PRE-CLINIC ACTIVITY



Pre-clinic activity – Neurological rehabilitationThe pre-clinic activity is optional. Describe the presentation of a patient with lower motor neurone damage vs upper motor neurone damage with reference to motor speech and swallowing.Review procedures of a bedside swallowing assessment. What would you do if your patient coughed when drinking thin fluids? When would you consider doing an instrument swallowing assessment? How might it help? Review your knowledge of the clinical presentation of the following disorders. What could you possibly (and commonly) expect to see? Put a tick in the relevant boxes:DysphasiaDysarthriaDysphagiaCognitive deficitsNeglectLeft hemisphere strokeRight hemisphere strokeCerebellar strokeBrainstem strokeHead injuryDementiaParkinson’s Disease.Your patient has had a recent stroke and has moderate dysarthria with 50% speech intelligibility due to imprecise articulation. What are some management/treatment strategies for this?You need to give some basic education:to your patient with moderate dysarthria post stroke the patient’s carer What points would you cover? Think about how you would actually say it. You see a patient with a new diagnosis of severe non-fluent dysphasia in the rehabilitation ward. What would you need to consider in your management of this patient in a rehab setting? ................
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