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... read more

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... read more