Physical Changes and Challenges

1. Physical Changes and Challenges

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. We will be discussing… • What physical changes are you experiencing? • How are you coping with physical challenges? • How do you compensate for your difficulties? • What can you do to maintain physical activity?

4. Physical Changes • Weak face, arm, and leg • Difficulties with balance Handout page 12

5. Physical changes may change the way you …. • Walk • Climb stairs • Do precise work with your hands

6. Physical changes may change the way you…. • Shower • Dress • Cook

7. Physical changes may change the way you …. • Clean • Do laundry • Vacuum

8. Physical changes may change the way you …. • Garden • Shop • Get around

9. Physical changes may change the way you …. • Exercise • Play sports

10. How are you coping with yourphysical changes?

11. Physical challenges • It’s natural to feel badly about physical limitations. • Everyone who has a stroke has these feelings. • Physical changes are a constant and visible reminder of a stroke. • Many express frustration at dependence on others and inability to perform tasks they used to do easily.

12. Physical Challenges • As discussed previously, the location of your stroke determines which nerves and muscles are affected. • Many problems with strength, balance and movement improve over time, especially over the first year after stroke. • Generally, the longer the time from the stroke, the smaller the change you can expect and the longer it takes to achieve it.

13. Physical Challenges • Many often allow physical changes to limit their activities. • Fear, embarrassment, or an all-or-nothing attitude are often the underlying reason for activity limitations. • Underlying beliefs and attitudes are the realBARRIERS, not the physical limitations. Handout page 12

14. Physical and Activity Limitations

15. Ways of compensating for Physical Limitations • Need to be PROACTIVE • Need to be PHYSICALLY ACTIVE • Need to learn COMPENSATORY STRATEGIES

16. Ways of compensating for Physical Limitations HOME MODIFICATIONS AIDS STRATEGIES ATTITUDES AND BELIEFS

17. Home Modifications

18. Home Modifications

19. Home Modifications

20. Home Modifications

21. Home Modifications

22. Ways of compensating for Physical Limitations HOME MODIFICATIONS AIDS STRATEGIES ATTITUDES AND BELIEFS

23. Aids Cane Walker Wheelchair

24. Ways of compensating for Physical Limitations HOME MODIFICATIONS AIDS STRATEGIES ATTITUDES AND BELIEFS

25. Strategies • PHYSICAL ACTIVITY can improve your strength, walking ability, coordination and balance and prevent falls. • This includes doing exercises and household chores • Being involved in physical activities has both physical and emotional benefits Handout page 13

26. Strategies • Use your weak arm or leg as much as possible • Use weak hand as a stabilizer • Sit on a chair or stool for grooming or cooking activities to help your balance and decrease your fatigue Handout page 13

27. Ways of compensating for Physical Limitations HOME MODIFICATIONS AIDS STRATEGIES ATTITUDES AND BELIEFS

28. Attitudes and Beliefs Need to OPEN your MIND to doing something differently or you may never do it again

29. Attitudes and Beliefs A POSITIVE approach can reduce the risk of depression

30. Attitudes and Beliefs An attitude of OPTIMISM can help people cope with change

31. VIDEO: Recovery and physiotherapy

32. Physical activities • Did you do the following activities before your stroke? • Do you do the following activities now? • Would you like to do these activities in the future?

33. Physical activities I did this before I do this now I would like to do this in the future • Walk • Climb stairs Handout page 14

34. Physical activities I did this before I do this now I would like to do this in the future • Shower • Get dressed Handout page 14

35. Physical activities I did this before I do this now I would like to do this in the future • Cook • Clean Handout page 14

36. Physical activities I did this before I do this now I would like to do this in the future • Wash dishes • Do laundry Handout page 15

37. Physical activities I did this before I do this now I would like to do this in the future • Indoor maintenance • Outdoor maintenance Handout page 15

38. Physical activities I did this before I do this now I would like to do this in the future • Garden • Shop Handout page 15

39. Physical activities I did this before I do this now I would like to do this in the future • Work • Drive Handout page 16

40. Physical activities I did this before I do this now I would like to do this in the future • Exercise • Yoga/Tai Chi Handout page 16

41. Physical activities I did this before I do this now I would like to do this in the future • Swimming • Play sports Handout page 16

42. I did this before I do this now I would like to do this in the future Go to gym Community Centre Physical activities Handout page 17

43. I did this before I do this now I would like to do this in the future Mall walking Other ____________ Physical activities Handout page 17

44. Imagine the life you want

45. What gets in the way

46. Setting Goals

47. Setting Goals

48. Setting Goals

49. Setting Goals

50. Setting Goals