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Wednesday, 18 November 2015

Emotional and Behavioral Changes After Stroke


Emotional and Behavioral Changes After Stroke 






Emotional Factors in Recovery
Following a stroke, my wife become anxiety, fear, and frustration at the first day she recover and bring back home.  Initially she suffer of confusion that makes it impossible to do the simplest mental tasks. She often feel helpless and dependent, and her sense of self-worth is diminished. We as caregiver and all family members are important to understand the survivor's limitations and allow an appropriate time for recovery. Self-worth, confidence and enjoyment of life will gradually return.
Encouragement is an extremely important motivating factor for stroke survivors. Caregivers should avoid being critical. So what I am doing, try to accept that my wife been attacked by stroke is plan by the Greater Creator Allah. The happening is planned by Allah for the good of our self. Avoid any nagging tends to upset and anger stroke survivors, and discourages rather than encourages effort.
Determination is essential in overcoming the effects of a stroke. Patients must be willing to adapt to the disability and be convinced that by therapy they will improve. It has to be stressed that the will to recover does pay off. Nothing helps raise the body and spirit of the survivor of a recent stroke like seeing how their own hard work helps their recovery.

I am practiced the following guidelines that encourage a positive recovery.
  • Set attainable goals ­ the road to recovery is built of simple achievements.
  • Involve the survivor in daily activities and routines.
  • Encourage independent activities, while recognizing the survivor's limitations.
  • Try to maintain social contacts within the family and community.

1.       Set attainable goals ­ the road to recovery is built of simple achievements.
What I am doing is to put the hope that my wife will recover back to normal position if we pray to the God, Allah The Mercy. My wife was coaching to perform pray and put the hope to Allah that the recovery process is going to improve her disability and handicap. I support and courage her to do the exercise even a simple movement of finger, leg, tight and so forth. By doing this she will be more confident to do the movement of her muscle and bit by bit the improvement and change occur. This bring her confident to the future live. This is the most effective inside booster to speed up her healing process. Alhamdulillah the change is great and her achievement very tremendous.

2.       Involve the survivor in daily activities and routines.
The most important thing try to gain back patient confident, the disability of right arm and leg after stroke attack was limited her movement and make her difficulties to do her daily living need (DLN). For the few week I am doing all her DLN but after one moth she recovery slightly better, then she manage to do herself a few activity such as drinking and eating. I am keeping coaching and giving motivation to her that her healing for recovery are better and faster. Thus giving her inner self confidence and to achieve better will and hope for her to be independent. Alhamdulillah it seem the strategy was successful and able her to heal faster.

3.       Encourage independent activities, while recognizing the survivor's limitations.
Caregiver must give fully support and put confident if the patient tray to do her self any light activities . some time it happen the survivor’ limitation may cause some minor damage to the cutlery at the kitchen, we have to ignore it, that part of  the process of patient to recover their confident to be independent. Caregiver and other family members should give support to help patient to be independent. With highly moral support my wife able to regain back her confident for independent within 6 months. 

When he try to walk, she never use stick, she manage to walk independently slowly and bit by bit she able to do HDN independently and after  3 years she able to walk in the house and doing a few activity that she like such take her bath, drinking and evening walk in our house compound. Now the time goes nearly 15 years she able to do house keeping such use washing machine, washing and keep clean at the kitchen.

4.       Try to maintain social contacts within the family and community.
At the earlier stage after stroke attach my wife do not to meet people. She try to hide and go away from friends, she is more inferior and lost confident to go to public area. Some times she will cry and cry when a visitor try to get  her at her room. The moody situation happen to prolong for nearly one year. What I am doing try to show and roof my sincerity love to her do not change, it is still loyal and my lover to her still evergreen forever. 

Proving my word by attached myself  to her most of the times. Talk to her to recover back her confident and always embrace her either day and night. I have to do this almost about one year, and it seem gradually she manage to gain back her confident after one year.  Beside the intimate of our love to be adopted, I also coaching her to get closer to God. Guide her how to perform asking forgiveness pray to Allah, this activities I and her did at mid night when other people are sleeping. By doing this activities she able to regain back her confidence and able to accept the handicap of her right arm dan leg. More or less after 3 year she can go to the public area such as shopping Mall, go to the beach or to friend or family party.   



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