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…

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
Advocates for stroke patients when there is a legal duty to instruct an IMCA, taking account of religious and cultural aspirations
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
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)
The impact of stroke on the individual, carer and family
The implications of stroke for lifestyle; driving; work, including voluntary and family
Methods to help communication with those affected by stroke, including when conducting a review

Skills and ability to...

Take and interpret thorough history, including information from carers, relatives and other agencies where possible, and assess mental capacity
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
Assess, discuss and review with those affected by stroke: goal-setting and outcomes
Monitor the individual’s progress and agree on or change a maintenance or management plan
Plan assessments and treatments; provide information, relevant to individual needs and aspirations (personalise information)
Identify need and when to refer for more specialist or differing treatments where necessary
Know of local services, their waiting times and implications for those affected by stroke
Use individual commissioning