Stroke – Jim’s Story – Feel Free To Skip This Section & Go To Your Application

Jim, an 88 year old decorated WWII veteran suffered a stroke on his birthday, tail-spinning a happy celebration into a frightening, near-fatal experience. In the days following, Jim’s wife, Gloria, and daughter, Natalie, rarely left his side in the hospital room. Two days had passed since the stroke and Natalie left her mom in Jim’s hospital room in a quest for coffee. Upon returning, Jim was fast asleep and Gloria was nodding in her chair. The aroma from the coffee awakened her. “Calvin’s here, he’s parking the car now. I’ve asked him to meet us in the hallway. Better to warn him first before he sees Dad. Shall we tell him together?” Gloria nodded, and rose to her feet. Natalie wrapped her arm around Gloria’s and they entered the hallway as Calvin approached. His long arms embraced his mom and sister in one huge squeeze. “How’s dad? Is this his room?” He pointed, as he started toward the room. Natalie stopped him. “Yes, but he’s sleeping now. “I’m so sorry – I should have come sooner, but I’ve been so … oh, never mind.” Calvin cleared his throat. “What exactly did the doctor say?” “Here’s what we know.” A tear fell onto Natalie’s cheek as she began. “Dad’s right side was affected. He has difficulty speaking; he can’t dress himself, and can’t use the bathroom without assistance. They have him on a special, soft diet, and he hates it. He doesn’t want to eat.” Gloria’s eyes welled up as she grabbed Calvin’s hand. “We have to force him to even get out of bed. We try to help, but...

Therapist’s Application, Stroke – Jim’s Story

Therapy Blog Because of a stroke (Left CVA), Jim was sent to Valley View Rehab Center for 2 months including rehabilitation by Occupational, Physical and Speech Therapy. Based on Tug (Timed up and Go balance Test), Modified Clinical Test of Sensory Integration in Balance (mCTSB), PT increased his walking balance from a Moderate Fall Risk to a Low Fall Risk. Occupational Therapy advanced him to Stand by Assist for toileting and he progressed in needing only occasional verbal instructions for basic Activities of Daily Living and Safety. At this point, Jim lacked gross and fine motor grasp and release of right hand, per 9-hole peg test and Fugl-Meyer Test (FMT). The ACL (Allen Cognitive Level Screen) was performed along with recommendations.      Speech Therapy progressed him to regular food and thin liquids for swallowing precautions, and cognitive rehab was done with improvements seen in CLQT (Cognitive Linguistic Quick Test), ALFA (Assessment of Language-Related Functional Activities) and the MOCA (Montreal Cognitive Assessment).      Motivational Interviewing was key in revealing his yearning to return home with his lovely wife and his desire to pursue more fun times with his grandkids. When the therapists learned of Jim’s affinity for playing and enjoying games, a Vertical Checkers game was designed and played from a standing position. Initially, a 2-person assist (PT and OT) was required for safety and standing balance. As his balance improved, demands, intensity and frequency on the therapeutic activity of how he moved were adjusted to be more challenging with game and game pieces strategically placed. Neuro Re-Education techniques were facilitated. A stopwatch was crucial in providing Jim with valuable...

Senior’s Application, Stroke – Jim’s Story

Family of Senior Blog Jim discharged home from Valley View Nursing Facility where he received skilled Rehab, including Occupational, Physical and Speech Therapy two months for stroke recovery. When he initially arrived, he refused to get out of bed, even for meals. In therapy, they discovered he could still play Checkers in standing with the magnetic vertical checkerboard and adaptive Large magnetic Checkers. His poor appetite gradually increased in food and drink, with the diet and liquid texture changed several times by Speech, but he needed encouragement. Speech Therapy had moderate success in language skills through his following his home exercise program with the family and in playing the “Go Fish”, a card game with which he was familiar with.       Home health PT and OT wrote Home exercise programs, for him to continue playing the Checker game while in standing adding instructions to use a “gait belt” to assist him. His right hand fine motor skills consistently improved enabling him to use the smaller “magnetic antique wood checkers”. Jim was motivated, as he could see his improvements he was making in standing, walking and endurance per the PT and OT balance and fall risk assessments. The joy of victory was evident on his face when he beat Matt, his 10-year-old grandson! He enjoyed playing the “GO Fish” game with his grandkids at the dining room table, an integral activity included as part of the Speech Therapist’s home exercise program. Oh and yes, appropriate snacks were a part of the social entertainment!       Familiar songs had been exceptionally so successful in promoting singing and facilitating talking, addressing some of...