Home After The Stroke.
— January 19th, 2020
Stroke is a serious medical condition that occurs when there is inadequate blood flow to parts of the brain that results in the death of brain cells. The significant damage to the brain cell will cause impairment in functions such as movement, cognition, emotions and communication that were controlled by the affected area of the brain. The severity of the loss of function varies according to the location and extent of the brain involved.
The occurrence of stroke among older adults can cause a profound disruption in their lives. The magnitude of impairment and/or disability are the worries and concerns if they can ever return to their old self and loss of independence and loss the ability to perform activities of daily living.
At-home rehab challenges
After acute extensive interventions and rehabilitation care, discharge plans are set and rehab continues at home. For older adults, the rehab phase may be slower process because in addition to the residual deficits caused by stroke, they also deal with the challenges of the changes in aging. Home rehab care and management can be particularly challenging if the patient has an elderly spouse caregiver who also deal with her/his own chronic health problems.
Depression is common with symptoms of anxiety, low of energy, poor appetite and sleep disturbances, due to the damage to the emotional area of the brain. Limited functional capacity after stroke will put patient the feeling of loss because of their impaired movement, inability to do the things they used to do and/or maybe impaired in communication if affected. Patient tend to refuse to go out there and socialize and thus risk of social isolation.
Patient may become fearful because of the risk of having another attack. Because of impaired physical capacity, patient is scared, thus restricting and limiting their activities and can interfere with effective rehab. Failure to continue the rehab regimen at home may result in deterioration and further complications.
Strategies for continuing participation of rehab regimen at home
Both patient and family are affected after the stroke, therefore they both need support to cope. Open communication is significant between patient and family to discuss changes in lifestyles, roles and responsibilities. Encourage expression of fear, anxiety and frustrations. This will help in better understanding of the changes and expectations and be able to plan and reach out for available resources if required.
Support from family to the patient will have great advantage in recovery. This provides reassurance and encouragement to continue every effort and acknowledges the progress to help boost his/her confidence. This will give confidence to the patient, so they may be consistent and actively engage in the rehab regimen at home. Establishing a routine at home such as providing assistance to perform activities of daily living and engaging activities that the patient used to enjoy to do outside the home to promote socialization and integration in the community.
Coping of family is significant to be able to provide an effective support for their loved one. Education on behavioral changes, neurologic deficits will help them care for their loved one. Family support group are beneficial to join and meet other families who had the same experience which they can also share their own experience/ challenges and listen and learn from others.
Geri Health Home Care model of care ensures safety, comfort and recovery with full constant support to patient and their families at home after stroke. A thorough assessment and ongoing evaluation ensures care is individualized based on the changing care requirement of the patient and/or family.