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Christine Hazelton

Christine Hazelton

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Christine Hazelton

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Presentation Transcript

  1. Christine Hazelton

  2. Contents • Vision problems after stroke • Scottish Vision & Stroke Network • SVSN Projects

  3. Vision Problems • Visual field loss • Eye movement disorders • Visual neglect

  4. Visual Field Loss Prevalence: 20-57% Area affected: the same side of the visual field in both eyes Most common: homonymous hemianopia

  5. Visual Field Defects

  6. Mobility Functional ability Reading Driving Falls Quality of Life Participation in Rehabilitation Social isolation Depression Visual Field Defects

  7. Eye Movement Disorders Prevalence: 7 - 55% Main disorders: Difficulty in maintaining normal ocular position Difficulty with moving eyes appropriately

  8. Eye Movement Disorders

  9. Visual Neglect Prevalence: 8-90 % Definition: 'fails to report, respond, or orient to novel or meaningful stimuli presented to the side opposite a brain lesion’ Also called: spatial neglect, visuo-spatial neglect, visual inattention, hemi- inattention

  10. Visual Neglect

  11. Scottish Vision & Stroke Network • formed in 2009 • arose from concerns regarding the care of those with visual problems after stroke • is a collaboration between stroke charities, vision charities, health care professionals, researchers and people affected by stroke

  12. Representation • British and Irish Orthoptic Society • Chartered Society of Physiotherapists • Chest Heart & Stroke Scotland • College of Occupational Therapists • Fife Society for the Blind • NHS Scotland • North East Sensory Services • NMAHP Research Unit • RNIB Scotland • Scottish Council on Visual Impairment • Scottish Stroke AHP Forum • Scottish Stroke Nurses Forum • The Stroke Association • Visibility

  13. Structure

  14. Aims To improve awareness, diagnosis and treatment of visual problems after stroke withinScotland To support the research needed into effective assessments and treatments

  15. 1. Awareness Visual problems after stroke have a lower profile with stroke survivors, health care professionals and at policy and political levels.

  16. 1. Awareness • gathering personal stories • engaging with the Scottish Parliament • developing an online information resource • provided NHSInform with accurate information

  17. 2. Diagnosis & Treatment Significant inequalities exist in the assessment of visual function and in the management of visual problems across Scotland.

  18. 2. Diagnosis & Treatment • Best Practice Statement • Inclusion in Scottish & UK strategies • Workshop to share and discuss current projects • placements for trainee orthoptists

  19. 3. Research There is clinical uncertainty on referral pathways and the most effective treatments to use; research in the topic is scarce

  20. 3. Research • Eye movement disorders workshop in September 2013 • Research findings shared with clinicians and educators • Opportunities to collaborate and network

  21. 4. Developing SVSN • Defining network policies and structures • Developing SVSN website

  22. Funding • Currently funded by SCOVI • Covers administration and key running costs

  23. Currently • significant areas for improvement • increasing awareness • the importance of collaboration

  24. THANK YOU Questions? Contact email - christine.hazelton@gcu.ac.uk