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Certified Stroke Rehabilitation Specialist (CSRS 2024)
Certified Stroke Rehabilitation Specialist (CSRS 2024)
[Meer zien]Certified Stroke Rehabilitation Specialist (CSRS 2024)
[Meer zien]Motor Impairments 
UMNL - Motor Impairments (features - 3) 
Muscle Weakness 
Loss of Dexterity 
Spasticity 
Muscle Weakness 
Deficiency in initiating, generating force and sustaining force - due to disruption to 
descending input to LMN (immediately after stroke - compromises strength and speed) 
He...
Voorbeeld 2 van de 7 pagina's
In winkelwagenMotor Impairments 
UMNL - Motor Impairments (features - 3) 
Muscle Weakness 
Loss of Dexterity 
Spasticity 
Muscle Weakness 
Deficiency in initiating, generating force and sustaining force - due to disruption to 
descending input to LMN (immediately after stroke - compromises strength and speed) 
He...
Describe the incidence and cost of stroke in the UK 
- over 100,000 people have a stroke per year 
- stroke is the fourth largest cause of death 
- costs to society is £26 billion per year 
Lifetime risk for stroke (males vs females) 
Males: 1 in 6 
Females: 1 in 5 
Who experiences stroke (age)? 
-...
Voorbeeld 1 van de 2 pagina's
In winkelwagenDescribe the incidence and cost of stroke in the UK 
- over 100,000 people have a stroke per year 
- stroke is the fourth largest cause of death 
- costs to society is £26 billion per year 
Lifetime risk for stroke (males vs females) 
Males: 1 in 6 
Females: 1 in 5 
Who experiences stroke (age)? 
-...
What should All suspected stroke patients be admitted directly and what does 
this allow? - ANSWER-o Specialist acute stroke unit: 
o Early recognition and treatment of complications 
o MDT working 
o Co-ordinated and organized in-patient care with weekly MDT meetings 
o Programmes of education and ...
Voorbeeld 2 van de 12 pagina's
In winkelwagenWhat should All suspected stroke patients be admitted directly and what does 
this allow? - ANSWER-o Specialist acute stroke unit: 
o Early recognition and treatment of complications 
o MDT working 
o Co-ordinated and organized in-patient care with weekly MDT meetings 
o Programmes of education and ...
what are the beneficial treatment options for motor recovery of the arm - 
ANSWER--constraint-induced movement therapy and robotics 
are the promising interventions that could be beneficial to improve aspects of gait 
what - ANSWER-fitness training, high intensity training and repetitive task 
train...
Voorbeeld 2 van de 6 pagina's
In winkelwagenwhat are the beneficial treatment options for motor recovery of the arm - 
ANSWER--constraint-induced movement therapy and robotics 
are the promising interventions that could be beneficial to improve aspects of gait 
what - ANSWER-fitness training, high intensity training and repetitive task 
train...
What does stroke recovery result from? - ANSWER-Recovery of the ischemic 
penumbra (restoring blood flow) 
Resolution of cerebellar edema 
Neuroplasticity and rehabilitation 
What are better outcomes of stroke recovery associated with? - ANSWER-Early 
medical care 
Smaller strokes (more focal) 
Spec...
Voorbeeld 3 van de 17 pagina's
In winkelwagenWhat does stroke recovery result from? - ANSWER-Recovery of the ischemic 
penumbra (restoring blood flow) 
Resolution of cerebellar edema 
Neuroplasticity and rehabilitation 
What are better outcomes of stroke recovery associated with? - ANSWER-Early 
medical care 
Smaller strokes (more focal) 
Spec...
recovery results from - ANSWER-recovery of the ischemic penumbra 
resolution of cerebral edam 
neuroplasticity and rehabilitation 
better outcomes associated with - ANSWER-early medical care 
smaller strokes 
specialized stroke care centers 
early intensive multidiscinplary rehab 
ischemic stroke re...
Voorbeeld 2 van de 10 pagina's
In winkelwagenrecovery results from - ANSWER-recovery of the ischemic penumbra 
resolution of cerebral edam 
neuroplasticity and rehabilitation 
better outcomes associated with - ANSWER-early medical care 
smaller strokes 
specialized stroke care centers 
early intensive multidiscinplary rehab 
ischemic stroke re...
the action of restoring someone to health or normal life through training and 
therapy after imprisonment, addiction or illness, the action of restoring someone 
to former privileges or reputation after a period of disfavor, action of restoring 
something that is damaged to former conditions 
what i...
Voorbeeld 1 van de 4 pagina's
In winkelwagenthe action of restoring someone to health or normal life through training and 
therapy after imprisonment, addiction or illness, the action of restoring someone 
to former privileges or reputation after a period of disfavor, action of restoring 
something that is damaged to former conditions 
what i...
List the main arteries in the circle of Willis 
Anterior cerebral and communicating artery, middle cerebral artery, posterior 
communicating and cerebral artery, basilar artery and vertebral artery, pica - posterior 
inferior cerebellar artery 
What are common deficits of a TAC stroke - total anteri...
Voorbeeld 2 van de 10 pagina's
In winkelwagenList the main arteries in the circle of Willis 
Anterior cerebral and communicating artery, middle cerebral artery, posterior 
communicating and cerebral artery, basilar artery and vertebral artery, pica - posterior 
inferior cerebellar artery 
What are common deficits of a TAC stroke - total anteri...
Stroke Certification 
What is the mainstay of acute therapy for stroke? - ANSWER-tPA (alteplase) 
T/F: most patients don't arrive to the ED in time to receive tPA - ANSWER-true 
what is the time window that tPA needs to be given in? - ANSWER-within 4.5 
hours of onset of symptoms 
what is the most ...
Voorbeeld 2 van de 9 pagina's
In winkelwagenStroke Certification 
What is the mainstay of acute therapy for stroke? - ANSWER-tPA (alteplase) 
T/F: most patients don't arrive to the ED in time to receive tPA - ANSWER-true 
what is the time window that tPA needs to be given in? - ANSWER-within 4.5 
hours of onset of symptoms 
what is the most ...
priority of acute care rehab - ANSWER-medical management 
what level of rehab is LTAC - ANSWER-acute 
in an inpatient rehab facility (IRF), what is the therapy requirement that the patient 
should be able to tolerate - ANSWER-3 hours of therapy per day for at least 5 
days a week 
which is more inte...
Voorbeeld 1 van de 3 pagina's
In winkelwagenpriority of acute care rehab - ANSWER-medical management 
what level of rehab is LTAC - ANSWER-acute 
in an inpatient rehab facility (IRF), what is the therapy requirement that the patient 
should be able to tolerate - ANSWER-3 hours of therapy per day for at least 5 
days a week 
which is more inte...
benefits of coordinated acute care services/rehab for stroke 
Reduces mortality 
Promotes functional reorganization of CNS 
Improves functional outcomes / d/c home 
Prevents / manages indirect impairments / complications 
Patient & family support & education 
NSA CSRS- clinical stroke rehab. special...
Voorbeeld 2 van de 8 pagina's
In winkelwagenbenefits of coordinated acute care services/rehab for stroke 
Reduces mortality 
Promotes functional reorganization of CNS 
Improves functional outcomes / d/c home 
Prevents / manages indirect impairments / complications 
Patient & family support & education 
NSA CSRS- clinical stroke rehab. special...
cause of stroke 
effects of stroke 
reducing risk of stroke 
specialist care 
common effects of stroke 
level of consciousness 
limb weakness 
moving and handling 
activities of daily living 
loss of feeling 
change in vision 
communication 
swallowing 
preventing pressure sores 
incontinence 
think...
Voorbeeld 1 van de 4 pagina's
In winkelwagencause of stroke 
effects of stroke 
reducing risk of stroke 
specialist care 
common effects of stroke 
level of consciousness 
limb weakness 
moving and handling 
activities of daily living 
loss of feeling 
change in vision 
communication 
swallowing 
preventing pressure sores 
incontinence 
think...
What number of leading causes of death in the US is stroke? 
5th leading cause 
How has stroke changed over the last 20 years? 
survival rate has improved 
What are the respective survival rates for ischemic and hemorrhagic strokes? 
92% and 63% 
How many people have a stroke each year? 
800,000 
wh...
Voorbeeld 3 van de 17 pagina's
In winkelwagenWhat number of leading causes of death in the US is stroke? 
5th leading cause 
How has stroke changed over the last 20 years? 
survival rate has improved 
What are the respective survival rates for ischemic and hemorrhagic strokes? 
92% and 63% 
How many people have a stroke each year? 
800,000 
wh...
- ANSWER-Loss of a physiological function 
Ex. Renal failure, reduced EJ due to cardiomyopathy, loss of sensation due to 
peripheral neuropathy, loss of motor function following stroke 
Disability - ANSWER-Loss of the ability to perform a functional task as the result of an 
impairment 
Ex. Inabilit...
Voorbeeld 2 van de 12 pagina's
In winkelwagen- ANSWER-Loss of a physiological function 
Ex. Renal failure, reduced EJ due to cardiomyopathy, loss of sensation due to 
peripheral neuropathy, loss of motor function following stroke 
Disability - ANSWER-Loss of the ability to perform a functional task as the result of an 
impairment 
Ex. Inabilit...
- ANSWER-Early, individualize 
Focus and specific 
Complex, ongoing 
Begins very early within acute setting with assessment from all therapy difficulties 
Post stroke rehab aims - ANSWER-To help pt regain as much pre-stroke ability 
as possible 
Support them with living with their difficulties 
Post...
Voorbeeld 2 van de 5 pagina's
In winkelwagen- ANSWER-Early, individualize 
Focus and specific 
Complex, ongoing 
Begins very early within acute setting with assessment from all therapy difficulties 
Post stroke rehab aims - ANSWER-To help pt regain as much pre-stroke ability 
as possible 
Support them with living with their difficulties 
Post...
Post stroke rehab - ANSWER-Early, individualize 
Focus and specific 
Complex, ongoing 
Begins very early within acute setting with assessment from all therapy difficulties 
Post stroke rehab aims - ANSWER-To help pt regain as much pre-stroke ability 
as possible 
Support them with living with their ...
Voorbeeld 2 van de 7 pagina's
In winkelwagenPost stroke rehab - ANSWER-Early, individualize 
Focus and specific 
Complex, ongoing 
Begins very early within acute setting with assessment from all therapy difficulties 
Post stroke rehab aims - ANSWER-To help pt regain as much pre-stroke ability 
as possible 
Support them with living with their ...
Differentiate between anterior cerebral artery syndrome and middle cerebral 
artery syndrome in terms of expected deficits. - Clinical manifestations of anterior 
cerebral artery (ACA) syndrome include contralateral hemiparesis and sensory 
loss with greater involvement of the lower extremity (LE) t...
Voorbeeld 2 van de 15 pagina's
In winkelwagenDifferentiate between anterior cerebral artery syndrome and middle cerebral 
artery syndrome in terms of expected deficits. - Clinical manifestations of anterior 
cerebral artery (ACA) syndrome include contralateral hemiparesis and sensory 
loss with greater involvement of the lower extremity (LE) t...
Occupational therapists - ANSWER-Focus on independence and function, 
individual goal setting, and the specialist skills in task adaptation and 
environmental modification underpin contributions to the multidisciplinary stroke 
rehabilitation team 
Activities of daily living - ANSWER-Personal self c...
Voorbeeld 1 van de 2 pagina's
In winkelwagenOccupational therapists - ANSWER-Focus on independence and function, 
individual goal setting, and the specialist skills in task adaptation and 
environmental modification underpin contributions to the multidisciplinary stroke 
rehabilitation team 
Activities of daily living - ANSWER-Personal self c...
What are the core outcome measures for stroke rehab? - ANSWER-- 6MWT 
- 10 M walk test 
- berg balance scale 
- functional gait assessment 
- activities-specific balance confidence scale 
- 5x sit to stand 
what facilities are considered subacute? - ANSWER-IRF 
SAR 
OP 
HH 
Name some things you woul...
Voorbeeld 1 van de 4 pagina's
In winkelwagenWhat are the core outcome measures for stroke rehab? - ANSWER-- 6MWT 
- 10 M walk test 
- berg balance scale 
- functional gait assessment 
- activities-specific balance confidence scale 
- 5x sit to stand 
what facilities are considered subacute? - ANSWER-IRF 
SAR 
OP 
HH 
Name some things you woul...
What is the first priority? 
Aspiration 
-first NPO 
-need speech therapy 
-soft diet 
-mechanical diet 
-gastrostomy feeding 
2nd priority 
Aphasia/dysarthria (inability to talk) 
Broca's aphasia 
understand question but slurr speech 
Wenicke's aphasia 
can speak but don't understand 
global aph...
Voorbeeld 1 van de 3 pagina's
In winkelwagenWhat is the first priority? 
Aspiration 
-first NPO 
-need speech therapy 
-soft diet 
-mechanical diet 
-gastrostomy feeding 
2nd priority 
Aphasia/dysarthria (inability to talk) 
Broca's aphasia 
understand question but slurr speech 
Wenicke's aphasia 
can speak but don't understand 
global aph...
ESI Case Study; Older Adult with StrokeH 
Meet the Client 
At approximately 8:00 am, the client's spouse finds him on the floor of his bedroom. The 
spouse calls 911 and states that the client has difficulty speaking and he is not able to 
get himself off the floor. When trying to roll him to his b...
Voorbeeld 2 van de 14 pagina's
In winkelwagenESI Case Study; Older Adult with StrokeH 
Meet the Client 
At approximately 8:00 am, the client's spouse finds him on the floor of his bedroom. The 
spouse calls 911 and states that the client has difficulty speaking and he is not able to 
get himself off the floor. When trying to roll him to his b...
Why are goals important for a patient in rehab? 
- increase participation in societal roles 
- patient centered care 
- promote activity 
- reduce body function/structure deficits 
- prevent secondary complications 
this intervention classification is to improve impairments, activity limitations and...
Voorbeeld 2 van de 7 pagina's
In winkelwagenWhy are goals important for a patient in rehab? 
- increase participation in societal roles 
- patient centered care 
- promote activity 
- reduce body function/structure deficits 
- prevent secondary complications 
this intervention classification is to improve impairments, activity limitations and...
Which instructions would the nurse give a patient about methods to reduce the 
risk of having a stroke? Select all that apply. 
A· Limit fluid and fiber intake. 
B· Eat a diet low in saturated fats. 
C· Decrease level of physical exercise. 
D· Maintain a normal BP. 
E. Limit consumption of alcoh...
Voorbeeld 4 van de 58 pagina's
In winkelwagenWhich instructions would the nurse give a patient about methods to reduce the 
risk of having a stroke? Select all that apply. 
A· Limit fluid and fiber intake. 
B· Eat a diet low in saturated fats. 
C· Decrease level of physical exercise. 
D· Maintain a normal BP. 
E. Limit consumption of alcoh...
CVA Part 2.C. -PT Interventions for Stroke 
Patients 
Physical Therapy Interventions: stroke - ANSWER-Mobility training 
Exercise 
Equipment modalities 
Manual techniques 
Cognitive training 
Mobility training - ANSWER--bed mobility 
-transfers 
-pre-gait 
-gait 
Exercise - ANSWER--mat exercise 
-si...
Voorbeeld 1 van de 3 pagina's
In winkelwagenCVA Part 2.C. -PT Interventions for Stroke 
Patients 
Physical Therapy Interventions: stroke - ANSWER-Mobility training 
Exercise 
Equipment modalities 
Manual techniques 
Cognitive training 
Mobility training - ANSWER--bed mobility 
-transfers 
-pre-gait 
-gait 
Exercise - ANSWER--mat exercise 
-si...
PAD is quite prevalent, especially in the __________ - ANSWER-elderly 
What is the primary symptoms of PAD? - ANSWER-CLAUDICATION 
Muscle pain that happens when you're active and stops when you rest. It's usually a 
symptom of blood flow problems like peripheral artery disease is the definition of...
Voorbeeld 2 van de 6 pagina's
In winkelwagenPAD is quite prevalent, especially in the __________ - ANSWER-elderly 
What is the primary symptoms of PAD? - ANSWER-CLAUDICATION 
Muscle pain that happens when you're active and stops when you rest. It's usually a 
symptom of blood flow problems like peripheral artery disease is the definition of...
Types of stroke 
(Lesson 2) - ANSWER-Ischemic: 87% 
-Thrombotic 
-Embolic 
-Lacunar 
Hemorrhagic: 13% 
-Intracerebral 
-Subarachnoid 
Thrombotic Stroke (Ischemic) - ANSWER-48% of all strokes 
-typically occurs during sleep 
-slow progressive onset of deficits 
-50% are associated with prior TIA 
Emb...
Voorbeeld 4 van de 43 pagina's
In winkelwagenTypes of stroke 
(Lesson 2) - ANSWER-Ischemic: 87% 
-Thrombotic 
-Embolic 
-Lacunar 
Hemorrhagic: 13% 
-Intracerebral 
-Subarachnoid 
Thrombotic Stroke (Ischemic) - ANSWER-48% of all strokes 
-typically occurs during sleep 
-slow progressive onset of deficits 
-50% are associated with prior TIA 
Emb...
Acute Stroke and TIA management 
define stroke - WHO 
a clinical syndrome consisting of 'rapidly developing clinical signs of focal neurological 
deficit (at times global) disturbance of cerebral function, lasting more than 24 h or 
leading to death with no apparent cause other than that of vascula...
Voorbeeld 3 van de 16 pagina's
In winkelwagenAcute Stroke and TIA management 
define stroke - WHO 
a clinical syndrome consisting of 'rapidly developing clinical signs of focal neurological 
deficit (at times global) disturbance of cerebral function, lasting more than 24 h or 
leading to death with no apparent cause other than that of vascula...
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