Post-Acute Phase Therapy of Stroke

Post-Acute Phase Therapy of Stroke
        After the acute phase passes, goals of treatment, emphasis on patient rehabilitation measures, and prevention of recurrence of stroke.

Preventive therapy
The aim is to prevent the recurrence of stroke or the onset of a new attack, by among others treat and prevent stroke risk factors:

For stroke myocardial given:
a. Anti-platelet aggregation drugs
b. Medications for heart function improvement
c. Reduced to a minimum the risk factors
   - Avoid smoking, obesity, stress
   -  exercising regularly

        Stroke is the leading cause of disability by the age of 45 years, it is most important at this time is an attempt to limit the extent possible patient disability, physical and mental, with physiotherapy, "speech therapy", and psychotherapy. If a patient is no longer acutely ill after a stroke, the health care staff focuses on maximizing the patient's ability to function. This is often done in a hospital or rehabilitation area in general hospitals. Rehabilitation can also be housed in nursing facilities.

The rehabilitation process can include some or all of the following:
1. Speech therapy to relearn talking and swallowing
2. Occupational therapy to regain dexterity arms and hands
3. Physical therapy to improve strength and ability to walk,
4. Family education to orient them in caring for their loved ones at home and the challenges they will face.

Days 1-3 (on the bed)
• Reduce emphasis on areas that are often depressed (sacrum, heels)
• Modification of diet, bed side, positioning
• Starting PROM and AROM

day 3-5
• Evaluation of ambulation
• Give subluxation of the shoulder sling case

7-10 days
• Activity switching
• Exercise ADL: morning care
• Communication, swallowing

2-3 weeks
• Team / family planing
• Therapeuthic home evaluation

3-6 weeks
• Home program
• Independent ADL, transfer, mobility

10-12 weeks
• Follow up
• Review functional Abilities

        When a stroke patient is ready to go home, a nurse should come to the house for a period of time until the family used to treat patients and procedures to deliver various drugs. Physical therapy can be continued at home. Finally, patients used to be left at home with one or more people who look after him, who now find their lives have changed. Caring for stroke patients at home can be very easy or very unlikely. In time, it will become clear that the patient should be placed in a skilled nursing facility for appropriate care can not be provided at home though well-intentioned family to care for her.

Various kinds of physical rehabilitation that can be provided are:
1. Bed exercise
2. Exercises to sit
3. Exercises to stand
4. mobilization exercises
5. Exercise ADL (activity daily living)
6. Exercise Positioning (Placement)
7. Practice moving from wheelchair to car
8. dress rehearsal
9. Practice reading
10. Exercise pronounce vowels A, I, U, E, O

•    Types of Stroke
•    Ischemic Stroke


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