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Emotions, Roles and Relationships

Emotions, Roles and Relationships. Topics. Module 1: Understanding stroke Module 2: Physical changes and challenges Module 3: Swallowing and nutrition Module 4: Cognition, perception and communication Module 5: Emotions, roles and relationships Module 6: Reducing the risk of stroke and

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Emotions, Roles and Relationships

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  1. Emotions, Roles and Relationships

  2. Topics Module 1: Understanding stroke Module 2: Physical changes and challenges Module 3: Swallowing and nutrition Module 4: Cognition, perception and communication Module 5: Emotions, roles and relationships Module 6: Reducing the risk of stroke and moving forward

  3. How are you doing on the goals you committed to?

  4. EMOTIONS

  5. Emotions • A stroke has significant EMOTIONAL CONSEQUENCES • Both STROKE SURVIVORS and CAREGIVERS often feel a flood of emotions after a stroke • Adjusting to a stroke is really an emotional journey

  6. Emotions • These emotions include: ANGER, SADNESS, GRIEF, and FEELINGS OF LOSS (loss of abilities, loss of independence) • May also feel ANXIOUS, OVERWHELMED, STRESSED, and UNABLE TO COPE with all the changes and necessary adjustments after a stroke

  7. We will discuss • Anxiety • Anger • Depression • Positive outlook

  8. Anxiety includes • Worry • Fear • Trouble sleeping • Irritability or anger • Inability to concentrate

  9. Anger

  10. Anger

  11. Anger

  12. Anger

  13. Anger

  14. Anger

  15. Anger • Frequent feelings of sudden intense ANGER can increase your risk of stroke • Talk to your healthcare professional if you have frequent feelings of anger and are having trouble dealing with it

  16. Depression • Depression is common after stroke • Half of all survivors and about a third of caregivers experience depression • Men and women show depression differently • Signs of depression are more common in women

  17. Depression may include: • Decreased motivation • Less enjoyment of life • Indecisiveness or poor concentration

  18. Depression may include: • Change in appetite • Disturbed sleep • Low energy and fatigue

  19. Depression symptoms Typically these symptoms last longer than two weeks and usually start at least three months after stroke

  20. Facts about depression • Depression is NOT just unhappiness or “a bad day” • Depression is a real condition with a biological basis in the brain • Depression is a normal reaction to a major life change • Depression is not a sign of weakness

  21. Facts about depression • The sooner depression is identified and treated the better the outcome • Antidepressant medications are an important tool to treat depression • You cannot become dependent or addicted to antidepressant medications

  22. Depression and pain • Depression and pain are often associated • Pain can cause or worsen depression • Similarly, depression can worsen pain

  23. Caregivers • Caregivers have also experienced the stroke and its effects as a major life change • Caregivers may be struggling to meet new responsibilities and roles while coping with their own emotional response to stroke • As a result, caregivers have an increased risk for depression

  24. Geriatric Depression Scale • The Geriatric Depression Scale (GDS) is a clinically useful indicator of depression Heart & Stroke Living with Stroke Participant Manual page 71

  25. Geriatric Depression Scale Handout page 35

  26. Treatment of depression • Depression can slow your recovery • Treatment for depression can help you recover from stroke • Treatment should never be regarded as giving in or giving up • Treatment of depression is an investment in your overall health

  27. Positive outlook

  28. VIDEO: Emotional Issues

  29. Have you experienced any of the feelings or attitudes mentioned in the video?

  30. Do you experience any of these feelings? • Happy • Depressed • Angry • Sad • Worried • Stressed Handout page 34

  31. Do you experience any of these feelings? • Lack of energy • Tired all the time • Difficulties • concentrating • Loss of appetite • Trouble sleeping • Lonely Handout page 36

  32. What can you do to deal with depression or mood changes?

  33. How to deal with mood changes • Be ENGAGED IN LIFE • Stay PHYSICALLY ACTIVE • Avoid SOCIAL isolation Handout page 37

  34. How to deal with mood changes • Stay in touch with FAMILY and FRIENDS • Talk to other STROKE SURVIVORS and CAREGIVERS Handout page 37

  35. How to deal with mood changes • Learn about STROKE to help you understand what’s happening • Talk to your HEALTHCARE TEAM about your concerns • Speak to your doctor about MEDICATION if you think you are depressed Handout page 38

  36. How to deal with mood changes • Set GOALS and work toward them to help you maintain a sense of CONTROL, improve your CONFIDENCE and raise your SELF-ESTEEM • Take an ACTIVE role inyour recovery, one step at a time Handout page 38

  37. ROLES

  38. Roles

  39. Did anyone stop working? How did it make you feel? Any positive changes?

  40. Caregiver

  41. Caregiver

  42. Caregiver

  43. Caregiver

  44. Caregiver Caregivers, what are some of the issues and feelings you are experiencing? What do you do to prevent burnout?

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