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...

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…