E15: Participation in community

Those affected by stroke are enabled to live a full life in the community. (Key: e = element | k = knowledge | s = skill)

Knowledge and understanding of…

e15k_1:
The assessment and management of problems: psychological and emotional; social and relationship; cognitive and communication; physiological, physical and functional; neurological, visual and sensory impairments and pain; medical
e15k_2:
Advocates for stroke patients when there is a legal duty to instruct an IMCA, taking account of religious and cultural aspirations
e15k_3:
The needs and aspirations of those affected by stroke, particularly those related to the problems listed above, and how these needs and aspirations can be met
e15k_4:
Support services, organisations and resources available (e.g. health, social, voluntary, independent sector; packages of care, finance and personal budgets, self-management, respite care, equipment, adaptations, rehabilitation, psychological, educational, employment, housing, transport)
e15k_5:
The impact of stroke on the individual, carer and family
e15k_6:
The implications of stroke for lifestyle; driving; work, including voluntary and family
e15k_7:
Methods to help communication with those affected by stroke, including when conducting a review

Skills and ability to...

e15s_1:
Take and interpret thorough history, including information from carers, relatives and other agencies where possible, and assess mental capacity
e15s_2:
Communicate and discuss: current event; risk of future vascular event; need for assessments/investigations, interventions/ treatments and their timeframes; rationale for treatment and possible side effects of treatment; and provide timely information, advice and support
e15s_3:
Assess, discuss and review with those affected by stroke: goal-setting and outcomes
e15s_4:
Monitor the individual’s progress and agree on or change a maintenance or management plan
e15s_5:
Plan assessments and treatments; provide information, relevant to individual needs and aspirations (personalise information)
e15s_6:
Identify need and when to refer for more specialist or differing treatments where necessary
e15s_7:
Know of local services, their waiting times and implications for those affected by stroke
e15s_8:
Use individual commissioning