09. Cognitive, Perceptual and Behavioural Changes Following Stroke

Learning Objective:

9.1 . Describes common cognitive changes that can be associated with stroke (level of arousal, attention, memory, orientation, ability to follow directions, insight, judgment, problem solving and motor planning).

Suggested Evaluation Methods:

Successful completion of SWO Acute Stroke Orientation Module 9quiz

Learning Objective:

9.2 Describes perceptual changes that can be associated with stroke including neglect, hemianopia, apraxia, visual spatial deficits.

Suggested Evaluation Methods:

Create a one page list of perceptual changes and their definitions as reference for the team.

Learning Objective:

9.3 Identifies how mood and behaviour are affected by stroke including ability, depression, frustration, preservation and impulsiveness, and how these mood and behaviour changes impact care and safety.

Suggested Evaluation Methods:

Describe two new approaches that you can apply to your practice to address possible changes in mood and behaviour of your stroke patient.

Learning Objective:

9.4 Screens for changes in cognition, perception and behaviour, and makes referrals to appropriate team members.

Suggested Evaluation Methods:

Discuss screening assessments or approach with OT and write up your learning and next steps.

Learning Objective:

9.5 Implements management strategies used with stroke survivors who demonstrate cognitive, perceptual and behavioural changes following stroke.

Suggested Learning Resources:

Taking Action for Optimal Community and Long-Term Stroke Care: Chapter 4 and Chapter 5

SEO Tips and Tools for Everyday Living: A Guide for Stroke Caregivers – Putting it into Practice Video Series (Choose Cognitive, Perceptual, and Behaviour Problems from the drop down video menu)

Suggested Evaluation Methods:

Self-reflection on recent strategies you have implemented for a patient with cognitive, perceptual and behavioural changes. Note any new learning that would apply to this situation.