Even a severe stroke is not a sentence. Competent treatment and rehabilitation after a stroke can restore lost functions as much as possible, and competent home care will significantly speed up the whole process.
Therapeutic gymnastics, massage, coups – the minimum of procedures that should be provided to every patient after a stroke. Exercise and changes in body position can help prevent pressure sores. The key to success in home care is not only the professionalism of the nurse or relatives, but also the desire of the patient to get back on their feet as soon as possible. Active participation in all procedures, a sincere desire to continue classes even with minor successes increase the effectiveness of home care several times.
The position of the patient’s body also affects the general state of health, so it is important to properly position yourself in bed.
If the patient is lying on his back, it is necessary:
- Install a stool next to the bed (on the fixed side). Put a pillow on a chair, the corner of which should be placed under the person’s shoulder.
- Turn the paralyzed hand with the back of the hand up, spread your fingers.
- At a distance from the palm to the middle of the forearm, install a splint.
- Move your arm to the side so that the shoulder and arm form one horizontal line. Put your hand on the pillow.
If the patient’s leg is paralyzed, it must be fixed in a certain position: slightly bend the knee, put a roller under it, and set the foot in a half-bent position.
When turning the patient over to the healthy side, you should:
- Lay a motionless arm on the pillow, after bending it in the elbow and shoulder area.
- Bend the leg on the paralyzed side at a right angle. Turn the shin also slightly.
In the case when the patient is placed on the paralyzed side, you need:
- Slightly tilt your head down.
- Put the fixed hand forward, palm up, at an angle of 90 ° to the body.
- Place a healthy hand on the side or behind.
- Straighten the paralyzed leg at the hip and slightly bend at the knee.
- Bend the movable leg at the hip and knee, lay on the pillow.
Another “basis” of effective home care for a person after a stroke is regular therapeutic exercises. It is important not to stop the exercises, to perform them periodically every 4 hours and to ensure that the patient participates in the procedure as much as possible.
Of great importance is “passive gymnastics” – when exercises are performed on a paralyzed leg or arm. Such manipulations allow you to maintain the mobility of the joints, do not allow the development of dangerous diseases. In the case when both the arm and leg are paralyzed, they first develop the arm, and then move on to the leg.
It is important to remember: during the procedure, you can not make sudden movements. No jerks, throws or quick lifts! All exercises are performed smoothly and carefully, and the patient’s condition is constantly monitored. We must not forget about breathing exercises – it has a positive effect on the patient’s muscle tone.