RAIHANPAHIMI

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Monday 7 September 2015

“Caregiver must be patience and sincere for patient recovery”





“Caregiver must be patience and sincere for patient recovery”


The Tips listed below are my 15 years experience as caregiver to my lovely wife.since  15 years ago. .As a result of head surgery in 2001 that she been undergo to safe her live after coma for 2 days.. (AVM).


The tips I mentioned in my book with the title “LOVE TILL HEAVEN” as to share my practices and experienced of take care stroke patient, and to list all the activity that been practiced by me and found out it is successful.  After 15 years my wife manage to recover back to normal with achievement of 90%. Thus activities I should share with other people. So that we can reduced their burden, pain and sorrow.

Most of the  cases stroke occurs quickly, (some time no early sign).when the stroke attacked  all in the families become panic, shock do not know to handle. Especially at the early stage after stroke attack. Normally we  will bring the patient to the hospital for emergency treatment, After  a few days (usually more than a week) the patient will be  warded in hospital  and when the patient's condition is quite stable,  the doctor would  asked  the patient's family to bring him home. The patient will go under follow-up treatment in clinics and physiotherapy treatment in hospitals. When the stroke survival gain their improvement, the doctor will asked the patient to get medical review treatment for some time as follow up medical check.

Based on my experienced  as  caregiver  to my wife, I the one who played the main role to take care and give morale support for her to be quick recover. Other member of the family also play prominent role as assistance to ease the process of recovery by stroke survival .the listed tips should be practice by caregiver to ensure we can give fully support  to the patient.
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Tips 1: The Caregiver and the family member should have a paradigm shift of thinking to stroke patient.
This mean all next of kin must understanding and try to adopt of totally change of attitude and patient feeling. Stroke survival most probably totally change her character before the attack. Her attitude will against normal characteristic. If before she is very happy go lucky person. Seldom to talk with other person, This normally  happen at the early day stroke survival  go home, .
First of all the drastic change notice to my wife after stroke attack, she will be a person that always ‘depress’ and become inferiority person, easily to cry most all the day. Like to be lonely and do not want to talk with other people. Very sensitive and easily misunderstanding, always thinking of negative thing. Her feeling no future for her live, mostly like to die.

The husband as caregiver has to play important role to recover back the patient mind set. What I am doing try to be with her all the day round, show my love is still honest and the only lover is her. My sweet heart. I has to be patience to what ever he said and complaint.  Every time when we are lonely (just two of us) I will made physical touch like, kissing her and said “I love you darling”, this magic phrase has to be say every day and from time to time. I had made my own observation, her emotional gradually improved and it seem very fast improvement. Every night when we are going to bed, I used to hug lovely her most of the whole night. Body touching will bring positive  charge to in our body to be naturalize by negative charge from our partner body, thus transformation that take place will be a good source to our health. When we wake up in the morning we can feel the freshness and healthy energy,

If the caregiver do not play his role to the patient for recovery, the patient emotional will be worst and if the depress situation continuously silly and no other family relative to take care, the stroke patient will be thinking he is not wanted by the family, his  feel lonely and been put aside by the family. He may thinking that due to disability all their family will hate her and this physiology change with the negative attitude, will be one of the factor that can slowdown their healing process will become slow. Thus situation will make the patient recovery very slow and  to be one of the resistance for fast track recovery by the patient. So the husband is the vary important person that can help the stroke patient to recovery.


TIPS 2: PROPERLY MONITOR THE SCHADULE TIME TABLE FOR PATIENT TO TAKE HER MEDICINE

Doctor instruction regarding patient medicine must be follow strictly. The prescribe medicine to be taken daily by the stroke patient is the alternative to control patient BP, sugar and others related to ensure the blood circulation and all the body immune system in the body been control accordingly to provide the patient will be attack by stroke for second time. If not follow the medicine time table ma cause sudden change oh blood pressure may cause another stroke attack. Normally if this happen i

The doctor instruction of medicine timely to take must follow strictly Thus is because the medicine prescribe by the doctor is important and necessary to follow. The medicine prescribe is the effective way to control patient personal health, this physically health is one that can  give good support for ensuring patients treated with the prescribed medication schedule Posted by  doctor. To ensure that the needs of patients  medication fully follow. A special diary should be provided for recording every times she been feed with her medicine to ensure there is no bags clocked drugs given to patients. How to prevent the occurrence of the husband forgot Giving medication to patients. If so many times we missed the schedule of taking medicine by patient, possibly the second attack of stroke will be happen. Normally if the second stroke attack, ( hope not to happen to my wife)’  the chances of patient to be worst is more compare to be on safe side)

Medication dairy is very important to record properly to ensure the medicine was giving to the stroke patient is at wright time and the dose given also accordingly to doctor advised. If the dairy is not recorded, possibly forgotten happen and a lot of confuse will be happen. Further more we cannot depend on patient memory which was effected by stroke attacked. By recorded all the activities relating to medicine prescribe that must be followed by patient can performed effectively,

TIP 3: The Caregiver need to acquire more knowledge and skill to take care stroke patient,.
We will take care of the patient must be reading books that can give information regarding  some personal changes will happen to stroke patients.

a.      Take Care Her Emotional Feeling:
The most drastic change of emotional feeling of stroke patient is that her will be so sensitive, when dealing with the patient must be very care. How your talk and communicate withe the patient must be in good manner talk with soft and low volume. If your talk with loud voice she will misunderstood that your are hate her, then her reaction is she will cry, may be if  the situation not under control she will shouted loudly,

The attitude totally change due to her disability after stroke attack, their thinking start to assume that all the family hate her, thinking that she give problem to others due to her disability which she need helping for everything her daily requirement.

Through my experience this sensitive feeling occur at earlier stage, after a few years.
As the time pass bay the patient able to control her emotional feeling.  Anyhow wee as caregiver must try our best to avoid it occur.

b.   The patient should be undergoing physiotherapy / traditional massage.
Physiotherapy treatment is a must. This treatment will help patient to recover back the effected muscle by stroke. Normally  stroke attack will lead to stiff muscular of the effected area. Physiotherapy  treatment recommended  is recommended by doctors. But some times the recovery  process is very slow, it took a few months to see the positive result.

Additional to that, traditional massage will be an additional alternative treatment to be fast recovery. Physiotherapist  Through my experience, my wife take shorter periods of time to recover her effected area. The traditional massage that is very effective for physical and phsyscological  of stroke patient. Some form of training will be given to the patient physiotherapy specialist, Physiotherapist  review exercise to mobilize the body through the Physiotherapy method, This physiotherapy will help the vein Nerves of patient which was weak function due to stroke attacks,  to recover back to normal (usually takes 3-4 months or even longer).

Besides[NRNAR1]  physiotherapy  treatment, traditional massage treatments are also very important, My experienced that a traditional massage method sometimes to certain patient, their impact to recovery is more faster, this because the traditional massage, they are giving massage to the patient with slowly massage for the whole body, and beside massage she also talkative interaction with the patient. Their time period of massage take between 3 – 4 hours. This process on interaction between massager and patient, will bring the aura of the patient to boost up more happier and healthy. However to select the massager must be carefully done to avoid any difficulties or fake massager, Professional massager will do the body massage according the traditional massage principals. Thus will give a better impact to the flow of blood in the nerve systems of our body, proper massage will able the circulation of blood goes smoothly and will help the body to be in good condition and make your feeling refresh and so healthy. This among the factor to make stroke survival will get better and fast recovery.

TIP 4 :. HELP PATIENTS TO ESTABLISH prayer MERCHANTABILITY AND BOOKS AGAMA:
Every muslim will be belief that the feeling of emotional either happy, angry, sad, and so on is the pleasure of God.  That feeling in our mind is the give of God through His hidayah. We can plan to make our self be happy. But the actual power to  give or not to our self is our Lord Allah. So to obtain an happy feeling in our self and also the environment surrounding us, we have to make our self closer to Allah, we must always to comply the compulsory solat 5 times a day. Beside solat we also need to recite Al-Quran everyday and also has to understand and practiced all guidance given in our daily life. Thus routine daily activity of recite Al-Quran is another alternative treatment to the stroke patient.to have happy though in their soul and this will help a lot to ease the recovery process, and this practices been proven through my wife experienced.
At first my wife is not so fluent to recite Quran, when she read the tune is not smooth, some times is very hard for her to finish recite event one page. To resolve this problem I bought a ‘Pen Reader Al Quran’ by touching the pen to the page of Quran the pen will read the phrase of Quran and she follow, after some times she can improve and now she can recite well. This is another alternative to make stroke patient be happy and with the pleasure (hidayah) of God. My wife mind set able to be reset as a normal person. When she recite Quran her mind will be peace and her soul be a person whose are always closer to the their Lord Allah. Now days my wife made reciting Quran is one of her daily activities. Alhamdulilah with the God Pleasure she manage to face al the handicap and the disability is on of the Lord Allah to compensate all the sin that been done before with the ‘pahala’ in the day after (akirat). This is the way Lord Allah to give a pleasure and reward those who able to face all the challenges and sorrow in their life with patient and fully rehdha. “ Lord always with mankind whose are patience” .Allah huakhbar.

When the patient mind set been improved and able to accept their disable condition due to the stroke attack. He can live without feeling of inferiority, This is the important factor to enable her to mixed with normal people. If the patient able to meet and sharing their pain and sorrow with other family members and friend this will release her tension and able to help her be a happy person. The chances of patient to recover back is more and it is proven by my wife achievement after 15 years as a stroke survival. Thanks to Lord Allah. Alhamdulillah.
To ease the patient to performing their 5 time pray per day. I used to plan her prayer to be done concurrently to next solat. Such as solat zohor to be done at the end of prayer time and after finished solat zohor she doing her tahlil and doa. After that when prayer time for asar was begin she performed solat asar.
This practiced will ease the caregiver and patient to prepare for solat. These practice can be done for solat magharib with solat isya’ and the solat subhu (mornig prayer) only perform alone.

Another practiced that show some beneficial to the stroke patient, is by giving her with religious books. She as patient  has ample time to read, by reading this book she will be learn more about the Islamic teach, thus reading material will bring more knowledge to the patient, with that will able her to be patience of facing all kind of pain, sickness, sorrow that be given by our Lord Allah. This will be more improvement of faith and iman. That lead to the hoping of God Pleasure at the day after. (akhirat). This is another soul booster to be a good supplement of patient way of thinking and school of tough. When the patient able to set their main that every pain, sickness, sorrow are among other way Allah to test our iman.


When the patient with broad knowledge of Islamic faith, she will happy with her life that been given by our Lord Allah. This understanding are the most valuable brain feeding to the patient and will be a good feeding to recover of stroke survival.

TIP 5: Set the schedule for patient to do the out door activity such as holiday, shopping, out seeing and visit family members.

The caregiver have to planned and make a schedule for the patient doing out door activities. This activity will help a lot the patient recovery their mind set to be as normal healthy people. By bring the patient to the out site world, will exposer her to the out site world which are keep growing and changes every times.
To bring the patient for holiday will release her tension and boring due too long stay at home. The fresh air and a beautiful sight seen will give a fresh and lovely tough to the patient and will help to improve her ability to mix with other healthy people. And when he can meet her old friends, thus will able her to get doa and hope for her to continuous her life In the world and slowly reduce and omit totally the thinking of disable person with the dark future.

This  outdoor activities will help to restored the patient mindset that her future live which is  very  uncertain due to her handicap and disable, Hopefully will be change to a positive attitude by give hope that through process of recovery, she after some times will able to be back as normal as before the stroke attacked. .
Activities socialize initials also been able to reduce patient stress (stress paralyzed because their movement are limited and need others to help). Thus stress situation should be avoid to be attack to the stroke patient. Because if the patient is in the mood of sad and stress for the whole day, week and month. The feeling will reduce the progress of recovery and if the caregiver did not an appropriate action, it will going to worth condition where as the .stroke will suffer from depression. The depression that are related to the brain function it may cause to be attack by another stroke. This situation should be avoid to happen because the impact of  second stroke is very danger and its may cause  serious bleeding in the brain and may be ended with fatal.
By going to visit family and her friends all over the places, she will be happy and her mind will be a positive to the future life. She will be a ambitious people and able to thing how to prepare for their future life that has to be facing and plan. This type of imagination will help the patient to be futuristic persons and a lot of agenda to be done..

The well planned schedule for patient to involve in shopping, site seeing, family visit and tour holiday will be a good supplement to recovery the brain damage by stroke attack to a normal condition. The successful of this activities will be an important thing that the caregiver of stroke patient has to do, In long term. This is one of the best tools,.

TIP 6: Immediate Family Members should be given the Possibility Changes Of Personality and
Attitude of Stroke Patient.
                                               
* All immediate family members should be given a briefing regarding the drastic changes of personality and attitude of stroke patients should. This one of the most important agenda has to be  informed to all  immediate family members, whose will interactive daily with the patient and also among of the family who will help the stroke patient in their daily life.

The family members should understand that the patent in not the person which they been together before the stroke attack. Mostly stroke patient will be change her way of thinking and her personal appearances.. If before the guy is a friendly and lovely guy, this will change to a person with anger and sensitive mind set. If any situation which do not suit her needs, she will shout loudly and be hot tampered if her requirement cannot be  entertain by the caregiver.

Through my experience when the patience in the bad mood or cave giver cannot entertain her fully I have to talk to my wife with heart to heart about what is our limitation to communicate with the stroke patient. When we been expose with all sort of Dos and Don’t. it will be  a good information to  all family in order to give a good service the patient. This will ease their work and will be pleasant to the patient. The wright way of doing things will be a good support to the patient and she will be in a happy manner all the days pass through and will ended with good emotional feeling that can be a batter supplement to faster the patient recovery and their hope to be normal is most likely to be achieved.
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The family understanding of the stroke patient personality will be a positive environment in the family because every members of the family know their role and responsibility to help the patient in their daily subsistence. The situation of everybody care to the stroke patient is a lot beneficial to the process of recovery by the stroke patient and hope to be normal back as before is most likely to achieved.
Through of my experienced of caring of my stroke wife for the time period of 15 years. This factor is one of the most valuable ingredient that to be blend to ease and faster the recovery process.. Alhamdulillah with the Lord Allah Pleasure and giving.

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