Stroke Hearing Impaired Stroke Victims Plan: Physical,

Stroke Hearing Impaired Stroke Victims Plan: Physical, Occupational, Speech, and Psychological Therapies Implementation: Daily regimen, with one of the four core areas (physical therapy, occupational therapy, speech therapy, and psychological therapy) emphasized or addressed on each day. Evaluation: After each session, therapist will write a thorough evaluation of the patient including a progress report. After the end of each six-week period, a thorough progress report will be shared among the various members of the health care team in a collaborative setting.

The follow-up will consist of maintenance therapies in each of the four core areas. Documentation of Actions and Activities: According to the National Stroke Association (2013), the activities and actions should begin immediately after the stroke. The Physical Therapy sessions will include yoga and other systematic movement interventions to improve coordination, balance, strength, and range of motion. Each week, the therapist will implement a unique type of movement therapy, but will maintain consistency by focusing on overarching goals. Each patient will have different needs and goals, depending on their symptoms.

Some patients will also need more long-term therapy. The Occupational Therapy sessions will address all aspects of personal care and independence in living daily life. Each week, the occupational therapist will introduce a new task, depending on the needs of the patient. Some patients will need assistance with dressing, some with cooking, and yet others with bathing. Activities will include tutorials and observational care. The Speech Therapy sessions will address the needs of patients requiring speech therapy after a stroke.

Issues related to general oral and facial comfort such as swallowing will also be addressed ("Stroke Health Center," 2011). The activities will include guided tutorials for sounding out words, and potential introduction of new languages and vocabulary. The Psychological Therapy sessions will include activities such as role playing, art therapy, and music therapy. These activities will be central to recovery, as the patient addresses difficult emotions associated with the changes that have taken place to body and mind after the stroke. Moreover, the psychological therapy sessions may involve family members.

Evaluation of Program Success: After the first six weeks of this comprehensive four-pronged stroke victim intervention program, patients reported improvements in all key areas. Patients reported the greatest frustration overall with the pace of physical therapy. However, some also reported difficulties with speech therapy. Overall, though, the goals of the program were met. Alternative Solutions: Alternatives to the four-pronged method as it is organized here would be to focus on one treatment modality at a time.

Thus, the individual might engage with a physical therapist five days per week for a month first, before moving onto speech therapy. A combination of various interventions might also be helpful, in accordance with the wishes of the care team. Suggested Improvements: It is suggested that the program be more focused. Some patients seem confused about which therapist they were seeing on any given day, and a few became agitated because they had no sense of routine or comfort.

Therefore, it is suggested to be less aggressive in the treatments and offer structured activities within each core treatment group. Hearing Impaired Plan: Implementation of emerging technologies to improve the relationships and social lives of hearing impaired individuals. To discover ways that hearing impaired individuals can safely and enjoyably navigate domains typically dominated by hearing people ranging from schools to shopping malls. Implementation: An assortment of technologies will be used, depending on the age, gender, and geographic location of the individual and the extent of the hearing loss.

Moreover, the different types of technologies used will depend on cost and availability. Some of the tools will be solitary in nature, such as apps on the users' smartphones. Other tools will be interactive in nature, such as the Loop technology described by Wharton (2013), which helps the hearing impaired communicate with hearing people but which requires expensive and large-scale installation. Evaluation: The evaluation process will begin several weeks after the program commences.

Each technological tool will be assessed, via surveys with the participants gathering their opinions on how they like the devices or software. Evaluation will therefore mainly rely on self-reports. Follow-Up: Follow-up data will be collected after a period of six months and then in one-year increments afterwards to determine any long-term results. The follow-up also depends on the need to integrate technologies into public or private institutions such as the Loop technologies.

Documentation of Actions and Activities: Each technology will be documented separately for how the user is engaging with the product. Device usage can be tracked empirically in some situations, as with smartphone applications. These software-specific applications will keep track of user logins and time spent using the application. Other technologies such as the Loop technology, are more difficult to quantify in terms of their use. Therefore, documentation relies heavily on user self-reporting.

To encourage participation in the actions and activities, local deaf institutes will recruit volunteers from all age groups to participate. The goal will be to stimulate social engagement among deaf people who desire to interact more with hearing people. This may be especially true for hearing impaired people with some hearing ability but not total hearing loss. These hearing impaired populations might feel bicultural in some ways: not.