Chapter 4. Early Management

  1. Dr Judi Edmans Therapists Specialist
  1. Sue Winnall1 and
  2. Janet Ivey2

Published Online: 13 MAY 2010

DOI: 10.1002/9781444323801.ch4

Occupational Therapy and Stroke, Second Edition

Occupational Therapy and Stroke, Second Edition

How to Cite

Winnall, S. and Ivey, J. (2010) Early Management, in Occupational Therapy and Stroke, Second Edition (ed J. Edmans), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444323801.ch4

Editor Information

  1. University of Nottingham, Nottingham, UK

Author Information

  1. 1

    Mile End Hospital, London, UK

  2. 2

    Llwynypia Hospital, RCT, Mid-Glamorgan, South Wales, UK

Publication History

  1. Published Online: 13 MAY 2010
  2. Published Print: 25 JUN 2010

ISBN Information

Print ISBN: 9781405192668

Online ISBN: 9781444323801



  • early management;
  • effective appropriate early management - in care and rehabilitation process, patient with stroke;
  • CT scan (computerised tomography or CAT scan);
  • structured observations by occupational therapist - informing therapy process;
  • cognitive and perceptual screening - occupational therapist's role in stroke care;
  • questions or tasks' checklist - directed at cognitive skills;
  • neurophysical screening - patient suitably dressed for assessment;
  • three main communication disorders with stroke - aphasia/dysphasia, dysarthria and verbal apraxia;
  • communicating with aphasic patient - facing the patient you are talking to;
  • Hospital Anxiety and Depression Scale and anxiety evaluation


This chapter contains sections titled:

  • Introduction

  • Prior to assessment

  • Initial interview

  • Initial assessment

  • Intervention

  • Equipment

  • Other impairments impacting on functional ability

  • Swallowing

  • Mood

  • Fatigue

  • Self-evaluation questions