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stroke

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  1. Stroke Self Management Rachel Kravitt

  2. COGNITION PSYCH PHYS SENSORY MOTOR

  3. Physiology • Genitourinary & reproductive dysfunctions • Sexuality • Neurogenic bladder • Health maintenance/restoration and exercise • Fatigue

  4. fatigue “overwhelming sense of tiredness, exhaustion, lack of energy, or difficulties of sustaining routine actions” • 8 out of 10 survivors • “most predominant & debilitating” stroke-related impairment

  5. MOTOR

  6. SPASTICITY • WEAKNESS

  7. COGNITION

  8. Perceptual processing • Speech • Praxis • *Info processing*

  9. DEPRESSION

  10. POSITIVE MEDIATORS

  11. SELF • EFFICACY • POSITIVE EMOTIONS • POSITIVE MEDIATORS • COPING

  12. Sensory SEE HEAR FEEL SMELL TASTE

  13. stroke → SPIRITUALITY OUTCOMES

  14. spirituality → STROKE OUTCOMES • Health status • Other benefits • A form of coping?

  15. COGNITION PSYCH PHYS • autonomy/independence • roles • identity • self worth SENSORY MOTOR

  16. Active management Involvement & responsibility SELF-EFFICACY Problem solving Behaviour change Self-management

  17. Possible Directions for Model Is it more effective to improve outcomes by… or • Are certain outcomes more sensitive to the effects of self efficacy?

  18. Milkyway video • <iframesrc="http://player.vimeo.com/video/22439234" width="400" height="225" frameborder="0" webkitAllowFullScreenmozallowfullscreenallowFullScreen></iframe><p><a href="http://vimeo.com/22439234">The Mountain</a> from <a href="http://vimeo.com/terjes">TSO Photography</a> on <a href="http://vimeo.com">Vimeo</a>.</p>

  19. P factors help to understand the huge change in body and relation to the world and occupations • Whole new set of responsibilities and interactions with the world that one must figure out • A way to provide someone with self management skills will help them maneuver around barriers • There is a need to self management skills to maintain quality of life and assume meaningful occupations • Self efficacy needs to be bolstered • Self management intervention will provide the missing link and provide the pathway to well being FOR PEACE ON EARTH

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