OT guide to Stroke Evaluation

[@thechkbuilder7901]

Thank you for this wonderfull video! OT from mozambique, africa.

[@abigail9791]

Thanks for this video ! I am transitioning back to a cliniical role tomorrow after a five year mental health related career. So helpful !

[@otfocus]

Glad I could help!

[@rachelmoore1915]

I think it’s important to assess for protective sensation with vision occluded. With Bobath, specifically, its recommended assessing 2 point discrimination as a determinant of potential outcomes/function. For cognition, the caution would be if the individual has expressive/receptive aphasia as then the cog screen/assessments would not be valid.

[@otfocus]

Great tips! Thanks!

[@kevintetuan288]

If a patient is positive for a deficit during the cog screens you mentioned, such as the problem solving element of the clock test, do you have any effective example treatments you would use to garner demonstrable gains by the next assessment? Asking because often there are deficits mentioned in evals that aren’t explicitly addressed in the plan of care. Even if patient is referred to slp and picked up, some adl based cog areas are left out. Thanks!

[@otfocus]

Yes, you could pick them up for treatment and work on sequencing with pictures, puzzles, sequencing with ADLs, locate items in a vending machine, send an email, text a friend, meal prep, etc. A lot of times, my goal is for them to be able to draw a clock without verbal cues. I think the key is to give them something to do. These are just a few ideas. Hope that helps.

[@memrielane]

Thank you so much!!!

[@otfocus]

You're welcome!