Mary’s SADQ-H 10 sheet: Stroke Aphasic Depression Questionnaire Hospital Version 10 items [PDF, 49KB]
The SADQ-H 10, although specifically developed to screen for depression in those with aphasia, is a quick and easily administered observational tool to use with all patients following stroke.
For more information on Mood screening view the topic loop which can be found in the grey menu box on the right of this page.
See the Additional Information box for more information on the SADQ-H 10.
Topic loop
Medicines/other medical issues
No infections noted from screening. No evidence of pain, sleeping easily in evening however wakens early – unable to get back to sleep – states due to active mind and worrying about future.
Action
Doctor to explore Mary’s sleeping problem further during the ward round.
Patient safety/comfort
No evidence of significant pain noted. Mary tolerating sitting in chair during the day. Coping well with transfers on ward (assistance as per mobility chart – see mobility).
Action
No action required.
Activities of living
Continues to struggle with stroke technique. Can become tearful during OT sessions. Does initiate during tasks however functionally requires moderate assistance to complete task. Voicing concerns about frustration and finding it difficult to accept new physical problems.
Action
Continue with daily OT to improve technique and overcome difficulties. Reassure Mary using goal setting to demonstrate improvement.
Cognition/perception/capacity
The OT has performed a cognitive assessment which indicates mild memory deficits, and suggests problem-solving issues, however, she is alert and orientated. Nurses also report difficulty sequencing tasks particularly with garments when taken to the toilet. No problems initiating.
Action
OT to explore techniques for improving sequencing and supporting memory deficits.
Carer/family issues
Her husband is concerned that Mary is “different now” and her children feel they have “lost their Mother”. The family admit to finding this difficult.
Action
Meeting to be arranged with family to discuss their concerns and offer ongoing support. Ensure family are given regular updates on her progress.
Nutrition/hydration
Poor appetite with no evidence of interest in food. Drinking well.
Action
Start food intake chart to monitor her nutritional intake. Nursing staff to discuss likes/dislikes with Mary and family. Family to be given permission to bring in snacks to encourage intake.
Mobility/movement
Transferring with an assistive device. Walking with assistance of 1. Upper limb improving but continues to have poor grip in affected hand. Appears to engage with gym sessions and physio reports some improvement in Mary’s mobility.
Action
Physio to continue sessions with aim to have Mary walking short distances with ‘supervision only’, in one week.
Communication
SLT reports improvement in speech – now able to communicate at functional level with only high level difficulties remaining.
Action
Continue with SLT and discuss with the family how they can support Mary’s communication.
Mood
Mood screening carried out and results suggest that Mary may have a mood disturbance. Refer to Mary’s SADQ-H 10 sheet below.
Action
Further discussion during ward round regarding Mary’s mood. Action plan to be discussed with Mary.
Continence assessment
No problems identified.
Action
Nil.
Lifestyle issues
Mary has expressed concerns about her ability to return to her previous functional level.
Action
Reassure Mary and reinforce the improvements she has made. Involve Mary in goal setting to demonstrate how well she is doing in rehabilitation.
Page last reviewed: 24 Feb 2020
