nondementia type.95”
― Glen Gillen, Stroke Rehabilitation - E-Book: A Function-Based Approach

“Psychotic conditions are rare consequences of stroke, but they can occur. Symptoms can include delusions and hallucinations,94 paranoia, and mania.59 Poststroke mania, for example, may occur in up to 2% of stroke survivors and might be related to a previous history.33 There is some evidence that associates these symptoms with preexisting neuroanatomical risk factors, older age,94 and lesion location.99 Most psychotic conditions that emerge after stroke are believed to emerge in individuals with a history of psychotic conditions or in individuals predisposed to developing these conditions.8”
― Glen Gillen, Stroke Rehabilitation - E-Book: A Function-Based Approach