scholarly journals Occupational Therapists’ Perspectives on Caregiver Education of Stroke Survivors

2022 ◽  
Vol 10 (1) ◽  
pp. 1-16
Author(s):  
Elinor Pastore ◽  
Daniel Ryan ◽  
Lisa J. Knecht-Sabres
Keyword(s):  
Occupational Therapists ◽  
Stroke Survivors ◽  
Caregiver Education

Sensory Modulation and Participation in Daily Occupations in Stroke Survivors

2021 ◽  
pp. 000841742110473
Author(s):  
Avivit Fuks Sharony ◽  
Batya Engel-Yeger
Keyword(s):  
Sensory Input ◽  
Occupational Therapists ◽  
Sensory Profile ◽  
Stroke Survivors ◽  
Healthy Controls ◽  
Social Activities ◽  
Sensory Modulation ◽  
Card Sort ◽  
The Relationship

Background. Stroke may alter sensory modulation and restrict participation in daily occupations. Although studies highlight the relationship between altered sensory modulation and reduced participation, this relationship in stroke survivors has not been studied enough. Purpose. To examine the prevalence of altered sensory modulation among stroke survivors; to compare sensory modulation and participation between stroke survivors and healthy controls; to estimate the relationship between sensory modulation and participation among stroke survivors. Method. Thirty stroke survivors and 30 healthy controls, aged 18–70, completed the MoCA, the Adolescent-Adult Sensory Profile and the Activity Card Sort. Findings. Altered sensory modulation was more prevalent among stroke survivors. Their participation was significantly restricted as compared to healthy controls. Lower tendency to seek sensory input predicted lower participation in social activities. Implications. Occupational therapists should screen for altered sensory modulation in stroke survivors and understand their impacts on participation, in order to improve intervention outcomes.

The Importance of Independence in Toileting: the Views of Stroke Survivors and their Occupational Therapists

2005 ◽  
Vol 68 (4) ◽  
pp. 165-171 ◽  
Author(s):  
Joanne Clark ◽  
Sue Rugg
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Occupational Therapy ◽  
Health Care Professionals ◽  
Daily Activity ◽  
Occupational Therapists ◽  
Self Esteem ◽  
Stroke Survivors ◽  
Perceived Importance

The profession of occupational therapy claims to be patient centred; however, research shows that the views of patients and health care professionals often differ. Toileting is a fundamental daily activity, yet to date there have been few studies investigating the perceived importance of independence in toileting. A qualitative study was conducted to determine the views of stroke survivors and their occupational therapists regarding the importance of independence in toileting. A symbolic interactionistic framework was used, allowing the views of these two disparate groups to be compared. Thirteen stroke survivors and seven occupational therapists were interviewed. Five categories were identified in the data collected: the occupational form normally used in toileting; incontinence and continence; independence and dependence in toileting; issues relating to toileting and hospital discharge; and the role of occupational therapy. Both participant groups agreed that independence in toileting was important in avoiding the need for assistance and in avoiding feelings of decreased self-esteem. However, the patient participants' views extended further in that they stated that the method of toileting was important, not merely that it was conducted independently. In conclusion, it is essential that occupational therapists consider how they can facilitate a return to the method usually undertaken for toileting by patients. If a return to the previous methodology for toileting will not be possible, then the occupational therapists must give consideration as to how to facilitate adjustment by the patients.

scholarly journals Maximizing Telerehabilitation for Patients With Visual Loss After Stroke: Interview and Focus Group Study With Stroke Survivors, Carers, and Occupational Therapists (Preprint)

2020 ◽  
Author(s):  
Stephen Dunne ◽  
Helen Close ◽  
Nicola Richards ◽  
Amanda Ellison ◽  
Alison R Lane
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Good Practice ◽  
Occupational Therapists ◽  
Visual Exploration ◽  
Visual Field Defects ◽  
Stroke Survivors ◽  
Focus Group Study ◽  
Movement Strategies ◽  
The Impact

BACKGROUND Visual field defects are a common consequence of stroke, and compensatory eye movement strategies have been identified as the most promising rehabilitation option. There has been a move toward compensatory telerehabilitation options, such as the Durham Reading and Exploration (DREX) training app, which significantly improves visual exploration, reading, and self-reported quality of life. OBJECTIVE This study details an iterative process of liaising with stroke survivors, carers, and health care professionals to identify barriers and facilitators to using rehabilitation tools, as well as elements of good practice in telerehabilitation, with a focus on how the DREX package can be maximized. METHODS Survey data from 75 stroke survivors informed 12 semistructured engagement activities (7 focus groups and 5 interviews) with 32 stroke survivors, 10 carers, and 24 occupational therapists. RESULTS Thematic analysis identified key themes within the data. Themes identified problems associated with poststroke health care from both patients’ and occupational therapists’ perspectives that need to be addressed to improve uptake of this rehabilitation tool and telerehabilitation options generally. This included identifying additional materials or assistance that were required to boost the impact of training packages. The acute rehabilitation setting was an identified barrier, and perceptions of technology were considered a barrier by some but a facilitator by others. In addition, 4 key features of telerehabilitation were identified: additional materials, the importance of goal setting, repetition, and feedback. CONCLUSIONS The data were used to try to overcome some barriers to the DREX training and are further discussed as considerations for telerehabilitation in general moving forward.

Visual Perceptual Deficit Screening in Stroke Survivors: Evaluation of Current Practice in the United Kingdom and Republic of Ireland

2021 ◽  
Author(s):  
Michael James Colwell ◽  
Nele Demeyere ◽  
Kathleen Vancleef
Keyword(s):  
United Kingdom ◽  
Visual Perception ◽  
Current Practice ◽  
Occupational Therapists ◽  
Screening Tools ◽  
Stroke Survivors ◽  
Visual Neglect ◽  
Perceptual Deficit ◽  
Post Stroke ◽  
The United Kingdom

PURPOSEVisual perceptual deficits are frequently underdiagnosed in stroke survivors compared to sensory vision deficits or visual neglect. To better understand this imparity, we evaluated current practice for screening post-stroke visual perceptual deficits.METHODSWe conducted a survey targeted at stroke clinicians involved in screening visual perceptual deficits across the United Kingdom and Republic of Ireland.RESULTSForty orthoptists and 174 occupational therapists responded to the survey. Visual perceptual deficit screening was primarily conducted by occupational therapists (94%), with approximately 75-100% of stroke survivors screened per month. Respondents lacked consensus on whether several common post-stroke visual deficits were perceptual or not. During screening, respondents primarily relied on self-reports and observation (94%), while assessment batteries (58%) and screening tools were underutilised (56%) and selected inappropriately (66%). Respondents reported lack of training in visual perception screening (20%) and physical/cognitive condition of stroke survivors (19%) as extremely challenging during screening.CONCLUSIONSVisual perceptual deficits are screened post-stroke at a similar rate to sensory vision or visual neglect. Underdiagnosis of visual perceptual deficits may stem from both reliance on subjective and non-standardised screening approaches, and conflicting definitions of visual perception held among clinicians. We recommend increased training provision and brief performance-based screening tools.

Vocational rehabilitation for young stroke survivors in gauteng public healthcare: Perceptions from occupational therapist1

Work ◽  
2021 ◽  
pp. 1-17
Author(s):  
Greea Dreyer ◽  
Matty van Niekerk
Keyword(s):  
South Africa ◽  
Public Sector ◽  
Focus Groups ◽  
Work Ability ◽  
Financial Burden ◽  
Occupational Therapists ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Stroke Survivors ◽  
The Public

BACKGROUND: The prevalence of working-aged stroke survivors is increasing yearly. Stroke is an expensive disease, causing financial burden to the government, the family and caregivers of the patient, thus making it imperative for working-aged stroke survivors to work to remain financially independent. Survivors’ need to work necessitates occupational therapists to shift their focus from basic activities of daily living, to rehabilitating work. OBJECTIVES: This study aimed to determine the perceptions of occupational therapists working with younger stroke survivors in public hospitals and clinics in Gauteng South Africa, about rehabilitating working-aged stroke survivors’ work ability. METHODS: Ethical clearance was obtained. A qualitative research design was used to obtain narrative, descriptive data from six focus groups. Therapists from public healthcare settings, who had more than six months’ experience and had worked in neurological rehabilitation within the six months preceding the focus group, were invited to participate. Focus groups were audio recorded and transcribed. Inductive content analysis was used to identify themes and categories. RESULTS: Few participants are involved in rehabilitating younger stroke survivors’ work ability or facilitating return to work (RTW). The study identified perceived barriers and enablers to rendering OT services that meet working-aged stroke survivors’ needs. CONCLUSIONS: Despite enabling employment equity laws in South Africa, OTs working in the public sector appear to experience a sense of futility when trying to rehabilitate young stoke survivors to RTW. Fragmentation of the public sector and limited resources impede successful RTW for working-aged stroke survivors. Survivors’ employment status and motivation to RTW facilitated rehabilitating work ability.

scholarly journals Maximizing Telerehabilitation for Patients With Visual Loss After Stroke: Interview and Focus Group Study With Stroke Survivors, Carers, and Occupational Therapists

10.2196/19604 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e19604
Author(s):  
Stephen Dunne ◽  
Helen Close ◽  
Nicola Richards ◽  
Amanda Ellison ◽  
Alison R Lane
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Good Practice ◽  
Occupational Therapists ◽  
Visual Exploration ◽  
Visual Field Defects ◽  
Stroke Survivors ◽  
Focus Group Study ◽  
Movement Strategies ◽  
The Impact

Background Visual field defects are a common consequence of stroke, and compensatory eye movement strategies have been identified as the most promising rehabilitation option. There has been a move toward compensatory telerehabilitation options, such as the Durham Reading and Exploration (DREX) training app, which significantly improves visual exploration, reading, and self-reported quality of life. Objective This study details an iterative process of liaising with stroke survivors, carers, and health care professionals to identify barriers and facilitators to using rehabilitation tools, as well as elements of good practice in telerehabilitation, with a focus on how the DREX package can be maximized. Methods Survey data from 75 stroke survivors informed 12 semistructured engagement activities (7 focus groups and 5 interviews) with 32 stroke survivors, 10 carers, and 24 occupational therapists. Results Thematic analysis identified key themes within the data. Themes identified problems associated with poststroke health care from both patients’ and occupational therapists’ perspectives that need to be addressed to improve uptake of this rehabilitation tool and telerehabilitation options generally. This included identifying additional materials or assistance that were required to boost the impact of training packages. The acute rehabilitation setting was an identified barrier, and perceptions of technology were considered a barrier by some but a facilitator by others. In addition, 4 key features of telerehabilitation were identified: additional materials, the importance of goal setting, repetition, and feedback. Conclusions The data were used to try to overcome some barriers to the DREX training and are further discussed as considerations for telerehabilitation in general moving forward.

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