{"id":92,"date":"2010-11-12T16:56:45","date_gmt":"2010-11-12T16:56:45","guid":{"rendered":"https:\/\/www.stroke4carers.org\/?p=92"},"modified":"2024-08-28T12:05:27","modified_gmt":"2024-08-28T11:05:27","slug":"the-hospital-stroke-team-who-they-are-and-what-they-do","status":"publish","type":"post","link":"https:\/\/www.stroke4carers.org\/?p=92","title":{"rendered":"Who they are and what they do?"},"content":{"rendered":"\n<object classid=\"clsid:D27CDB6E-AE6D-11cf-96B8-444553540000\"\n\t\t\tid=\"fm_hospital_team_v2_RO_337184730\"\n\t\t\tclass=\"flashmovie\"\n\t\t\twidth=\"780\"\n\t\t\theight=\"535\">\n\t<param name=\"movie\" value=\"wp-content\/uploads\/hospital_team_v2_RO.swf\" \/>\n\t<!--[if !IE]>-->\n\t<object\ttype=\"application\/x-shockwave-flash\"\n\t\t\tdata=\"wp-content\/uploads\/hospital_team_v2_RO.swf\"\n\t\t\tname=\"fm_hospital_team_v2_RO_337184730\"\n\t\t\twidth=\"780\"\n\t\t\theight=\"535\">\n\t<!--<![endif]-->\n\t\t\n<p><a href=\"http:\/\/adobe.com\/go\/getflashplayer\"><img decoding=\"async\" src=\"http:\/\/www.adobe.com\/images\/shared\/download_buttons\/get_flash_player.gif\" alt=\"Get Adobe Flash player\" \/><\/a><\/p>\n<h2>Medical:<\/h2>\n<ul>\n<li>Medical history<\/li>\n<li>Neurological examination<\/li>\n<li>Blood tests<\/li>\n<li>Referral for CT or MRI scans<\/li>\n<li>Medication - aspirin, warfarin, thrombolysis, statins<\/li>\n<li>Detection and treatment of complications- infections,deep vein thrombosis, epileptic seizures<\/li>\n<li>Monitoring and reducing risk of further stroke. (secondary prevention)<\/li>\n<li>Communication with other hospitals, departments and with GP and primary care team<\/li>\n<\/ul>\n<h2>Nursing:<\/h2>\n<ul>\n<li>General observations, alertness, effects of stroke<\/li>\n<li>Monitoring blood pressure, temperature, pulse, breathing, oxygen levels in the blood,weight<\/li>\n<li>Swallowing assessment<\/li>\n<li>Nutrition and hydration- eating and drinking<\/li>\n<li>Mouth care keeping the mouth moist and clear of food, clean teeth<\/li>\n<li>Help with feeding if needed<\/li>\n<li>Safe\/therapeutic positioning in bed or chair<\/li>\n<li>Help to sit up in bed or chair, help with walking if safe to do so<\/li>\n<li>Skin care preventing pressure sores<\/li>\n<li>Help to maintain continence and going to toilet, manage catheters<\/li>\n<li>Discharge planning, liaison with community nurses, GP<\/li>\n<li>Liaison with carers and relatives<\/li>\n<\/ul>\n<h2>Physiotherapy:<\/h2>\n<ul>\n<li>Assessment and treatment of muscle tone, strength and movement<\/li>\n<li>Body positioning, posture and awareness<\/li>\n<li>Balance in sitting, standing and walking<\/li>\n<li>Assessment of sensation<\/li>\n<li>Assessment and treatment of pain in arms and legs<\/li>\n<li>Care of the affected\u00a0arm and leg\u00a0to prevent deformity or further damage<\/li>\n<li>Provide walking aids and equipment<\/li>\n<li>Specific treatments FES (functional electrical stimulation) TENS (transcutaneous electrical nerve stimulation)<\/li>\n<li>Exercise and activity to do at home<\/li>\n<li>Referral for community physiotherapy<\/li>\n<li>Referral to Orthotist for special adapted items such as shoe raise, ankle \/foot orthosis.<\/li>\n<li>Discharge planning<\/li>\n<\/ul>\n<h2>Occupational Therapy:<\/h2>\n<ul>\n<li>Assessment and treatment of activities of daily living, washing, dressing, bathing, feeding, toileting<\/li>\n<li>Assessment and treatment of memory, cognition and thinking problems<\/li>\n<li>Assessment of perceptual problems, planning and sequencing<\/li>\n<li>Dexterity and hand activities<\/li>\n<li>Kitchen activities<\/li>\n<li>Scanning and visual retraining<\/li>\n<li>Home visits<\/li>\n<li>Assessment and referral for equipment and adaptations at home.<\/li>\n<li>Work related activity<\/li>\n<li>Discharge planning<\/li>\n<\/ul>\n<h2>Speech and Language Therapy:<\/h2>\n<ul>\n<li>Assessment of swallowing including arranging x ray of swallow (videofluoroscopy) if required<\/li>\n<li>Assessment and treatment of speech problems<\/li>\n<li>Assessment and treatment of language problems<\/li>\n<li>Assisting carers and relatives to learn communication strategies<\/li>\n<li>Assessment and referral for equipment to aid communication<\/li>\n<li>Referral for community speech and language therapy if required<\/li>\n<\/ul>\n<h2>Clinical Psychology:<\/h2>\n<ul>\n<li>Assessment and treatment of intellectual\/cognitive and behavioural problems<\/li>\n<li>Advice on personal and emotional issues<\/li>\n<li>Therapy to manage change, tackle mood changes and mental health issues such as depression and anxiety<\/li>\n<li>Coping strategies to manage daily tasks and stress<\/li>\n<li>Advice to stroke team and carers for management of emotional and cognitive problems<\/li>\n<\/ul>\n<h2>Pharmacy:<\/h2>\n<ul>\n<li>Advice and dispensing medicine<\/li>\n<li>Alternative medicines in liquid form for patients with swallowing difficulties.<\/li>\n<li>Supply of dispensing packs such as Dosette boxes<\/li>\n<li>Alternative caps for medicine bottles, large print labels<\/li>\n<li>Checking controlled drugs (which can only be given following strict guidelines)<\/li>\n<li>Checking and dispensing discharge prescriptions<\/li>\n<\/ul>\n<h2>Dietetics:<\/h2>\n<ul>\n<li>Advice for special diets, diabetics, weight loss, weight gain, low sodium, coeliacs<\/li>\n<li>Advice for patients who require supplement or build up drinks<\/li>\n<li>Monitoring patients on alternative feeding such as PEG (feeding tube into stomach through abdomen) or Nasogastric feeds (feeding tube into stomach through nose)<\/li>\n<li>Advice on consistency of food and drinks for swallowing problems<\/li>\n<\/ul>\n<h2>Social Work:<\/h2>\n<ul>\n<li>Advice and information on social or care issues<\/li>\n<li>Care needs assessments to meet the needs of the person at home<\/li>\n<li>Advice on benefits, financial assessments<\/li>\n<li>Advice on alternative care, alternative housing, supported accommodation, sheltered housing, care homes<\/li>\n<li>Advice on private home care providers<\/li>\n<li>Advice on carers needs assessment to meet the needs of carers at home<\/li>\n<li>Advocacy for patients without next of kin<\/li>\n<li>Referral for social work day care<\/li>\n<\/ul>\n\n\t<!--[if !IE]>-->\n\t<\/object>\n\t<!--<![endif]-->\n<\/object>\n<div id=\"accordion\" class=\"textAlt\">\n<p class=\"expand\"><a href=\"#\">View Text Alternative<\/a><\/p>\n<div class=\"expand\">\n<h2>Medical:<\/h2>\n<ul>\n<li>Medical history<\/li>\n<li>Neurological examination<\/li>\n<li>Blood tests<\/li>\n<li>Referral for CT or MRI scans<\/li>\n<li>Medication. aspirin, warfarin, thrombolysis, statins<\/li>\n<li>Detection and treatment of complications- infections,deep vein thrombosis, epileptic seizures<\/li>\n<li>Monitoring and reducing risk of further stroke. (secondary prevention)<\/li>\n<li>Communication with other hospitals, departments and with GP and primary care team<\/li>\n<\/ul>\n<h2>Nursing:<\/h2>\n<ul>\n<li>General observations, alertness, effects of stroke<\/li>\n<li>Monitoring blood pressure, temperature, pulse, breathing, oxygen levels in the blood,weight<\/li>\n<li>Swallowing assessment<\/li>\n<li>Nutrition and hydration- eating and drinking<\/li>\n<li>Mouth care keeping the mouth moist and clear of food, clean teeth<\/li>\n<li>Help with feeding if needed<\/li>\n<li>Safe\/therapeutic positioning in bed or chair<\/li>\n<li>Help to sit up in bed or chair, help with walking if safe to do so<\/li>\n<li>Skin care preventing pressure sores<\/li>\n<li>Help to maintain continence and going to toilet, manage catheters<\/li>\n<li>Discharge planning, liaison with community nurses, GP<\/li>\n<li>Liaison with carers and relatives<\/li>\n<\/ul>\n<h2>Physiotherapy:<\/h2>\n<ul>\n<li>Assessment and treatment of muscle tone, strength and movement<\/li>\n<li>Body positioning, posture and awareness<\/li>\n<li>Balance in sitting, standing and walking<\/li>\n<li>Assessment of sensation<\/li>\n<li>Assessment and treatment of pain in arms and legs<\/li>\n<li>Care of the affected\u00a0arm and leg\u00a0to prevent deformity or further damage<\/li>\n<li>Provide walking aids and equipment<\/li>\n<li>Specific treatments FES (functional electrical stimulation) TENS (transcutaneous electrical nerve stimulation)<\/li>\n<li>Exercise and activity to do at home<\/li>\n<li>Referral for community physiotherapy<\/li>\n<li>Referral to Orthotist for special adapted items such as shoe raise, ankle \/foot orthosis.<\/li>\n<li>Discharge planning<\/li>\n<\/ul>\n<h2>Occupational Therapy:<\/h2>\n<ul>\n<li>Assessment and treatment of activities of daily living, washing, dressing, bathing, feeding, toileting<\/li>\n<li>Assessment and treatment of memory and cognition<\/li>\n<li>Assessment of perceptual problems, planning and sequencing<\/li>\n<li>Dexterity and hand activities<\/li>\n<li>Kitchen activities<\/li>\n<li>Scanning and visual retraining<\/li>\n<li>Home visits<\/li>\n<li>Assessment and referral for equipment and adaptations at home.<\/li>\n<li>Work related activity<\/li>\n<li>Discharge planning<\/li>\n<\/ul>\n<h2>Speech and Language Therapy:<\/h2>\n<ul>\n<li>Assessment of swallowing including arranging x ray of swallow (videofluoroscopy) if required<\/li>\n<li>Assessment and treatment of speech problems<\/li>\n<li>Assessment and treatment of language problems<\/li>\n<li>Assisting carers and relatives to learn communication strategies<\/li>\n<li>Assessment and referral for equipment to aid communication<\/li>\n<li>Referral for community speech and language therapy if required<\/li>\n<\/ul>\n<h2>Clinical Psychology:<\/h2>\n<ul>\n<li>Assessment and treatment of intellectual\/cognitive and behavioural problems<\/li>\n<li>Advice on personal and emotional issues<\/li>\n<li>Therapy to manage change, tackle mood changes and mental health issues such as depression and anxiety<\/li>\n<li>Coping strategies to manage daily tasks and stress<\/li>\n<li>Advice to stroke team and carers for management of emotional and cognitive problems<\/li>\n<\/ul>\n<h2>Pharmacy:<\/h2>\n<ul>\n<li>Advice and dispensing medicine<\/li>\n<li>Alternative medicines in liquid form for patients with swallowing difficulties.<\/li>\n<li>Supply of dispensing packs such as Dosette boxes<\/li>\n<li>Alternative caps for medicine bottles, large print labels<\/li>\n<li>Checking controlled drugs (which can only be given following strict guidelines)<\/li>\n<li>Checking and dispensing discharge prescriptions<\/li>\n<\/ul>\n<h2>Dietetics:<\/h2>\n<ul>\n<li>Advice for special diets, diabetics, weight loss, weight gain, low sodium, coeliacs<\/li>\n<li>Advice for patients who require supplement or build up drinks<\/li>\n<li>Monitoring patients on alternative feeding such as PEG (feeding tube into stomach through abdomen) or Nasogastric feeds (feeding tube into stomach through nose)<\/li>\n<li>Advice on consistency of food and drinks for swallowing problems<\/li>\n<\/ul>\n<h2>Social Work:<\/h2>\n<ul>\n<li>Advice and information on social or care issues<\/li>\n<li>Care needs assessments to meet the needs of the person at home<\/li>\n<li>Advice on benefits, financial assessments<\/li>\n<li>Advice on alternative care, alternative housing, supported accommodation, sheltered housing, care homes<\/li>\n<li>Advice on private home care providers<\/li>\n<li>Advice on carers needs assessment to meet the needs of carers at home<\/li>\n<li>Advocacy for patients without next of kin<\/li>\n<li>Referral for social work day care<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p>For more information please read:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng236\/resources\/visual-summary-pdf-13193478253\" target=\"_blank\" rel=\"noopener\">NICE 2023<\/a><\/li>\n<li><a title=\"Opens new window\" href=\"http:\/\/www.strokeaudit.scot.nhs.uk\/patients.html\" target=\"_blank\" rel=\"noopener\">Scottish Stroke Care Audit<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>View Text Alternative Medical: Medical history Neurological examination Blood tests Referral for CT or MRI scans Medication. aspirin, warfarin, thrombolysis, statins Detection and treatment of complications- infections,deep vein thrombosis, epileptic seizures Monitoring and reducing risk of further stroke. (secondary prevention) &hellip; <a href=\"https:\/\/www.stroke4carers.org\/?p=92\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":39,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[41,43,57,50,56,495,46,8,44,47,38,37,49,40,48,42,52,51,54,53,36,39,45],"class_list":["post-92","post","type-post","status-publish","format-standard","hentry","category-hospital-team","tag-activities-of-daily-living","tag-adaptations","tag-advocacy","tag-care-needs-assessment","tag-carer-needs-assessment","tag-practical-cognition","tag-communication","tag-ct-scan","tag-discharge-planning","tag-dosette-box","tag-functional-electrical-stimulation","tag-mri-scan","tag-naso-gastric-feed","tag-orthotist","tag-peg-tube-feed","tag-perception","tag-sheltered-housing","tag-single-shared-assessment","tag-stroke-nurse-service","tag-supported-accommodation","tag-thrombolysis","tag-transcutanious-electrical-nerve-stimulation","tag-video-fluroscopy"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/92","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/users\/39"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=92"}],"version-history":[{"count":41,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/92\/revisions"}],"predecessor-version":[{"id":6814,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/92\/revisions\/6814"}],"wp:attachment":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=92"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=92"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=92"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}