Stroke: Home rehabilitation, Hemiplegia

rehabilitation

Introduction (Expert Homeopathy: Dr. Anutosh Chakraborty)

Before, 'Rest' was the most well-known treatment for stroke patients. The modern medical idea accepts that we can step up and embrace an assortment of dynamic restoration measures to advance the useful recuperation of stroke patients. 

The purpose of the rehabilitation treatment stage is to train and help patients recover their body functions and gradually establish the ability to take care of themselves in daily life and work. After the stroke has passed the acute phase, some patients are transferred from the hospital to the relevant rehabilitation institutions to continue treatment at this stage, while more patients choose to go home for rehabilitation at home. Since the functional recovery of stroke patients is a long and long process, home rehabilitation is particularly important.

Not at all like in the medical clinic, patients at home need to confront different everyday tasks, and their own conditions verify that piece of the body's capacities will be briefly or for all time missing, which straightforwardly influences the day-by-day life of the patients. When managing a wide range of issues, requires more thorough arranging than previously, requiring more energy, time, tolerance, and the assistance of family, companions, and others.


How to make the transition before and after hospital discharge?

For the patient’s family, the transition from the hospital to the home is a complicated process.

First of all, they must properly remodel the bedrooms, bathrooms, kitchens, and other structures and facilities in their homes to meet the needs of patients.

Secondly, they also need to consult medical workers about the patient’s condition to learn about the patient’s current functional status, which activities can take care of themselves, which activities need help, how to take medication, and which changes need to be recorded and reported to the medical staff in time Reflected by the person.

In addition, the family members of the patient should consult with the rehabilitation physician about what exercises the patient can do at home, what activities need to be avoided, what precautions, and the time of follow-up, etc.


How to restore self-care ability for a stroke patient/treatment

For home rehabilitation of stroke patients, it should start with the most basic daily life, such as going to bed, getting up, bathing, dressing, taking medicine, cooking, and activities in the house. It needs to be emphasized that these rehabilitation training must be carried out under the premise of ensuring the safety of patients. Patients should be encouraged to reduce the degree of assistance as much as possible and try to use the affected limb to complete daily activities.

What needs to be reminded is that the patient should not be allowed to stay in bed all the time. Because this will adversely affect the patient's heart function, respiratory function, digestive function, motor function, etc. The patient needs to practice turning over, and then practice how to move from the bed to the wheelchair or stand up.

As the vasomotor function declines after a stroke, the movement should be slow during rehabilitation to avoid dizziness.


Need to maintain the correct posture

At all times, the patient needs to maintain the correct position to prevent muscle contracture. The specific approach is:

The head and neck should be in the middle to maintain body balance; when sitting down, the hips and knees should be bent, the waist should be straight, and the feet should be on the ground; when lying down, if you lie on the affected side, put a pillow on your back to keep your body Slightly recline, if you lie on the healthy side, make your body lean slightly forward, put a pillow under the upper limbs of the affected side to stretch the upper limbs forward, put a pillow under the affected forearm, or hold the affected wrist with a healthy hand Joint, make the upper limb of the affected side bend forward, make the elbow joint straighten or bend slightly, the hand is facing up, the wrist joint is stretched back, and the fingers are straightened. Patients need to change their positions frequently to prevent a certain part of the body from being pressed for too long and affect the blood supply of the skin, and to prevent bedsores and skin damage.


How to move safely?

Before moving, the patient needs to make a thorough plan to eliminate various obstacles that may cause an accident. If the wheelchair is moved from the bed, the wheels of the wheelchair should be locked to keep the wheelchair fixed. When moving, first sit on the side of the bed, and slowly move into the wheelchair after 2-3 minutes with your feet on the ground. Lean forward slightly. You can use crutches on the healthy side to help coordinate the balance of the body. Generally, the initial stage needs to be completed with the help of family members. Slowly change to the patient's free finishing.

How to reduce the hidden dangers of accidents?

In order to reduce the hidden danger of accidents in indoor activities of patients, the indoor structure and equipment should be adjusted appropriately. The door should ensure a certain width, remove the door threshold, and remove the obstacles in the corridor to ensure that the wheelchair can enter and exit freely. If there are stairs in the home, there should be handrails on both sides, and the first and last steps of the stairs can be painted in different colors to facilitate the movement of patients with visual impairments.

In addition, all kinds of switches and sockets in the home should be set at an appropriate height so that patients in wheelchairs can use them. Bathrooms and kitchens also need to be adjusted to reduce the occurrence of various accidents.

Finally, it is necessary to strengthen the protection of the patient’s activities. When the patient performs various activities, the general family members can choose to stand behind the patient with open arms, and place their hands on both sides of the patient’s shoulders without touching them, in case the patient loses balance. Provide support promptly.


How to prevent recurrence of stroke?

Among stroke patients, nearly 50% are relapsed patients. For stroke patients who are recovering, recurrence is undoubtedly another major blow. In this way, we need to receive different measures to effectively forestall the repeat of stroke.

It is currently evident that hypertension, hyperlipidemia, and diabetes are the three significant danger factors for stroke. In this way, circulatory strain, blood lipids, and glucose should be completely controlled under the direction of doctors to diminish the chance of stroke repeat.


How to adjust to sex life?

After a stroke, most patients have sex life problems of varying degrees. In male patients, they are mostly manifested as impotence and premature ejaculation, while female patients are mostly manifested as decreased libido and decreased sexual function. In addition, obstacles in sports, communication, and psychology also affect the quality of sex life.

In order to promote the coordination of sexual life, the doctor’s recommendation is that male patients can adopt a more passive posture to reduce physical exertion and relieve pain in the affected limbs, and increase communication and psychological comfort for female patients. At the same time, patients can take some drugs under the guidance of a doctor. In addition, some surgical treatments can also be performed.


Conclusion

The recovery of stroke patients at home is a significant piece of their treatment interaction. Subsequently, with the assistance of specialists and relatives, patients ought to constantly work on their capacity to deal with themselves and keep away from the endless loop, so their body capacities can be recuperated as far as possible and the personal satisfaction ought to be improved.

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