Care at Home and Stroke Recovery
A stroke is a scary experience. Afterward, there are many questions about recovery. Most people wonder if they will be able to recover, and – if so- to what extent? Will they ever be able to be fully independent? Will there always be problems with the arms and legs? Will speech patterns return to normal?
Much of the recovery is dependent upon several factors, including the type of stroke that occurred, the amount of time between the stroke and medical assistance, the person's age and general health, and the extent of the damage. According to Dr. Randie Black-Schaffer of the Spaulding Rehabilitation Hospital's Stroke Program in Boston, "It's difficult to predict to what degree someone will recover after a stroke. How quickly a patient recovers in the first few weeks can give us an indication of how much damage occurred, and we can make some educated guesses based on that."
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According to WebMD, one-third of all people who have strokes have a second stroke within 2 years, and the number one cause of these strokes is high blood pressure.
Eighty percent of strokes are caused by blood clots or plaque that break free and travel to the brain. Theses blood clots and plaque are linked to narrowed arteries from cholesterol and other life choices such as smoking. The narrow arteries are directly tied to high blood pressure. High blood pressure is also the most common cause of a hemorrhagic stroke, which occurs when a blood vessel in the brain ruptures.
To reduce the risk of a second stroke, a key component of stroke recovery must be addressing high blood pressure. This means stopping smoking and avoiding second-hand smoke, reducing blood cholesterol levels, reducing alcohol consumption, and losing
The long term effects of a stroke are different from person to person. If the right side of the brain was damaged the left side of the body will be affected and if the right side of the brain is damaged the left side of the body will be affected, also the left side damage to the brain will affect Speech, Balance, Vision and breathing ("Treatment - Stroke - Mayo Clinic," 2015). Extensive therapies are require after a stroke these are physical therapy, occupational therapy and speech therapy. There is also rehabilitation services through in home care, hospitals or skilled nursing facility’s depending on the circumstances. Counseling is available to help cope with the new changes happening to the inside and outside of the body ("Treatment - Stroke - Mayo Clinic," 2015). There are a few alternative treatments available to they are not approves by the food and drug administration ("Stroke Alternative Treatments," 2013). Some of these natural therapies would include aromatherapy, massage therapy and yoga, these help reduce stress and relax the mind and body ("Stroke Alternative Treatments," 2013). Some patients controlled their diet by taking notice of the amount of cholesterol that they were taking in from foods they were eating ("Stroke Alternative Treatments,"
Stroke affects everybody differently, and it is difficult to say how much of a recovery is possible. Many stroke survivors experience the most dramatic recovery during their stay in hospital in the weeks after their stroke.
Dr. Bolte Taylor made a list of things she needed the most from the people around her during her recovery process which can be summarized as the desire to have people support and believe in her recovery. Something that may hinder the recovery of stroke victims is the treatment itself. While it had to be Dr. Jill Bolte Taylor’s decision to recover, she was much more willing to put forth effort when her caregivers gave her direct eye contact and spoke to her gently and were generally kind people. She would tend to shut down when people seemed to be in a rush or seemed frustrated. It is also important that the people treating stroke victims know what they are capable of.
According to the Centers for Disease Control and Prevention (CDC) (2015) every year there are 800,000 individuals who have strokes. There are 610,000 first time cases and 185,000 recurring stroke individuals. It is important for caregivers to note that the increased risk of another stroke is higher after the first (CDC, 2015). It is also critical for the caregiver to ask questions of the physician, such as what aspects physiologically and emotionally have been affected and treatments
A stroke can have a devastating effect on somebody; it may leave a person with no long-term effects, with a permanent weakness down one side of their body or, at worst, in a deep coma from which they never recover. When moving and handling people who have suffered from a stroke, you will need to be aware of the extent of the stroke and what parts
There are two major branches of strokes: those caused by narrowing or blockage of the arteries leading towards the brain, and those caused by blood vessel leaking or rupturing in the brain. Ischemic strokes account for approximately 87% of Stroke cases, which reduces the blood flow to the brain. About half of the Ischemic strokes are caused by clotting in small or large arteries, a smaller portion are caused by
Stroke is a leading health care problem worldwide; ‘living with stroke’ is a real challenge both stroke survivors and their caregivers face.
Adults and children are both affected by strokes. Strokes are one of the top ten causes of childhood death (Buzzard, 2013, pg. 9). Between 50 and 85 percent of children who have strokes will be affected with long-term health issues (Buzzard, 2013, pg. 9). These health issues may include learning difficulties, seizures and possible recurring strokes (Buzzard, 2013, pg. 9). Up to 20 percent of all strokes occur in people over the age of 55 years old (Buzzard, 2013, pg 7).(DeTallo, 2013)
Hypertension ¡V of all the risk factors that contribute to stroke, the most powerful is high blood pressure. People with hypertension have a risk for stroke that is 4 to 6 times higher than the risk for those without hypertension.
There is evidence to suggest that improved motor recovery occurs when the brain uses the original neural system to control the movement as this is shown to represent "true" recovery. Whereas, if new networks were to form in the unaffected hemisphere of the brain, motor recovery will be reduced. As a result of using these new networks, fine motor control is lost and employment of compensatory movement strategies are associated with a poorer functional outcome (Nudo, 2007). The recovery of motor skills following a stroke, like walking, relies on the brain’s ability
Stroke survivors commonly experience medical complications during their rehabilitation stay. Depression, urinary tract infection, and limb pain have been reported as three of the most common complications experienced among stroke survivors (Doshi et al., 2003, McLean, 2004). The use of medical tubes (tracheostromies, enteral feeding tubes, and indwelling urinary catheters), and associated complications, are also on the increase in rehabilitation units (Roth and Lovell, 2003). (Ostwald, Sharon K., et al.,
“The three most commonly examined social determinants of CVA outcomes are family supports/social networks, availability of resources, and pre-stroke living arrangements.” (Rizzo, 2006) Social workers can be many different types of support to the
A stroke is a type of cardiovascular disease that affects the cerebral arteries, those blood vessels that carry blood to the brain. A stroke occurs when one of those blood vessels in the brain is obstructed or ruptures flooding the brain with blood. Depriving blood and oxygen to the brain results in those immediate cells death, causing the brain not to function properly. Once parts of the brain stop functioning, it can directly affect the areas of the body controlled (1).
A stroke caused by a blocked artery by a blood clot or bursting of a blood vessel because of uncontrolled high blood pressure. There are main three types of the stroke. An ischemic stroke occurs when a blood clot blocks one of the arteries which supply blood to brain. A clot may be caused by fatty deposits (plaque) that build up in arteries and cause reduced blood flow (atherosclerosis) or other artery conditions. (mayo clinic). About 89%, strokes are ischemic strokes. Ischemic stroke includes thrombotic stroke. A thrombotic stroke occurs when a thrombus stuck in one of the arteries that supply blood to the brain. A clot build-up of fatty deposits in arteries. Another type of stroke is called the hemorrhagic stroke. This stroke occurs when a blood vessel leaks or ruptures in the brain. A bold vessel leaks or ruptures from many conditions like uncontrolled high blood pressure or overtreatment with anticoagulants and the weak spot in blood vessel walls. (mayo). Some people experience a mini-stroke it is known as a transient ischemic attack (TIA). A temporary decrease or clot stuck in a vessel in our brain causes TIA. It happens less than five minutes. This stroke does not have any symptom, because the blockage is
The most common causes of strokes are thrombosis. This is when a clot forms in one of the arteries, mostly in the carotid in the neck and the vertebral artery. The blood is thick and moves very slowly through the artery. The thrombus will form on the damaged area of the artery wall and will cut off the flow of blood to the brain. The area of the artery that is damaged is cause by arteriosclerosis. This form of