Occupational Therapy

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Occupational Therapy: The Means to Stroke Recovery
Prepared for: Occupational Therapy Students
Prepared by: David Bush
12/09/12

Abstract:
Early assessment by an occupational therapist ensures that goals are initiated during the acute stroke phase to prevent the development of secondary impairment. Early assessment also maximises the stroke victims recovery. Late occupational therapy intervention jeopardises a stroke victims potential maximum recovery. There is no concrete evidence that occupational therapy increases the cognitive status. However, there is evidence that occupational therapy increases stroke victims activity of daily living.

Key Words: occupational therapy, stroke, early assessment, impairment, activities of daily living, cognition, recovery

Table of Contents
Introduction....................................................................................1 Research Methods........................................................................1 Discussion......................................................................................1 Cerebrovascular Accident.........................................................1 Medical Assessment..................................................................2 Importance of Occupational Therapy after a Stroke..............2 Recommendations........................................................................3 Conclusion......................................................................................4 Work Cited......................................................................................5 Appendices.....................................................................................6

Introduction:

After a person has been diagnosed with a stroke and is stable enough to begin rehabilitation this person is evaluated by a multidisciplinary team which consists of an occupational therapist. Occupational therapy performs an evaluation assessment which is measurable to determine the victim's current level of functioning. Early occupational therapy intervention with stroke victims increases the victims chances to return to the highest pre-stroke condition possible. Without rehab, stroke victims stand a chance of permanent loss of their activities of daily living functions.

Research Goals and Methods:
My goal while preparing this essay is to increase awareness of the role that occupational therapy plays in the rehabilitation of a stroke victim. In researching I reviewed various article databases, case studies, web articles, and statistics. Finding up to date resources was a difficult task as this is a topic of little current research. I limited my topics by streamlining the functional losses from a stroke. From that point I focused on how occupational therapy assists in re-gaining those losses.

Discussion:

Cerebrovascular Accident

A Cerebrovascular Accident (CVA) commonly referred to as a stroke is a medical condition that occurs when the blood flow to the brain is interrupted. There are two majors types of CVA. One type is ischemic. The second is hemorrhagic. The ischemic stroke is caused by a blood clot. The hemorrhage stroke is caused by a rupture of a blood vessel. “80% of CVA’s are ischemic. The outcomes range from mild to severe including death” (Almhdawi 3).

“The types and degrees of disability that follow a stroke depend upon which area of the brain is damaged and how much is damaged” (NINDS). There are 5 types of disabilities from a stroke including paralysis, sensory, problems with comprehension, problems with cognition, and random emotional shifts. Paralysis includes weakness or inability to move one's limbs, difficulty walking, grasping objects and swallowing. The loss of sensation includes the ability to feel and...
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