A few things to do before you arrive...

• Researched the national statistics for stroke, with particular reference to stroke as an age-related phenomenon
• Read Chapter 5 of the National Service Framework for Older People – Stroke (available from online reading list)
• Found out about the main principles of rehabilitation for stroke patients, and which agencies should be involved in the collaborative care of these patients


• Tutorial on stroke and the health promotion interventions that can reduce a patient’s risk
• Meet with member of MDT to discuss role of team members stroke / disability care
• Visit to / meeting with a local voluntary agency providing support to stroke patients
• Prepare an interview schedule to use with a patient who has problems with mobility. Include brief review of their home and work circumstances etc with respect to how well different environments are adapted to help overcome the patient’s disability
• Visit a patient with impaired mobility at home (patient will be coming into the surgery)
• Debrief with tutor

• Poster Presentation to the rest of the small group and MedSoc tutors

Aim: To introduce students to the effects of stroke, particularly in relation to mobility and the part played by environmental factors, healthcare and other agencies in supporting the impaired person.

Learning Objectives
• Discuss the impact of stroke on an individual and their family and the role of voluntary agencies in providing support
• Demonstrate an understanding of the effect of poor mobility on the individual; and the changes needed within the community
• Identify important members of the MDT in assessment and care of patients with impaired mobility
• Describe a health promotion intervention that can reduce the risk of stroke in an individual at risk
• Practise blood pressure measurement, examination of central and peripheral pulses, communication skills

Reflective writing

How did you feel meeting a person that had suffered a stroke/had a mobility problem?
What aspects of the meeting were most difficult?
Did the patient seem comfortable with you?
Were you surprised at the impact it has had on their life?
Did anything about the MDT surprise you?
Were you aware that so many different professional were involved in the care of patients with mobility problems?
What role did the GP play?
Was this what you had expected the GPs role to be?
Consider the health promotion interventions you have heard about or observed today; what effect do you think that being told you are at high risk of stroke or heart disease has on an individual?

Essential reading

Further reading


Look at the new adverts on the Stroke Association website

Community based physiotherapy after stroke in England

Ouch! The excellent BBC disability website

Disability on Youtube

Excellent book about having a stroke: In July 1995, Robert McCrum suffered a severe stroke at the age of 42. The editor-in-chief of Faber & Faber and now literary editor of the Guardian, found himself paralysed down his left side, unable to walk or talk intelligibly. Making extensive use of his diary and that of his wife Sarah Lyall, this thoughtful and optimistic memoir takes us through his first year of treatment and recovery.

My short article about stroke rehabilitation.


Poster Presentation (30%) of total MedSoc Marks

Students (in pairs) should produce a poster or computer animated presentation on a health-promotion theme and deliver a 5-10 minute presentation on the day to the GP tutor, Community Tutor, the other students. The topic should be decided in consultation with the tutors, but should be on a health promotion theme they have observed during their placement, for example flu vaccination in the over 65s, management of obesity, coping with stigma, managing diabetes, etc. Students should be prepared to answer questions. Tutors will give feedback and grade the presentation. Pairs (or threes) of students should normally receive the same grade.

Please watch this slideshare to help learn about how to do a presentation:

"...the assumption underlying choice is that patients like those we have met, and doctors like me are equally able to take control of our lives and define ourselves by our choices. It assumes, wrongly, that providing information is enough to empower people to choose a healthy lifestyle. Offering choice without addressing the conditions within which people live their lives, the experiences that affect their decisions, and aspirations which shape their vision of the future, widens inequality by empowering those ready to make those choices and alienates those people who have very different priorities."

With this in mind, how would your health promotion campaign differ from the ones already on offer?
There are some imaginative ideas on youtube and on the various nhs websites

You only need to present for 5-10 minutes. You will be marked out of 30 with 10 marks for each of the following:
  • Content: Is the information accurate and is there the right amount?
  • Presentation: Do you communicate the message clearly and convincingly?
  • Poster: Is the visual content professional and your own original work, does it catch people's attention?

NSF for Older People - Standard 5 Stroke.
http://www.dh.gov.uk/assetRoot/04/07/12/83/04071283.pdf Pages 61 - 76