Caregiver Training at Four Months
| Patient | 74F, chronic phase |
|---|---|
| Lesion | MCA territory, moderate |
| Severity | NIHSS 7 |
| Days since onset | 120 |
| Before the strokeIndependent, keen cook, ran the household | |
| Also on the chartAtrial fibrillation; Osteoarthritis of both knees | |
| PrecautionsCaregiver back strain during assisted tasks; Anticoagulated — avoid high-risk practice setups | |
Test yourself
How should you structure the caregiver’s role in the home programme?
The teaching
Caregiver-mediated exercise improves outcomes when carers are trained and supported (Vloothuis 2016) Over-helping breeds dependence and learned non-use — support without smothering Assign the affected arm real daily jobs, and let the carer cue rather than do
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The full sequence
This page carries the case’s first decision. The full sequence — every decision, the five-domain examination, and the debrief that grades you — is in the drill, and the library is included with membership.
Sources on this page: Vloothuis 2016, Cochrane Database of Systematic Reviews, caregiver-mediated exercises after stroke. Winstein 2016, Stroke, guideline for adult stroke rehabilitation and recovery