Guideline for Healthcare Professionals from the American Heart Associa

Question: Describe about the Guideline for Healthcare Professionals from the American Heart Association. Answer: Background Information John was a 52-year-old healthy male who was admitted to the hospital after he suffered from a sudden stroke. He remained under the care of the doctors and nurses for 8 days after which he was provided with acute care benefits followed by inpatient rehabilitation benefits. His physical limitations included hemiplegia on the left side, left centric facial droop, speech slurring, dysphagia, etc (TrialistsCollaboration, 2013). Almost all his limitations obscured the functioning of his left side. He also lost protective and discriminative sensation of his mid forearm. Fortunately, for him, there was no shoulder subluxation or even edema. He was also suffering from depression after the attack. Primary concern Limited mobility on the left side Speech Slurring Cognitive Difficulties Communicative difficulties Secondary Concern Depression Anxiety Reason for referral Restricted mobility Communicative difficulties Findings Occupation Prior to the stroke John was a successful and active real estate agent of a major real estate agency. He drove daily and went to the health club regularly. He was socially active and enjoyed social dinners as well as spending ample time with family. John is concerned about going back to his life and integrating into the community. Progress towards present goals He could ensure almost six hours of therapy although the session would eventually cause fatigue and exasperation. He was also suffering from cognitive difficulties, which led him to retain short-term instructions while edging on loss of safe habits (Party, 2012). He required several cues to maintain safety. He is also seen to be experiencing continued episodes of depression due to the stroke. The ACS sheet reveals a change in behavioral and activity pattern of John in the post stroke phase. Firstly, it seems that he has changed his activity pattern to fit into his role post stroke. Quantitatively, he is 11 activities short from what he used to do prior to the stroke (Go et al., 2013). He does not go for shopping, laundry, does not maintain the yard or manage his investments. He does not drive or pay his bills. If he continues to live such a secluded life then he will probably face social isolation in the future. He has reduced the number of leisure activities as well. He is noted to be doing 12 activities less than his pre-stroke days. There was a time when he used to cook, paint, play cards in his leisure time; now he does none of the above. He no longer takes interest in playing his favorite musical instruments; he does not go to the garden or the park to spend time with the nature or with family. This in turn has given rise to ill health and depression. John has also given up all the leisure activities that are highly demanding and require physical strength display. Anything that requires social interaction and physical strength was disregarded. The COPM results on the other hand revealed that although the patient had set several self care as well as productivity goals for himself, no leisurely goals were fixed. John wanted to work more on his interactions, communication, dressing, childcare skills, career and driving. Although he thinks that he is moderately good at mentoring, computer and dressing, he is not satisfied with his work performance. Moreover, according to him, he is neither happy nor satisfied with his performance in interaction, job and driving. John believed that he could easily cook, call and take medicine without any guidance or physical help from assisting personnel. He also predicted that he might need help with paying the bills. However, the EPT test revealed that he needed verbal as well as physical assistance while performing the said tasks. He needed verbal assistance in organizing his behavioral plan, in sequencing of the things to do and he also needed safety guidance and judgment assistance while taking the medications (Kernan et al., 2014). John is primarily recorded to be having problem with organization. Long-term goals John will start driving to work John will regain the identity of his social self John will regain organizational skills Short-term goals John will practice short-distance driving John will exercise regularly at a periodic manner He will strengthen the left side of his body by systemic grooming He will communicate with his family members and friends to relearn the basics He will communicate with his colleagues regularly to regain his communicative skills. John will be appointed to complete a task within time without prompting disorganization. Every day short and easy tasks will be given to him at regular intervals Methods Therefore, the first intervention to help with the physical mobility is to first identify and classify the level of the impairment, use props and tools to help with the movement, recommend continuous physical therapy to help with the condition and teach John how to exercise his effected side regularly. An assistant, a family member or a friend should accompany him in every driving session. If need be, an instructor can be hired (Park, 2012). The occupational therapist can provide with a communicative pattern wherein simple sentences are used to communicate with John and when needed each sentence be repeated. If John still cannot communicate then he will be encouraged to read. The OT can advice the family members and the associates to talk slowly so that John can understand and improve his communicative skills (Romero et al., 2014). This is all about relearning how to function and communicate with the surrounding. Arty props can be used to help John communicate better. Every task John is assigned to complete will be time bound. A rating process can be used through which the changing organizational levels can be detected (Wintermark et al., 2013). John can involve others in the same task and compete to improve organizational skills. Johns life can be altered with the right interventions (Bushnell et al., 2014). He can regain his physical as well as his mental capabilities while overcoming the worst of his fears and limitations. While it is possible to create a better physical and mental environment for John, he should be aware of what is possible and what is not and that is only possible with the right interventions. References Bushnell, C., McCullough, L. D., Awad, I. A., Chireau, M. V., Fedder, W. N., Furie, K. L., ... Reeves, M. J. (2014). 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