Okay. Hey, good job. I know that we're all
in a rush, and we're all in a hurry,
and so, oftentimes, it's hard to take that
extra couple of minutes and pause
and go through those exercises, but I want
to encourage you to keep doing it.
That's the work of learning. And also, let
me say while we're talking about that,
if you're finding yourself struggling,
you've made me happy, okay?
Because the struggle means that's
where the learning's happening.
If everything is just sliding right in,
it's going to do like a White
Castle hamburger, it's going to
slide right in and slide right out.
So, if you're struggling to keep up, that's
fantastic. That's what we're looking for
because that means your brain is working
on really processing that information.
Now, we're going to talk about stroke and
emotions. A patient may have been very
calm and low key before a stroke,
but man afterwards, they are
all over the place. They may have a hard
time controlling their emotions.
You might see them have extreme
emotions like crying or
very angry, so they might be very
exaggerated and unpredictable.
Now, this is a scary ride for
the patient and for the
family members, so help guide them
to know that this is very common
after a stroke, right? It's very challenging
to deal with a functional impairment,
and also they might have some difficulties
with depression; completely understandable.
But help patients know they're not
the only one to go through this.
Very common after a stroke. And they're
not weak because they are experiencing it.
It's their brain trying to recover. So when
we talk about intellectual function,
there's emotions, and then there's intellectual
functions. Now, it depends on what
the patient's roles and interests were
before they had the stroke.
But if they were really in the highly
cognitive stuff, they may notice a
bigger impairment, because there's a
wide range of possible impairment with
memory and judgment. Now, we all need
memory and judgment, but we also know that
there's a wide range of intellectual
function before and after the stroke.
So, you're going to collaborate with a therapist,
the family, the significant others,
the other nurses, and healthcare providers
to really identify how your patient is doing
in intellectual function. So, let's
practice with Mr. Johnson.
What do you know about him? Well, we know
that he's having difficulty with speech, right?
So pause for a minute and think through
again. I'm going to ask you to recall
to what we've talked about previously, what
are you going to do differently in
communicating with Mr. Johnson? Okay,
how are you going to respond
when Mr. Johnson doesn't understand
what you're saying?
What are you going to do to make sure
that you have clearly understood what
Mr. Johnson is trying to communicate
to you? What type of
questions would you use for him?
Remember, Mr. Johnson had a left-sided
stroke and he's having some difficulty with
dysarthria and expressive aphasia.
So now you know specifically
what he has. How will you
deal with the dysarthria? What
are specific strategies
you plan to use with expressive aphasia?
Okay, cool. Now, I really love it
when you actually try and
think through this stuff because this
is where it makes a difference.
You taking what you're learning
and studying and actually
applying to how you're going to
interact with real, live people.