Clinical Psychology for Stroke Psychology Consultancy Community & Therapy Services This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries that you may have.
Why are people referred to a Clinical Psychologist? People can be referred to a Clinical Psychologist for a number of reasons. Clinical Psychologists understand that health affects the mind as well as the body. We work with lots of problems which people may have following a stroke. We also work with people who might have had a stroke. The problems people experience can be to do with: Their thinking skills How they are feeling How they are acting Changes to their personality Thinking skills These include things that the brain is responsible for such as, attention, how we see things, memory, language, planning, problem solving, movement, vision etc. When there are problems with these skills they can feel like a different person. Below are some examples of when this might happen: Memory problems make it harder to learn new information. This can cause confusion about future plans which means the person forgets what will happen. People can get upset that nobody has told them which means they may be angrier than before It can be hard to keep attention on one thing. It is very easy to get distracted. Other people might think this means the person doesn t care or is not interested in what they are saying or doing Seeming to lack motivation. This may be where someone says they will do something but finds it hard to get started on the task Saying things they would not have said before that could be seen as rude or offensive Not seeming to be aware of their difficulties. For example, not being aware that one side of their body is weaker which can lead to frequent falls if they try to stand or move without help Feelings and emotions After a stroke it can be harder to cope with feelings and emotions. Feelings of anger, worry, sadness and frustration may become too much to manage. This happens very frequently after a stroke. We understand that it can be a very distressing time where an individual, their family and friends are trying to work through what has happened. Those difficult feelings can make it hard to complete rehabilitation. People have reported feeling helpless in these situations. There are many different reasons why someone may be upset, distressed, angry etc. following a stroke. These can include money worries, concern about future health, or wanting to return to work for example. A clinical psychologist can help to look at possible reasons for distress and offer support to either the individual themselves, their family, carers, or the rehabilitation team. Actions and behaviour Having problems with thinking skills and feelings can lead people to act in unusual ways after a stroke. This is more noticeable in hospital when the person is more likely to feel confused by their surroundings.
However, it can continue following once they return home. This can be strange and upsetting for the person and their family. We can provide support plans to help understand these changes. Usually when we can understand why someone is behaving a certain way, we feel less upset about it. A clinical psychologist can support the person and their family to find helpful solutions. Personality Sometimes after a stroke, the person can seem to be a different person. Sometimes this is due to the damage from the stroke. Other times it is because the person is very upset by what has happened to them. Many people feel changed after a stroke. Some people may find different things important after a stroke. Others make have new interest in hobbies, or stop doing what they did before. These changes can be seen as positive or negative. They can also lead to difficulties in relationships that may have been based on shared interests, values, hobbies etc. It can be very helpful to talk about the changes with a clinical psychologist. What happens when people see a Clinical Psychologist? The first appointment will last about an hour. Questions will be asked about the stroke and its effects. The Clinical Psychologist will also ask for some background information. A decision is then made with the Clinical Psychologist whether further appointments are needed. These appointments could be for further assessment of thinking abilities, or to begin looking at other ways of coping with the difficulties described. This leads to a joint understanding, which is called a formulation. Future appointments will last between 45 minutes and one hour. How can a Clinical Psychologist help? Strokes can affect people s lives in different ways. For example, how they feel about themselves and their bodies. A person s lifestyle can change after a stroke and people may have feelings of loss if they have to give up work, hobbies or going out. It can make it hard to find the same enjoyment that they used to have in life. People can feel anxious, depressed, angry or frustrated. These are very normal feelings. However, it can change relationships with family and friends. Meeting a Clinical Psychologist can help by giving people the chance to talk about the stroke, the effects it is having on their lives and how to best cope with it. It could also help other people understand why someone may be having difficulties. A Clinical Psychologist can sometimes work with families to help them to cope and to support the person with the changes. This can be through talking to them or giving them information about the problems. A Clinical Psychologist can also help other professionals to work with people differently and to support them in the way they need. Office Hours Monday to Friday 8.00am 4.00pm (Reception Desk) Monday to Friday 9.00am 5.00pm (Clinical appointments)
Catering There are no facilities on this premises, however, there are cafes in the main hospital. Parking There is a pick-up/drop-off point outside of the building with parking located in the main hospital visitors car park. Facilities Available We have access to a ground floor and first floor patient toilet however, patients should be aware neither are disabled access. Contact details for Further Information Diana, Princess of Wales Hospital: 01472 875287 Acknowledgement The picture used on the front of the leaflet is copyright NHS Improvement. Concerns and Queries If you have any concerns / queries about any of the services offered by the Trust, in the first instance, please speak to the person providing your care. For Diana, Princess of Wales Hospital Alternatively you can contact the Patient Advice and Liaison Service (PALS) on (01472) 875403 or at the PALS office which is situated near the main entrance. For Scunthorpe General Hospital Alternatively you can contact the Patient Advice and Liaison Service (PALS) on (01724) 290132 or at the PALS office which situated on C Floor. Alternatively you can email: nlg-tr.pals@nhs.net Confidentiality Information on NHS patients is collected in a variety of ways and for a variety of reasons (e.g. providing care and treatment, managing and planning the NHS, training and educating staff, research etc.). Everyone working for the NHS has a legal duty to keep information about you confidential. Information will only ever be shared with people who have a genuine need for it (e.g. your GP or other professionals from whom you have been receiving care) or if the law requires it, for example, to notify a birth. Please be assured however that anyone who receives information from us is also under a legal duty to keep it confidential. Zero Tolerance - Violent, Threatening and Abusive Behaviour The Trust and its staff are committed to providing high quality care to patients within the department. However, we wish to advise all patients / visitors that the following inappropriate behaviour will not be tolerated: Swearing Threatening / abusive behaviour Verbal / physical abuse The Trust reserves the right to withdraw from treating patients whom are threatening / abusive / violent and ensuring the removal of those persons from the premises. All acts of criminal violence and aggression will be notified to the Police immediately.
Risk Management Strategy The Trust welcomes comments and suggestions from patients and visitors that could help to reduce risk. Perhaps you have experienced something whilst in hospital, whilst attending as an outpatient or as a visitor and you felt at risk. Please tell a member of staff on the ward or in the department you are attending / visiting. Date of issue: April, 2014 Review Period: April, 2017 Author: Psychology Service IFP-801 NLGFT 2014 Moving & Handling The Trust operates a Minimal Lifting Policy, which in essence means patients are only ever lifted by nursing staff in an emergency situation. Patients are always encouraged to help themselves as much as possible when mobilising, and if unable to do so, equipment may be used to assist in their safe transfer. If you have any questions regarding moving and handling of patients within the Trust, please speak to a member of staff in the ward or department you are visiting. Northern Lincolnshire and Goole NHS Foundation Trust Diana Princess of Wales Hospital Scartho Road Grimsby 01472 874111 Scunthorpe General Hospital Cliff Gardens Scunthorpe 01724 282282 Goole & District Hospital Woodland Avenue Goole 01405 720720 www.nlg.nhs.uk