Would a jet pack enable you to live better? Our next tweetchat June 16th at 5pm BST!

Since November last year, I’ve been working closely  with the charity Devices 4 Dignity to conceptualise, plan and deliver a unique patient-led event to better understand patients unmet needs, who are living with long term conditions and it got me thinking. Why don’t we have a #strokerecovery  tweetchat on how we can better help recovering stroke survivors, live more independently, in their day-to-day lives?  Let’s remove ‘dis’ in disability and see if we can help stroke survivors, their families, therapists, researchers or companies come up with ideas to enable people more.

disABIlity

When I think of basic living activities that we do everyday like bathing, washing, dressing and going to the toilet.  There are also instrumental activities such as preparing meals, housecleaning and managing finances. Finally, there are meaningful personal and leisure activities like mindfulness, socialisation, or walking the dog either on foot of with an affordable, suitable mobility scooter!

Over the years, I have delivered a few speeches on assistive technology  I think of some of the things we have been told over the years, which you too may have come across.

‘I wish my panic alarm was waterproof and it looked less medical’

or

‘I wish I could remove my underwear with one hand when I go to the loo.’

or

‘I wish I could switch off all my lights and switches with one go.’

or

‘My catheter is so fiddly to fit’

or

‘What would help me improve my speaking voice?’

or

‘My bathroom looks like a hospital WC!’

or

‘I struggle to open my medicine packets.’

or

‘I feel so invisible in my wheelchair.’

or

‘I am so low. How to I help myself meet other stroke survivors who understand.’

or

‘I am physically struggling with my toddlers, can anything help me?’

or

‘I’d like to clean my house myself.’ (Not something that remotely bothered Kate Allatt by the way!)

housework

‘I can’t cope with the household bills.’

or

‘How can I take control of my physical recovery? Is there some sort of exercise plan for me I can follow so I can walk again on my own?’

These are just some comments we’ve come across in people pursuit of trying to take control, enablement back in their own lives. Why, for example, do we not have an ‘Amazon-type’ shopping service which allows patients to input their unmet need and it throws up a series of approved companies/products that could help.  Also, why do we not make some of the assistive technology more affordable with more finance and leasing options ?  For example, we buy sofas on higher purchase and most people rent, as opposed to owning, cars now?

We are absolutely delighted to welcome two new hosts to our tweetchat – @Sas_Freeman, stroke survivor, mentor and speaker; and @jo_Howe psychological researcher into chronic stroke rehabilitation at the University of Birmingham.

assistive tech

 

@KateAllatt

Stroke survivor

@FightingStrokes founder/CEO 

Internationally published author – Running Free

#Aphasia Tweetchat – what you said! #strokerecovery

After a rather shaky start, what some confusion over British Summer Time (some didn’t realise our clocks have already sprung forward!) we were finally able to have the aphasia tweetchat at 9pm UK time in the end. (We’re really sorry if you missed the group chat and wanted to participate!) I’m also sorry that aphasia sufferers themselves would find getting involved with a tweetchat on aphasia somewhat difficult.  I guess I had family, loved-ones, clinicians, companies, academics and researchers more in mind when devising this tweetchat to learn and contribute to our knowledge pot to better help patients. However, if we offended or prevented patients from contributing directly on this occasion, we sincerely apologise.

There are a few themes that came out from yesterdays chat which I’ve tried to summarise here but feel free to scan the transcript and analytics!

It is estimated by @TactusTherapy that there are around £2 million people with aphasia in the USA and The Stroke Association says there are around 367,000 sufferers in the UK.

Aphasia can last one day, one week or where there is a spontaneous recovery or it can be a chronic long term illness.

Aphasic people can use props, draw words or pictures on paper when trying to communicate, get people to speak slowly or stay calm when they are talking.  Additionally they can carry a card to let strangers know that you have aphasia and what aphasia means.

 

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1. It appears there is considerable confusion over the medical labels to do with speech and communication issues eg, apraxia versus aphasia.

2.  Community support for aphasia sufferers and their loved-ones is very lacking.

3.  Evidence-based research into effective aphasia interventions is also lacking due to available funding streams and support priorities.  Maybe, we need to be better at demonstrating improvement after certain aphasia interventions? Perhaps, we can learn from the work from the Aphasia Centre Ottawa?

4.  Dr Steve Green provided some very practical tips for managing aphasia.

5.  We all agreed that we needed more relevant and engaging stroke messages on aphasia and #strokerecovery generally.

6.  We have to find better long term advocacy, traditional support with more immediate and accessible online support, especially with the overstretched resources.

7.  We must explore more digital interventions in the form of new Apps like the range supplied by Lingraphica that allow for better intensive therapy.

8.  Treatments for aphasia include: Constraint Induced Therapy, The therapy technique – Promoting Aphasic Communication Effectiveness, Telemedicine or Telehealth, new and improved Apps and structural and neuroimaging processes which provides knowledge into the neural process.  Above all to promote aphasia treatments  that are –  restorative, strengthening, compensating, facilitating and educational.

9.  Tactus Therapy seem to be a good resource to check out!

We had a very enjoyable and productive tweetchat. Thank you. The next one is to be hosted by @StrokeTattler on the subject of ‘assistive technology to help people with their long term daily living needs’.  Don’t forget our clocks have gone an hour forward!

 

Thanks

@KateAllatt

Stroke survivor

@FightingStrokes founder/CEO 

Internationally published author – Running Free

 

 

 

 

 

‘Would you like a cheese sandwich?’ #strokerecovery

Now be honest, are you so busy with juggling the balls of your own life – work, kids, partner, home, family etc – to be able or willing to care about for the needy and vulnerable people on our society?

 

Truthfully, this was perhaps a bit more like me pre-2010 – although I did a few charitable fundraising challenges and donated my skills to a local charity, before my own D-Day!

 

It may be the case that you care but struggle cope with others vulnerabilities, fragilities or mental health issues, so you steer a course away from the ‘said’ damaged individual?

 

Perhaps, you are selfish narcissist and are solely focussed in pursuing your own personal fortune and agenda? Sadly, there are quite a lot of people like that in the world.

 

Maybe, a your friend or relative who actually kindly visits you, but then is only able to offer patronising ‘sympathy’ or asks, ‘would you like a cheese sandwich?’

 

If you are lucky, a friend or relative will offer true ’empathy’. You know when a caring friend says, ‘I have absolutely no idea how you must be feeling right now, but I’m here to listen and support you, if YOU want.’

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But better still, is where someone offers you ‘altruism’.

So what is altruism you ask?

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Well it was put perfectly by Matthieu Ricard in a recent TED talk. He said,

‘The wish for others to be happy and to help them find the cause of their happiness.’

 Helping others find a way to cope positively benefits not only the ‘recipient’ but will make the ‘giver’ equally as happy.

NEW EBOOK!

I Am Still The Same -Self help stroke recovery tool

Internationally published author ‘Running Free’ (Amazon) .  Speaker –   Founder Fighting Strokes

Kate’s story in 2 minutes

When stroke recovery doesn’t happen.

I’ve long been associated with the notion that stroke recovery is always possible, whether those improvements are small or large positive changes.

However, I have to admit that since meeting Kati Van De Hoeven in beautiful Finland last weekend, I’ve met someone who sadly hasn’t made very much physical improvement in twenty years, after her brainstem stroke and locked in syndrome diagnosis. Whilst she eats, writes books and blogs, plans meals, enjoys retail therapy – if it involves boots and bags – moves her head and eyes very effectively, but she is unable to do much else.

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Kati is now forty years old and yes, she suffered her illness at the shockingly young age of nineteen and a half, in her prime and as a successful model living in LA. It would be fair to say that she looked like a brunette version of Cindy Crawford! 



Her phenomenal blog can be read here. Kati has been my second heroine (my first being Ms Christine Waddell) since I came across her blog on Facebook early last year.  Her unique approach to life inspires me and quite frankly stops me immediately if I ever start to go down a self-pitying track about everything I’ve personally lost since 18.09 on 7th February 2010.  You really are either a glass half full or half empty kind of person and I’m definitely, and mostly, the former!

As I approached her wheelchair, I was stunned by her natural beauty, impeccable dress sense, sublime makeup, beautifully coiffed blond hair and not to mention her fabulous knee-length, tanned, suede boots! (A girl after my own heart in far more ways than one!)  I quickly realised that Kati shares not only my annoying emotional lability, but a smutty sense of humour, obsessive traits, scary determination, stubbornness and sense of informality. Yeah, I was the ugly sister who was perhaps separated at birth!

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Her husband Henning, yes husband, who she met only 4 years ago cleverly and tenderly stands by to interpreted her eye movements, on what was an invisible e-tran board. You see, they have honed their communication system between them so well, that Henning doesn’t even need to use the physical transparent communication tool at all now.  Now that’s impressive! Kati shows in no uncertain terms that a long term Locked In Syndrome diagnosis does not necessarily equal a poor quality of life or none existent emotional well being.

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I was there with a documentary film crew to ask her questions about her former, exciting life, her illness twenty years ago, how her and her parents each coped and perhaps learned to accept and let-go of their anger, her  relationships with friends, how she met her loving husband, her Christmassy wedding day, what her hopes for the future are and of course what the unique Finnish word – SISU – means to her.

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If you are not familiar with the word SISU, all I can say is that Kati epitomises it perfectly!

According to Wikipedia SISU is:

‘Sisu is a Finnish word generally meaning stoic determination, bravery, resilience,[1][2] perseverance and hardiness,[3][4] expressing the historic self-identified Finnish national character. Sisu is about taking action against the odds and displaying courage and resoluteness in the face of adversity. Deciding on a course of action and then sticking to that decision against repeated failures is Sisu. It is similar to equanimity, with the addition of a grim quality of stress management. The pertaining adjective is sisukas, “having the quality of Sisu“‘.

Kati is all these things and far more. She and Henning are quite simply incredible human-beings who deliberately choose a life of altruism and optimism because frankly, it feels better. That doesn’t mean they don’t have tough times now, because sadly there is seemingly no end to shit times for some unlucky people.

During our visit, I couldn’t get out of my mind, something that I found so incredibly moving, when I spoke to Kati’s dutiful and loving mum. She said,

‘Now, I can die.’

She said this after observing her daughter so happily married with her son-in-law, Henning, something, I’m sure, she could never have imagined, years earlier.  As a mother myself (and it was Mothers Day yesterday), I  found this thought deeply distressing.

You are probably thinking what they do together?  Well, they sum up true, basic happiness which I found both incredibly moving and humbling.

A happiness where you don’t need expensive objects, tablets or phones or ambitious aspirations, flamboyant holidays and houses, or that perfect job, just simple, old fashioned unconditional love.

They share a marital bed, they write their books and popular blogs during the bleak winter months, they share the joy of having their dog ‘Happy’, they listen to the radio, take romantic walks as Henning pushes her wheelchair during the milder spring and summer months, they take short breaks (they are shortly off to Latvia), they listen to Caribbean music and Henning often prepares and cooks Kati’s countless recipes! (She loves cooking.)

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Our Finnish hosts were amazingly kind and generous and our young filmmakers certainly enjoyed their generous, home-cooked meal and dessert! Not something they are used to as recent Graduates!

As we prepared to leave their relaxing, welcoming home to take the two hour journey back to our hotel, I couldn’t help thinking that sadly beautiful Kati hadn’t made very much physical stroke progress in twenty years. Although I do wonder whether she would have made more physical progress in 2015 as opposed to 1995? Especially with advances in stroke rehabilitation therapy, research and treatment plans?

However, what is true is that her stroke recovery has not just been about her trying to overcome her enormous and catastrophic physical difficulties, but her only-to-be-expected psychological and emotional issues that followed.

We must never lose sight of the emotional (and cognitive) difficulties relating to stroke – from the apathy, the depression, the isolation, the post traumatic stress disorder, the withdrawal, the low-confidence and low self-esteem, etc.

Kati has journeyed through her loss cycle – from the denial, to anger, to depression and to acceptance – and unbelievably found her current happy, truly inspirational state just 3 years after her life changed beyond belief.  It would be some considerable years after that, when she would meet her soul mate, best friend and true love of her life, Henning.

As far as I’m concerned, that is actually an incredible stroke recovery!

We are looking for distributors for our ‘Locked-In Forever?’ documentary if you are interested, please email me.

NEW EBOOK!

I Am Still The Same -Self help stroke recovery tool

Internationally published author ‘Running Free’ (Amazon) .  Speaker –   Founder Fighting Strokes

Kate’s story in 2 minutes

The Brazilian World Cup inspired our next #strokerecovery & technology Tweetchat! Spread the word & RT!

If you cast your mind back to the Brazillian World Cup, what would be your abiding memory?

 

The now infamous (and vicious) Suarez bite, the best player of the tournament – Thomas Muller (perhaps?), the winning team (Germany-  if you’ve forgotten)- or the off-the-pitch news stories of widespread brothels (or zonas), the cheap and seemingly widespread child prostitution, the spotlight on the world’s biggest crack market, the new (but un-shocking) FIFA corruption allegations, the carnival atmosphere, or other?

 

For me, it was actually none of the above.

Instead, it was the powerful image of a paraplegic walking in a brain controlled exoskeleton during the opening ceremony!

This huge advancement in technology also reminds me of the paralysed man who was able to walk again after pioneering therapy that involved transplanting cells from his nasal cavity into his spinal cord. His name is Darek Fidyka. You can remind yourself by watching his video here.

These developments offer massive REAL hope for paraplegic, locked in syndrome and other stroke survivors to actually walk again. If only Christopher Reeve had seen his visionary dream become a reality. I guess it would almost be like, Robocop meeting Superman!

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To walk again and be able to give a fellow human eye to eye contact, to be treated as an equal, is a fundamental need. As are these hugely important (and dignity enhancing) daily living activities – communication, eating, washing, continence and toileting, dressing, grooming and having decisions made about you with you. Technology in #strokerecovery helps us to communicate, eat, drink, dress, wash, go to the toilet, shop, manage our medications, improve, improve our cognition, psychological issues and allows us to easily share and support other stroke survivors, amongst other things.

 

There are so many technological advances combining gaming (a great way to engage with younger children incidentally) and virtual reality technologies to be used as part of our individualised, self-management stroke recovery programme.

 

It’s worth bearing in mind that the word ‘technology’ can arouse thoughts of high-tech (and expensive) technological gizmos, but according to Wikipedia:

 

‘Technology  is making, modification, usage, and knowledge of tools, machines, techniques, crafts, systems, and methods of organization, to solve a problem, improve an existing solution to a problem, achieve a goal, or perform a specific function.

 

Technology affects our ability to control and adapt to our natural environment.’

 

Therefore, our next Tweetchat blog will be about #strokerecovery and technology at 5pm GMT on 10the March 2015.

 

If you want to prepare your responses our proposed Tweetchat questions will be.

 

T1. What technology do you use/offer in #strokerecovery therapy?

 

T2. Is there some technology you would use but don’t? Is it just about cost? #strokerecovery

 

T3. What are the main barriers to treating #strokerecovery survivors with technology?

 

T4. Can we overcome those technological intervention barriers? Is it not just cost? #strokerecovery

 

T5. How do you find out about evidence-based #strokerecovery technology?

 

 

NEW EBOOK!

I Am Still The Same -Self help stroke recovery tool

Internationally published author ‘Running Free’ (Amazon) .  Speaker –   Founder Fighting Strokes

Kate’s story in 2 minutes

Help for non-profits – A real social media strategy

We’ve been very active on social media with our registered charity, Fighting Strokes – Fighting Strokes, @Fightingstrokes, Youtube and Instagram – which has resulted in raising awareness, engagement, followers and #strokerecovery interaction online.  So being the sharing type, I thought I’d  impart my knowledge of a health care social media ‘charity’ marketing.

1. Identified our audience:

Fighting Strokes is attempting to inspire, empower and influence all types of stroke survivors, their friends and family, clinicians, researchers and therapists. We have an interest in promoting stroke recovery issues which affect younger #strokesurvivors and acute brainstem stroke with locked in syndrome survivors. With so many voices banging the drum about #stroke prevention and our experience,  we instead choose to try to practically speak up about issues in stroke recovery.

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2.  Identifies and set up the social media platforms

These included: Fighting Strokes, @Fightingstrokes, Youtube and Instagram

 

3. Then, we decided what we wanted to achieve in social media!

We wanted to raise awareness of the #stroke treatment and stroke self-management options and to grow our Twitter followers & Facebook likes by 15 per week.

 4. We agreed our budget

£0,000’s!

5. We decided how much TIME to commit to SM

We tried scheduling our tweets to reach more followers, to drive traffic to our blogs – Stroke Recovery Tips & Arockystrokerecovery – to reach new followers and make more efficient use of our time, but we couldn’t get on with Buffer (other ones include Tweroid, SocialOomph, Hootesuite, Tweetdeck).

6. Informative, informal content – are us!?

We decided that dynamic, informative and interactive content would distinguish us from other stroke charities. There would be a place for humour if appropriate also.

7. We look at what key opinion leaders in healthcare are doing

We look at other organisations we respect to see what they are doing well, not doing well and how they interact with their followers and established a hashtag on symplur.

8. Set up a Symplur Hastag

We established the #strokerecovery hashtag and use monthly tweetchats to grow our audience with @StrokeTattler. We plan to establish webinars later this year too.

9. Monitoring social media  

We use Tweetchat and symplur although Sumall is another type of monitoring app.

9. Google Analytics measures our activity

There are many ways to measure activity but we found Google Analytics as the best free software to use. Some measuring apps track the number of follower you attract, retain and what people are saying about our charity too. Other free sites include addictmatic, google alerts, hootsuite and howsociable

10. Mobile phone friendly

We plan to create a mobile friendly website and build an ‘opt-in’ subscriber list.

11. Headline: ‘What did Churchill and Thatcher have in common?’

We know people prefer to look at impactful pictures and short videos so we try to incorporate into our posts with links. We also try to use engaging headlines. eg

Clinical patient dignity is not equal to real patient dignity, trust me!

12. Shorten links

We try to shorten our links to make it easier to refer to on Instagram and to write more on Twitter. We use bitly.com.

13. Cross link with Instagram, linkedin and Facebook

It makes a lot of sense to use the same posts across different platforms using software like Hootsuite, Tweetdeck and Seesmic.

14. SM profiles

We try to maximise our word count in our profiles with specific description, hashtags, links and pictures. We always try to play with our profiles and update pictures reasonably regularly.

15. Real time posts

We only post in real time and have started trying to ‘pin’ tweets. Twitter  allows you to pin one tweet at the top of your timeline. You can use this to make sure your important messages are seen or if you want a specific tweet to get more retweets.

 

So, I hope my social media strategy summary is useful and helps you to drive followers, traffic, engagement and interaction to your non-profit organisation too!

 

NEW EBOOK!

I Am Still The Same -Self help stroke recovery tool

Internationally published author ‘Running Free’ (Amazon) .  Speaker –   Founder Fighting Strokes

Kate’s story in 2 minutes

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#strokerecovery tweetchats 4pm London Time 13th January 2015 – Here’s why……..

Stroke is global healthcare problem. In developed countries, it is the third or fourth most common cause of death.  However as 80% or more people now survive the initial stroke, the largest effect of stroke is through the long-term residual difficulties, daily living activity limitations and reduced social participation/interactivity.  Stroke is the main cause of adult disability.  Physical and emotional  impairments from stroke affect the whole family, not just the person with stroke.

Most stroke survivors and their families want get on with the rest of their lives after stroke —in other words their goal is #strokerecovery. This doesn’t not mean the stroke survivor or family will fully recover like they were pre-stroke. Rather, our #strokerecovery tweetchat aims to practically advise, help and inspire people to make progress in the daily living activities, socially and professionally.   This includes motor, communicative, cognitive and emotional recovery. In other words, it is possible for  stroke survivors and their families can live satisfying lives with impairments.

What is #strokerecovery ?

#strokerecovery is a vibrant community of people interested in exploring stroke recovery in for themselves and in stroke recovery. Sharing, learning & improving from each other.

Our first chat is held on 13th January 2015 at 4pm London time.

Why #strokerecovery ?

Fighting Strokes is a global patient advocate charity which was founded primarily to help inspire and support anyone affected by stroke. We try to help people make progress improvement both physically and emotionally. We also have a special interest in inspiring families and patients affected by brainstem stroke and diagnosed with locked in syndrome to improve.  See here Fighting Strokes.

Who takes part in #strokerecovery ?

Anyone and everyone delivering and receiving health care who is interested in open conversation to help improve quality, access, value and effectiveness of stroke recovery. This includes: patients, caregivers, patient advocates, healthcare professionals, not-for-profit health organisations, educators, heath content providers, health institutions, health administrators, health systems and networks, government and health policy makers.

Join us.

How to take part in #strokerecovery tweet chats.

  1. Get a Twitter account!!
  2. Go to twubs.com or tweetchat.com.
  3. Enter the #strokerecovery in the box that says “Enter a hashtag” and press Enter.
  4. Sign in to participate in the chat. (note the hashtag #strokerecovery will automatically be added to your tweets.
  5. Review this week’s topics.
  6. Be online at 4 pm London time on the 13th of each month.
  7. Chat!

Our next tweet chat will discuss:

T2: What the strengths are in our current #strokerecovery systems?

T3: What are the weaknesses in the current #strokerecovery systems?

T4: What should we concentrate on in the initial Tweetchats? 

Tweet Chat Etiquette

  1. At the beginning of the Tweetchat or when you join, briefly introduce yourself.
  2. Please use #strokerecovery in your tweet.
  3. The Tweetchat will be for active for 1 hour, but you can add to the Tweetchat transcript by including #strokerecovery in your posts between chats.
  4. The moderator will introduce the questions. Please respond to the current questions.
  5. You can respond and add to others posts by replying or favouring.
  6. Be kind to others and have fun.
  7. Suggest future tweet chats if you like ?

We are including several academic papers for your information. They include evidence based reviews on motor, communication, and cognitive recovery and Aura Kagan and colleagues (2008) framework for “Counting what Counts” in #strokerecovery.

Motor recovery

Peter Langhorne, Fiona Coupar, and  Alex Pollock (2009)  separated motor recovery into three areas:

  1. Upper-limb movement and function/arm and hand function;
  2. Lower-limb movement and function /Walking ability
  3. Balance
  4. Mobility (which combines upper-limb function, lower-limb function, and balance to enable normal movements) also been defined as
    1. ‘activity of moving from place to place, generally by walking or using a wheelchair’ (Busman & Stam, 1998)’
    2. ‘an individual’s ability to move about effectively in his surroundings’ (The WHO International Classification of Functioning, Disability and Health, 2001); or
    3. ‘Stroke- mobility’ –‘Out-of bed physical activity, which may include transferring on or off the toilet, sitting out of bed, standing and walking’ (Bernardt et al., 2009).

Communication recovery

Koenig-Bruhin and colleagues (2013) note that this is mainly referred to as aphasia recovery (language), but includes many different functions, such as verbal communication and activities involving daily life and self-organisation.

The vast majority of aphasia patients have the potential to recover, if they do not suffer from dementia. In the acute phase, different types of therapy have their merits, including group therapies or treatment involving families, but they:

  • must be adapted to the type of aphasia;
  • must be adapted to the patient; and
  • often require a minimum of intensity (between three sessions per week and once a day during the acute phase) and of duration (at least three months).

Focused interventions in the chronic phase have also demonstrated their effectiveness.

Cognitive recovery

Many survivors of stroke complain about cognitive impairments, such as attentional impairments, diminished concentration, memory loss, and mental slowness (brain fog) yet Loetscher & Lincoln’s (2013) review of cognitive rehabilitation concluded that effectiveness of cognitive rehabilitation remains unconfirmed.

Emotional recovery

‘If the part of your brain that normally controls your emotions becomes damaged by a stroke, the result can be a change in how you think, feel or behave. Don’t be surprised if you feel anxious, depressed, frustrated, angry or bewildered. Emotions tend be depression, anxiety, emotionalism, personality changes and anger.’ The Stroke Association. We can try to help our emotional #strokerecovery by:

  • Letting go of rejection
  • Avoid ruminating
  • Turn failure into something positive
  • Avoid letting guilt linger
  • Using positive affirmations to counter low self esteem *

Counting what Counts

Focus groups with a range of stakeholders including health professionals, stroke survivors, and their families highlighted the need to focus on real-life outcomes. They indicated that existing classifications and models were not necessarily accessible and/or user friendly for clinicians, researchers, policy makers, funders, and those living with aphasia.

Tweet Chat Timezones:

Add to calendar

Location Local time Time zone UTC offset
Edmonton (Canada – Alberta) Tuesday, January 13, 2015 at 9 :00:00 AM MST UTC-7 hours
London (United Kingdom – England) Tuesday, January 13, 2015 at 4 :00:00 PM GMT UTC
Perth (Australia – Western Australia) Tuesday, January 13, 2015 at 12 :00:00 am AWST UTC+8 hours
Corresponding UTC (GMT) Tuesday, January 13, 2015 at 16:00:00

Check World Clock for the corresponding times for your location: http://www.timeanddate.com/worldclock/

By @kateallatt

NEW EBOOK!

I Am Still The Same -Self help stroke recovery tool

Internationally published author ‘Running Free’ (Amazon) .  Speaker –   Founder Fighting Strokes

References

Bussmann JB, Stam HJ. Techniques for measurement and assessment of mobility in rehabilitation: a theoretical approach. Clin Rehabil 1998;12:455–64.

Bernhardt J, Thuy MNT, Collier JM, Legg LA. Very early versus delayed mobilisation after stroke. Cochrane Db Syst Rev 2009, Issue 1. Art. No.: CD006187. DOI: 10.1002/14651858.CD006187.pub2

Kagan, A.Simmons-Mackie, N.Rowland, A., (…),Threats, T.Sharp, S. Counting what counts: A framework for capturing real-life outcomes of aphasia intervention  Aphasiology 2008; 22(3): 244-53

Koenig-Bruhin, M.  Kolonko, B.At, A.Annoni, J.-M.Hunziker, E.   Aphasia following a stroke: Recovery and recommendations for rehabilitation  (Review) Schweizer Archiv fur Neurologie und Psychiatrie 2013; 164(8):292-298

Loetscher, T.Lincoln, N.B.   Cognitive rehabilitation for attention deficits following stroke.  (Review) The Cochrane database of systematic reviews 2013; 5: CD002842

* http://articles.mercola.com/sites/articles/archive/2013/08/15/emotional-pain-recovery-tips.aspx – As the featured article reported, Guy Winch, author of Emotional First Aid: Practical Strategies for Treating Failure, Rejection, Guilt and Other Everyday Psychological Injuries, recently shared five tips for healing your emotional pain.