fatigue stroke training Important patients relatives measures specific survivors agree assessment discussion advice impact knowledge life Management experience found patient managing presentation post outcome message neuro subjective standardised steps skills suffer tough understanding word workplace years framework gap Great ensure input approach acute challenge due education difficulty Cognitive communication components commonly coping Cummings discussing activity complexity describing enable challenges challenging barriers carers ASU basis absolutely impairment interested interesting joining Limited Listening learn learning evidence explain Explore difficulties family feel gaining helpful triggers vital signs Severity strategies successful teaching therapists therapy things taking tired multifactorial necessarily Pacing performance person Physiotherapist Reactive proactive profession recognising remember rest Scale session sessions service sesh Rightly robus robust report required research researcher reserves responsive reduced reliant Psych pts putting QOL quality Radio random receiving recognise prioritise pointed practically practice personality Personally periods past nature overcoming overwhelming mandate MDT measure noise observational occupation occupational occur occurs