Stroke Training and Awareness Resources (STARs)


What happens next?

Pamela continues to have problems, however, the signs and symptoms of delirium and hallucinations have subsided. It remained uncertain as to the cause of the hallucinations.
After spending 10 days in the acute stroke unit Pamela is transferred to the stroke rehabilitation unit for ongoing assessment of her continued problems.

Nurse

“Pamela needs help to manage washing and dressing. She can’t find her clothing in the bedside cabinet and she seems to get muddled and knocks things over on her table.”

OT

“Pamela is having difficulty with personal and domestic activities of daily living, such as washing, dressing and feeding. She needs further perceptual screening and a functional assessment.”

Medic

“She is medically stable – there are no reversible medical causes of confusion noted such as a urinary tract infection. Any initial suggestions of hallucinations or delirium have subsided.”

Physiotherapist

“There is a mild degree of upper limb weakness but this doesn’t account for Pamela’s difficulties when manipulating objects. She also has difficulty climbing the stairs despite good lower limb strength and movement.”

SLT

“Pamela has no difficulties reported with communication or swallowing.”

Dietitian

“Pamela’s dietary intake is reduced due to limitations with feeding herself – she has lost 2kg in weight. Some dietary supplements are recommended. I would like further investigation as to why she is having difficulty feeding herself.”

Page last reviewed: 29 Jul 2021