1. Understanding Stroke
Trainer: Prior to conducting this training workshop, it is essential that you become familiar with both the facilitator manual and participant manual for the Living with Stroke (LWS) program. It is also vital to have a good understanding of the Facilitator Training Workshop materials and the way that the content and the exercises are designed to explain and build facilitation skills. Two trainers, or a trainer plus an assistant, are required to conduct this workshop effectively.
To avoid confusion between this workshop and the LWS program, the individuals participating in the workshop are referred to as facilitators and the individuals participating in the LWS program are referred to as participants. Similarly, the training is referred to as a workshop, whereas LWS is referred to as a program.
As you conduct this workshop, it is crucial that you engage the facilitators by modelling the facilitation approach you are teaching the facilitators. Therefore, wherever possible, break up the content review with questions asking for personal experiences and with examples from your own facilitation experience. Sample questions are provided for many areas, but you may wish to develop your own examples or questions as you prepare for the workshop. The more interactive the session and the more relevant the information to the facilitators, the easier it will be for them to understand the principles and the process involved in facilitation and to develop confidence in leading LWS.
Facilitator Training Workshop, 2007

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
Handout page 2
Facilitator Training Workshop, 2007

3. Trainer: Introduce yourself using this slide as a guide
Trainer: Introduce yourself using this slide as a guide. Ask all participants to do the same.
Facilitator Training Workshop, 2007

6. This program includes Discussions and videos
Strategies to deal with changes caused by stroke
How to move on after your stroke

7. Ground Rules Call us if you can’t make it Confidentiality
Respect (take time to listen to others, be patient and non-judgmental)
continued…

8. Ground Rules Participate Bring a snack if you want
Turn ringers off cell phones

9. VIDEO: Survivor Stories

10. Please introduce yourselves…

11. When was your stroke?
2011
2012
2013

12. INITIAL WARNING SIGNS OF STROKE

19. What were your warning signs of a stroke?
Weakness
Trouble speaking
Vision problems
Headache
Dizziness
Handout page 3

20. WHAT IS A STROKE?

24. Two types
Cause determined by CT scan
Handout page 4

27. Which type did you have?

30. A stroke can impact your ability to:
Move
Feel
See
Communicate
Think
Chew and Swallow
Handout page 5

33. LEFT vs. RIGHT side of brain
Handout page 6

34. HOW HAS YOUR STROKE AFFECTED YOU?

35. PHYSICAL

36. Movement / Muscles

37. Balance / Walking

38. Sensation

39. Sensation

40. Hearing

41. Vision

42. Vision

43. COMMUNICATION, COGNITION and SWALLOWING

44. Communication

45. Cognition

46. Swallowing

47. Eating

48. SLEEPING

49. Sleeping

50. Fatigue

51. EMOTIONS and ATTITUDES

52. Feelings

53. Feelings

54. Feelings

55. Feelings

56. PREVENTING ANOTHER STROKE

58. Risk Factors you CANNOT control
Age
Gender
Ethnicity
Handout page 7

59. Risk Factors you CANNOT control
Family history
Previous stroke or TIA
Handout page 7

60. Risk Factors you CAN control
High blood pressure
Heart disease
High cholesterol
Handout page 8

61. Risk Factors you CAN control
Diabetes
Eating fatty foods
Handout page 8

62. Risk Factors you CAN control
Smoking
Excessive alcohol consumption
(9 glasses per week for women
14 glasses per week for men)
Handout page 9

63. Risk Factors you CAN control
Decreased physical activity
Being overweight
Stress
Handout page 9

64. Role in Recovery
Understand what a stroke is and WHAT CAUSED your stroke
Understand what you can do to REDUCE YOUR RISK of stroke

65. Medications

66. Medications protect blood vessels from damage
prevent formation of blood clots
help control blood pressure
lower cholesterol
help control blood sugar

67. Medications

68. Do you have any trouble REMEMBERING to take your medication?

69. Do you have any trouble SWALLOWING your medication?
Trainer: This is a good interactive and thought-provoking icebreaker. Ask each person to answer a question such as the following:
What do these quotations mean to you?
How do you think they apply to your role as a facilitator?
Share your answer first to demonstrate. (Here’s an example: After hearing for a long time about the importance of healthy eating, I was able to change my eating habits because I changed the way I thought of food. Previously, I thought of food primarily as a pleasure. Now, I think of food primarily as fuel for my body. This change in thinking changed my attitude to food and eating and the way I shop for food and cook.)
You may wish to have different people answer different questions to introduce some variety and stimulate discussion.
Facilitator Training Workshop, 2007

70. Do you know the PURPOSE of each of your medications?
Trainer: Review the objectives of the facilitator training workshop. Ask if there are any questions or clarification required for any points. Ensure that the group understands all the points.
Facilitator Training Workshop, 2007

71. Blood Pressure
It is important to check your blood pressure regularly and to know your blood pressure numbers
120 80

72. Do you take your own blood pressure?

73. Do you know your blood pressure numbers?

74. Recovery from stroke Since your stroke what changes have you made?
What changes would you like to make?

75. My role in my recovery I do this now I plan to do this
in the future
Take medications
Take blood pressure
Eat healthy
Handout page 10

76. My role in my recovery I do this now I plan to do this Exercise
in the future
Exercise
Reduce stress
See doctor regularly
Handout page 10

77. My role in my recovery I already did this I plan to do this Does not
in the future apply to me
Quit smoking
Limit drinking
Lose weight
Handout page 11

78. Recovery from stroke
A stroke changes your life and your family’s life; need time to recover and adjust
Effects of a stroke can be more noticeable when you are tired, depressed or unwell
Most stroke survivors go on to lead full and meaningful lives

79. Recovery from stroke depends on:
How much and which parts of your brain were damaged
Your health before your stroke
The work you do in rehabilitation
The support you receive from family and friends

80. Role in Recovery
People who take an active role in their recovery tend to do better

82. Acknowledgements
Aphasia Institute
Providence Healthcare