Deck 29: Leisure Participation after Stroke

Question 1

Prior to his stroke,a person spent 80% of his waking time at work in a high stress job.He does not have hobbies,but has been interested in learning more about sport activities.Which of the following would you do?

A) Do an activities-interest battery with him to determine interests and assist him in gathering information, making contacts, and trying out the activity.
B) Tell him to seek out a less physically challenging type of activity.
C) Have him learn woodworking using one hand and postpone developing an interest in sports activities. The activities are too strenuous and will set him up for failure.
D) Encourage him to learn all about the activities in which he is interested, since all of his stroke sequelae will resolve and he will be able to do the activity in a short time.

Answer 1

A
It is common for interests to vary,change,and develop after stroke.A leisure checklist or interest battery may be helpful to begin the process of having this person identify currently meaningful activities.

Question 2

Which of the following statements is(are)true regarding leisure participation after stroke?

A) Limitations to participation included physical impairments, cognitive impairments, transportation issues, and cost.
B) Most of the subjects reported a change in activity and interest patterns after stroke.
C) Further research is needed to confirm the finding that specialized occupational therapy can be effective in raising leisure activity and to show whether this translates into improved psychological well-being.
D) All of the above are true.

Answer 2

D
Based on the current level of evidence,all of the above are true.

Question 3

Potential tools used to address leisure participation include:

A) Canadian Occupational Performance Measure.
B) Activity Card Sort.
C) Nottingham Leisure Questionnaire.
D) all of the above.

Answer 3

D
The above tools are all appropriate to assess leisure status post-stroke.

Question 4

A person had a stroke that affected his dominant right hand.Before the stroke,he was an avid trout fisherman.You are treating him in a community-based setting.How could you assist him in returning to trout fishing?

A) Locate a source for an adapted fishing pole that will allow him to single-handedly manipulate the fishing pole.
B) Recommend that he give up fishing and consider other leisure pursuits.
C) Seek information about accessibility of the terrain in the region where he fishes and/or make recommendations for river locations that would allow access.
D) Both a and c.