When Bob arrives, Jenny and Angus are both there. Angus tells Bob ‘I’ve had a fall and couldn’t get up, it was so embarrassing. I don’t feel so good on my feet now but before this was out walking two miles every day, it was tiring but it was doing me good. I have only been to the stroke club once but I’m not sure about it. At least I’ve lost some weight.’
Jenny tells Bob again how difficult she is finding the current situation and is concerned that her Dad is socially isolated. Whilst acknowledging the setback Bob emphasises the positive achievements Angus has made since going home.
What could Bob do to help Angus and Jenny? True/False actions. Correct answer in Bold
Refer Angus to physiotherapy?
True: Angus has lost confidence in his physical abilities and has had a recent fall so would benefit from a physiotherapy review to address these new issues.
False: Angus has lost confidence in his physical abilities and has had a recent fall so would benefit from a physiotherapy review to address these new issues.
Explore why Angus did not continue attending the stroke group?
True: Bob is aware of the potential benefits of Angus attending the stroke group but Angus needs to make his own informed choices about what is best for him.
False: Bob is aware of the potential benefits of Angus attending the stroke group but Angus needs to make his own informed choices about what is best for him.
Tell Angus that the stroke group is a waste of time anyway?
False: Bob needs to encourage Angus to have an open mind to attending the group in the future. It just might not be the right time for this at the moment.
True: Bob needs to encourage Angus to have an open mind to attending the group in the future. It just might not be the right time for this at the moment.
As a carer Jenny has an important role in supporting Angus and therefore by assisting her Bob will indirectly help Angus?
True: As a carer Jenny is just as important as her father and so is entitled to Bob’s support.
False: As a carer Jenny is just as important as her father and so is entitled to Bob’s support.
Discuss exercise pacing techniques with Angus?
True: Fatigue is a common issue post stroke and education on pacing strategies can assist with fatigue management.
False: Fatigue is a common issue post stroke and education on pacing strategies can assist with fatigue management.
Provide information on an exercise after stroke group?
True: A condition specific exercise group may provide the right supported environment for Angus to build his confidence and exercise tolerance.
False: A condition specific exercise group may provide the right supported environment for Angus to build his confidence and exercise tolerance.
Encourage Angus to get straight back into his daily walking and increase the distance to three miles?
False: Angus needs to consider a gradual return to his outdoor mobility using pacing strategies to avoid fatigue and build confidence.
True: Angus needs to consider a gradual return to his outdoor mobility using pacing strategies to avoid fatigue and build confidence.
Signpost Jenny to Stroke4Carers website?
True: This website may provide Jenny with valuable information for carers.
False: This website may provide Jenny with valuable information for carers.
Congratulate Angus on his weight loss so far and encourage him to continue?
True: Positive feedback is an essential element of goal review in self management and may help keep Angus motivated with these secondary prevention strategies.
False: Positive feedback is an essential element of goal review in self management and may help keep Angus motivated with these secondary prevention strategies.
Angus’ condition may have changed and he needs a professional review?
True: Angus’ physical ability may well have changed and therefore requires a professional review.
False: Angus’ physical ability may well have changed and therefore requires a professional review.
Carry out further mood screening?
True: Mood disturbance is common after stroke, may arise at different stages after the event and should be routinely screened for.
False: Mood disturbance is common after stroke, may arise at different stages after the event and should be routinely screened for.
Page last reviewed: 14 Jan 2021
