1. Living With Stroke Physical Changes and Challenges
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

3. We will be discussing… What physical changes are you experiencing?
How are you coping with physical challenges?
How do you compensate for your difficulties?
What can you do to maintain
physical activity?

4. Physical Changes Weak face, arm, and leg Difficulties with balance
Handout page 12

5. Physical changes may change the way you ….
Walk
Climb stairs
Do precise work with your hands

6. Physical changes may change the way you….
Shower
Dress
Cook

7. Physical changes may change the way you ….
Clean
Do laundry
Vacuum

8. Physical changes may change the way you ….
Garden
Shop
Get around

9. Physical changes may change the way you ….
Exercise
Play sports

10. How are you coping with your physical changes?

11. Physical challenges
It’s natural to feel badly about physical limitations.
Everyone who has a stroke has these feelings.
Physical changes are a constant and visible reminder of a stroke.
Many express frustration at dependence on others and inability to perform tasks they
used to do easily.

12. Physical Challenges
As discussed previously, the location of your stroke determines which nerves and muscles are affected.
Many problems with strength, balance and movement improve over time, especially over the first year after stroke.
Generally, the longer the time from the stroke, the smaller the change you can expect and the
longer it takes to achieve it.

13. Physical Challenges
Many often allow physical changes to limit their activities.
Fear, embarrassment, or an all-or-nothing attitude are often the underlying reason for activity limitations.
Underlying beliefs and attitudes are the real BARRIERS, not the physical limitations.
Handout page 12

14. Physical and Activity Limitations

15. Ways of compensating for Physical Limitations
Need to be PROACTIVE
Need to be PHYSICALLY ACTIVE
Need to learn COMPENSATORY STRATEGIES

16. Ways of compensating for Physical Limitations
HOME MODIFICATIONS
AIDS
STRATEGIES
ATTITUDES AND BELIEFS

17. Home Modifications

18. Home Modifications

19. Home Modifications

20. Home Modifications

21. Home Modifications

22. Ways of compensating for Physical Limitations
HOME MODIFICATIONS
AIDS
STRATEGIES
ATTITUDES AND BELIEFS

23. Aids
Cane
Walker
Wheelchair

24. Ways of compensating for Physical Limitations
HOME MODIFICATIONS
AIDS
STRATEGIES
ATTITUDES AND BELIEFS

25. Strategies
PHYSICAL ACTIVITY can improve your strength, walking ability, coordination and balance and prevent falls.
This includes doing exercises and household chores
Being involved in physical activities has both
physical and emotional benefits
Handout page 13

26. Strategies Use your weak arm or leg as much as possible
Use weak hand as a stabilizer
Sit on a chair or stool for grooming or cooking activities to help your balance and decrease your fatigue
Handout page 13

27. Ways of compensating for Physical Limitations
HOME MODIFICATIONS
AIDS
STRATEGIES
ATTITUDES AND BELIEFS

28. Attitudes and Beliefs
Need to OPEN your MIND to
doing something differently or
you may never do it again

29. Attitudes and Beliefs
A POSITIVE approach can
reduce the risk of depression

30. Attitudes and Beliefs
An attitude of OPTIMISM
can help people cope
with change

31. VIDEO: Recovery and physiotherapy

32. Physical activities Did you do the following
activities before your stroke?
Do you do the following
activities now?
Would you like to do these
activities in the future?

33. Physical activities I did this before I do this now I would like to do
this in the future
Walk
Climb stairs
Handout page 14

34. Physical activities I did this before I do this now I would like to do
this in the future
Shower
Get dressed
Handout page 14

35. Physical activities I did this before I do this now I would like to do
this in the future
Cook
Clean
Handout page 14

36. Physical activities I did this before I do this now I would like to do
this in the future
Wash dishes
Do laundry
Handout page 15

37. Physical activities I did this before I do this now I would like to do
this in the future
Indoor
maintenance
Outdoor
Handout page 15

38. Physical activities I did this before I do this now I would like to do
this in the future
Garden
Shop
Handout page 15

39. Physical activities I did this before I do this now I would like to do
this in the future
Work
Drive
Handout page 16

40. Physical activities I did this before I do this now I would like to do
this in the future
Exercise
Yoga/Tai Chi
Handout page 16

41. Physical activities I did this before I do this now I would like to do
this in the future
Swimming
Play sports
Handout page 16

42. Physical activities I did this before I do this now I would like to do
this in the future
Go to gym
Community
Centre
Handout page 17

43. Physical activities I did this before I do this now I would like to do
this in the future
Mall
walking
Other ____________
Handout page 17

44. Imagine the life you want
Living With Stroke
Imagine the life you want
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

45. What gets in the way Living With Stroke
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

46. Setting Goals

47. Setting Goals

48. Setting Goals

49. Setting Goals

50. Setting Goals

51. What goal(s) did you come up with to increase your physical activity?

52. Physical Goal Walking Exercise at Home Cleaning Shopping
Community Centre or Gym
______ Other
Handout page 18

53. Commitment to Change
Remember YOU have an important role to play in your recovery
The way you look at your physical limitations can stop you from doing things OR help you compensate for your limitations
You may need to find different ways of doing things so that you can continue to live a full and
satisfying life!

54. Acknowledgements
Aphasia Institute
Providence Healthcare