This piece will discuss what to do after a stroke presuming the survivor has been released from the hospital. As a preventative measure we need to make certain that the patent’s status has stabilized. Even though released from hospital the staff may still issue some directing instructions on what can and can’t be done – please stick to their recommendations.
Assuming that everything is well in that regards, the next phase is stroke exercises or after a stroke rehabilitation. Stroke rehabilitation for survivors can rely on many factors. The problems being experienced and how intense the impairments are will likely be the primary determinants of the sort of rehab that will be undertaken. Of course financial wealth will also play a function in the treatment that is pursued.
After a stroke rehabilitation may consist of cognitive therapy, speech therapy, gait therapy, occupational therapy and physical therapy. A full scope of therapies are obtainable to address the particular needs of the patient. The family unit of the patient may select to register them in a specialist center that can be live in or done direct with daily visits, where all the assorted practitioners are under the one roof. This selection can help a lot of travel hassles and save time.
Some other patients may just want a smaller group of practitioners so their rehab after a stroke may just consist of going to one type of therapist to work on one facet of their recovery. For example they may be seeing a therapist for the movement issues and spasticity in their limbs.
Some patients may wish to conduct their own rehabilitation at home. Under the guide of a practitioner, a book or instructional manual the stroke survivor and his family or carer can learn about stroke rehabilitation. They can learn the basics of neurology and the working of the brain. How to understand what parts of the brain were affected by the stroke and how to test for deficits. Based on this info a individualized after a stroke exercise program can be developed. In it’s entireness it may consist of motor or movement rehab, cognitive or thinking rehab, and gait work and sensory therapy. Working on decreasing the spasticity and increasing the movement of limbs is one the main focuses of stroke survivors and should be addressed in your rehab program.
The most important part of recovery after a stroke is rehabilitation. It will help build strength, co-ordination and improve confidence. The main goal for a stroke survivor is to be as independent and self productive as possible. Maintaining and improving the person’s physical condition is vital for this goal.
The early goals of rehabilitation start with the nurses and other hospital staff as they work to prevent many of the secondary problems associated with post stroke patients. Things like stiff joints, falls, bedsores and infections. These can result from being bed ridden for a long time. The proper positioning of the patient is one of the first and most important considerations in early rehab care to prevent these problems. The foundations laid at the begin by the specialist rehabilitation team enhance the functioning of the patient at the later stage.
The room may need to be arranged a certain way for patients with loss of movement or hemiplegia on one side of the body. The bed positioned with the hemiplegic side towards the larger part of the room, door and main seating area will encourage the patient to turn towards and engage the affected side.
It is vitally important to position the patient out of undesirable postures (e.g those that may be painful, reduce circulation or lead to bed sores or postural deformities). Correct positions can help encourage proper joint position and alignment, symmetry and comfort. This is vitally important as patients may initially spend a considerable amount of downtime in their room either in a bed or in a chair.
Some tips to help maximise position variation can be achieved through the use of a positioning schedule. Static prolonged postures in any position must be avoided. Emphasis should be placed on increasing out-of-bed time and upright posturing in a armchair or wheelchair.
A very important factor in long-term recovery is continuing stroke rehabilitation at home. Studies have shown that once stroke patients return home there is a decline in their rehabilitation and less attention is given to it.
The Behavioral Risk Factor Surveillance System conducted research in 2005 and concluded only 31% of stroke survivors receive outpatient rehabilitation. This resulted in lower rates of functional status and decreased quality of life. In the longer term studies also show that less than 10% of people after a stroke receive occupational or physical therapy. However, lower levels of disability and ongoing problems were reported by those patients who did receive therapy.
The benefits for patients who received continuous, long-term rehab were numerous. Patients were able to learn new strategies to compensate for abilities lost, created new neural connections to bypass damaged brain cells, decreased medical complications, reduced the risk of another stroke, and made the most of their new functional abilities.
Financial factors are one obstacle in the way of therapy, therapists and professional caregivers. On going compliance of patients can also interfere with follow-up treatment, especially for those who may feel better or have become independent already. But the biggest challenge comes in the transfer of information and technology to those who will actually use it.
In order to maximise recovery continiuing stroke rehabilitation at home is very important. It should be made a priority because of how crucial it is for the stroke survivor’s continuous recovery.