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Managing Cognitive Challenges After Stroke

Learn coping mechanisms for cognitive difficulties, perception issues, and communication barriers post-stroke. Discover strategies to enhance cognition, compensate for neglect, and improve communication skills.

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Managing Cognitive Challenges After Stroke

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  1. Cognition, Perception, and Communication

  2. Topics Module 1: Understanding stroke Module 2: Physical changes and challenges Module 3: Swallowing and nutrition Module 4: Cognition, perception and communication Module 5: Emotions, roles and relationships Module 6: Reducing the risk of stroke and moving forward

  3. How are you doing on the goals you committed to?

  4. COGNITION, PERCEPTION and COMMUNICATION

  5. Cognition, Perception and Communication • Understanding cognitive, perceptual and communication difficulties • Ways of compensating and dealing with cognitive, perceptual, and communication difficulties

  6. Cognition COGNITION is the act or process of knowing information

  7. Cognitive difficulties after stroke • Thinking clearly • Concentrating • Remembering Handout page 25

  8. Cognitive difficulties after stroke • Paying attention • Making decisions • Planning Handout page 25

  9. Cognition Heart & Stroke Living with Stroke Participant Manual page 50

  10. Coping strategies • Establish routines • Simplify tasks and instructions • Pace yourself • Focus on one thing at a time Handout page 26

  11. Coping strategies • Break tasks into small steps • Organize yourself • Use memory aids • Minimize distractions (e.g., turn off TV or radio if trying to have a conversation) Handout page 26

  12. Perception PERCEPTION is the ability to understand and interpret sensory information from within the body and from the environment.

  13. Perceptual problems after stroke • Vision • Hearing • Time • Body neglect Handout page 27

  14. Perception Heart & Stroke Living with Stroke Participant Manual page 51

  15. Neglect

  16. Compensate for neglect If you have difficulty paying attention to one side of your body or an object on that side try to: • Position your hand in front of you • Remind yourself to check that side • Put objects you need to reach on your right side (e.g., plate or cup) Handout page 27

  17. Communication • COMMUNICATION is the exchange of information between a speaker and the listener • Non-verbal communication includes written communication, gestures, and use of augmentative devices

  18. Communication difficulties after a stroke • Speaking • Understanding • Reading • Writing Handout page 28

  19. Communication

  20. Communication

  21. Communication

  22. Communication

  23. Communication

  24. Communication

  25. Communication

  26. Communication

  27. Aphasia changes across situations

  28. Aphasia changes across situations

  29. Cognition, perception and communication problems are all INVISIBLE barriers; they are not as obvious as physical problems.

  30. Handout page 28

  31. Do you feel some people assume you are not intelligent or competent?

  32. How does that make you feel?

  33. VIDEO: Living with Aphasia

  34. Strategies to help caregiversget their message across • ACKNOWLEDGE that you know that the person with aphasia knows what they want to say but cannot say it • LOOK at the person with aphasia when speaking • Communicate ONE idea at a time Handout page 29

  35. Strategies to help caregivers get their message across • WRITE down KEY WORDS • Use YES/NO questions • DRAW simple pictures • Use GESTURES and FACIAL EXPRESSIONS • VERIFY to make sure you have understood the information correctly Handout page 29-30

  36. Strategies to help the person with aphasia get their message across • WRITE down a word or DRAW if you can • POINT to something • Attempt to identify the TOPIC first then move on to the details • Use words communication partner wrote down Handout page 31

  37. Strategies • If you do not have TIME to communicate or are having trouble, try to return to finish the conversation at another time Handout page 32

  38. Strategies Handout page 32

  39. Can you come up with a goal to improve your communication, cognition or perception?

  40. Cognition, Perception and/or Communication goal • Use memory aids • Pay more attention to your affected side • Teach others communication strategies • Use more gestures and pointing • Write down key words • Other: _______ Handout page 33

  41. Acknowledgements • Aphasia Institute • Providence Healthcare

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