Rehabilitation after a stroke at home often yields good results, especially with the active participation of relatives. For a person who has suffered a stroke, family involvement in his life and sharing the problem is extremely important. In this article we will cover the main aspects of the recovery period of the patient, which need special attention.
Time should not be wasted
Unfortunately, stroke does not apply to diseases that can be safely forgotten after discharge. Rather, on the contrary, the arrival of home opens a new and main phase of life. Of course, at first the patient must rest, and the task of the family is to make his stay at home as easy as possible. But we should not forget that there is a so-called rehabilitation window for successful recovery, and this period lasts for the first year after the illness. Then you have to accept the changes and live on.
Doctors believe that the first three months of stay at home are the most effective for starting classes. If you spend this time with benefits, the chances of a full recovery from ischemic stroke are about 80%. Alas, rehabilitation after a hemorrhagic stroke at home will not bring so good results. After severe brain damage, it is completely impossible to recover. However, even in such situations, do not give up.
Do not limit a sick relative if he is trying to wash, dress, or stand up by himself. Let him do it wrong, too slowly and often mistaken - with time the patient will learn to live in a new way. At the same time, one should avoid excessive hyperactivity and motivation.
Many people who have survived a stroke believe that if you try to move more, they will become the same. As practice shows, they will not, and the chances of a second strike to the brain increase significantly. The main task of relatives is to find the right balance between the activity and the passive state of the patient, to help him solve minor household problems.
Life after a stroke: how to help the patient stand up?
The biggest problem for a person after a stroke is the inability to move independently. But neuropathologists say that no matter what degree of paralysis there is, it is possible to teach a person to walk, sit and simply serve themselves. So, at home for rehabilitation after a stroke will help special exercises.
Complex training focuses on those movements that are useful to a person in everyday life. If the right hand has suffered, then first of all you need to develop it and at the same time learn to work with the left. It is best to do this in special rehabilitation centers, where mentors will work with each patient individually.
It is extremely difficult to advise any type of gymnastics, not seeing the patient, but there are certain general rules to which you can navigate:
- Develop an individual exercise scheme and distribute the load evenly throughout the day. Divide the time from morning to lunch at equal intervals, for example: half an hour of classes, then 50 minutes or an hour of rest, and so on.
- If the patient is passive and cannot get out of bed on his own, the relatives should repeat the movements themselves: bend and unbend the elbow joint, clench the fingers of the hands, stretch the foot. If this is not done, secondary changes in the joints may develop.
- When the injured arm begins to obey, a treatment method called “Arresting a healthy limb” is applied. The hand, which has not been affected by paralysis, is bandaged for a while, and the patient has no choice but to use the sore limb. Of course, it does not work very well, but there is no other way to learn.
- Special attention should be paid to the bedding of the patient. If you can not buy a special orthopedic mattress, then make sure that it is rigid and even.
- It is possible to make life easier for a person after a stroke and thereby prolong the workout if special handrails can be installed in the patient’s room near the bed and in the bathroom. They will help a person to sit in bed himself or move his body from a wheelchair to the toilet.
- On the recommendation of the doctor as a supplement to the training, you can purchase special manual simulators. But be careful: you cannot use them on your own initiative, since even a regular expander will do more harm than good if the muscle tension is too great.
The main thing in training is repetition. Being healthy, we can overlook some elementary sensations and movements. The sick person has to learn everything anew. The task of the family is to help it develop new stereotypes of movements using the possibilities that remained after the illness, and constantly learn them until they reach automatism.
Gymnastics for the brain and fine motor skills
Many believe that if a person after a stroke began to move independently and somehow more or less coherently, then the activities should be completely stopped. This is wrong, because life after a stroke is a constant rehabilitation at home.
Even after a header and a slight concussion of the brain for about a year, forgetfulness and temporary memory loss may accompany a person. What can we say, if I had to go through a stroke. Some people forget their keys, passport or mobile phone at home. Others cannot remember if they drank the medicine. In such cases, it will be very useful to keep a schedule, set a reminder of an action on the alarm clock. Remind the patient of the need to take a pill or go to the doctor about an hour before the release and then every 10 minutes.
In addition, the distraction itself does not pass, the brain needs to be constantly and methodically trained. For this will be useful lessons and exercises for fine motor skills. Try to play with the patient in children's games or develop creative skills in it. Suitable activities such as:
- modeling from plasticine;
- constructor assembly.
In the choice of exercises the fundamental role is played by which hemisphere of the brain has suffered the most: the left needs logical tasks and puzzles, for the right the most effective will be a creative approach.
Remember that rehabilitation after a stroke is a complex and lengthy process. And most importantly, it is morally difficult for both the person and his family. We'll have to be patient and make every effort to return to normal life. Never give up! Be healthy!