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Tuesday, 1 December 2015

TIPS FOR CAREGIVER OF TROKE RECOVERY




TIP care for paralyzed patients; based on the author's experience taking care of paralyzed   wife 15 years ago till present.
Tip explained in this blog are based on the advice of a doctor and also my experience taking care of my wife who was paralyzed side of the body (right). My wife paralyzed as a result of head surgery  in 2001 after she was unconscious  due to  bleeding in the brain (AVM).

The tips  mentioned below  is one method of how the  kin caregivers to help patients to recover (Insya Allah).
Stroke can strike anybody with out any earlier sign. When it happens the patient and their family will shock and panic situation.  They  we will bring the patient to the hospital for emergency treatment, after a few days (usually more than two weeks) warded in the hospital and when the patient's condition is relatively stable, the doctor will ask The family took home patients to stay at home and follow-up treatment such as physiotherapy treatment  and also get follow  up treatment in hospital.
Based on my experience taking care of my paralyzed wife. On the first day she discharged from hospital and took her home,  the following actions should be done:
Tips 1:  KIN  PREPARED WITH THE PARADIGM SHIFT ( Facing the patient with totally change his/her characters).
Next of kin must make preparations to make a change in mindset as starting on the day the patient was brought back home, the patient need the help from others for their daily life.
Our minds must be made one change that perception (husband / wife) who became one of the important people in your family has been unable to help us again. Means starting on the day we had to do all the work related to the household in isolation. (Even more so if the kids are still small).

Tips 2: MAKE SURE GIVE A DOSE OF PATIENT IN ACCORDANCE WITH SCHEDULE BEEN PRICRBE BY DOCTOR.
We need to ensure patients were fed drugs according to the schedule prescribed by doctor. To ensure the patient's medication needs to be completed. Should be provided a special diary, bag clocked drugs given to patients. This method can avoid giving medication to patients forget. If not noted in the diary likely forgot to apply the medicine and it can cause the patient at risk to be attacked again by a stroke. The risk of a second stroke catfish will cause the process to be more complicated treatments and patients will be more severe.

TIP 3: NEED mixes PERSONAL KNOWLEDGE ON THE NATURE OF PATIENTS .
We'll take care of the patient must make reading about some changes in personal attitudes will happen to stroke patients.
a. Need to Keep Emotions : 

Change the patient's personal characteristics is that it is easy to be sensitive, fast and sulk. This occurs because before the attack, stroke pain, all he can do his own work, and he will do so in accordance with the custom of yourself. When he was sick cause he could not do alone, therefore if patients need something to obtain the assistance of others. If demand is slow cashed out by the guard, he will easily sensitive, whether angry, nag or cry, so we are taking care of patients should be proactive, and ensure  all matters required by the patient as soon as possible.
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One very important thing is to keep EMOTIONS AND FEELINGS OF PATIENTS.
b. Patients should undergo physiotherapy / traditional massage.
Physiotherapy treatment is one way of treatment recommended by doctors for stroke patients recover. Some forms of exercise will be given to the patient by a member of physiotherapy. Training to move the limb through physiotherapy will thereby all patients with weak nerves returned functions like the original. This  FISOTHERAPHY  take some time (usually takes 3-4 months or longer).
In addition FISOTHERAPHY  treatment, TRADITIONAL massage is also very important, my experience treating his wife found traditional massage can recover quicker to recover compared with physiotherapy, However be careful spills masseur is properly skilled.
My wife able to walk with out using cane after 6 months of intensive traditional massage. Every season it took about 4 hour duration. Other thing that the  massager doing is by talking to the patient while her is massaging, by doing this, she able to recover back patient memory and give a positive impact for my wife level of confident to proceed her life as a handicap person if the heal process do not success fully.

TIPS 4:. HELP PATIENTS AND PRAYERS FOR SETTING  and read BOOKS related to religious teaching and understanding.

Primary caregivers need help patients to prayer five times a day without fail, . To make it easier for patients appropriate time should be set to enable the shape of the amblition (wudud)  can be used to pray twice, for instance - time for  zohor prayer  at the end of time and the time of Asr prayers at the beginning of time, Maghrib and Isha at the end of the period at the beginning of time. Morning prayers can be at the beginning or at the end of time, according to the ability of the patient to wake up in the morning.


Religious books should also be given to stroke patients from time to time. Because patients have a lot of free time, with emphasis on reading religious books, it will provide an understanding of religion to its readers. If this reading culture in the minds of patients entered, it will provide a change of mindset to ensure that patients, especially for chronic pain given by God to man is one of the ways of God to remove our sins that are past. If we are patient and pleased to receive it, we will be rewarded very much in the afterlife and heaven are filled with enjoyment.

TIP 5: PROGRAM SCHEDULE TO ENABLE THE PATIENT exercise, socialize and SHOPPING.

We also need to set the table so that the patient can exercise (walking with strollers), go to the resort, and shopping. If held this schedule will enable patients to enjoy the leisure, picnics and shopping along another family, it will give patients confident and set his   mind that he also can perform various activities such as healthy people as well. This method I found deeply affects the recovery of the patient mind to give new determination that he too can live like other people healthy, When the mind has been restored perception of life it will help with quicker to recover ill stroke
Socializing activities may also reduce patient stress (because the lame will feel stress when he was just sitting on the bed nearly  24 hours). Stress management is important to prevent patients suffer from a depressive illness.

TIP 6: BE GIVEN IMMEDIATE FAMILY INFORMATION AND UNDERSTANDING OF STROKE PATIENTS.
All immediate family of the patient should be given a description and understanding of stroke patients. Informed that stroke patients will change in character compared with the period before the onset of stroke. When all the family understand the taboos care   of stroke patients. It will help the patient from feeling the pressure (stress). Patients cared for by family members will give hope to patients that it can  be cured, if the patient has a positive mindset, it will help to quickly recover and live in a playful manner.
Conversely, if the majority of kin take a non-static to terhaap patients, helping casualness, always grumpy because the patient is said to bring bad luck and troubled families, this causes the patient to stress and can lead to stroke the second time   the next attack. Usually when you attack the second time it berkmungkinan more severe and can be fatal.

TIP 7: NUTRITION TO TYPE OF PATIENT more vegeterian, TRY TO REDUCE EATING RED MEAT (Goat / sheep / COW).
Doctors advise patients fed with vegetables and white meat. Try to eat less red meat. Eat more fish as a source of protein. Vegetarian diet can reduce cholesterol in the blood that can cause heart stroke. Vegetables can also control high blood pressure. .At earlier  stage  after stoke attack, the stroke patients should be given food that is soft and easy to digest such as rice porridge, soup, water, fish or egg  and so on.


TIP 8: AN EXAMINATION OF BLOOD AT LEAST TWICE A YEAR.
Periodic blood tests need to be conducted to determine in more detail the content of the blood, blood type, and diseases will we alamai potential based on the structure of blood, blood types and also the state of sugar in the blood.

TIP 9: Display affection AND LOVE YOU STILL THE SAME:

Stroke patients will assume his partner had changed compassion against him, he has a physical defect causing her husband would find another woman to get the affection of many other women. This problem is common for stroke patients to think that her husband will be taken by another woman. Such situation causes him to be left alone. This negative thinking should be stop by keep caring and always beside her.


TIP 10: DESIGN OF PASSAGE - honeymoon

Plan your honeymoon style holiday at least once a year is one measure that can enhance the atmosphere of love and affection of husband and wife. For a wife who suffered a stroke, when the husband took a vacation would cause noticed he still cherished by her husband. This will bring the 'flash
back' during the honeymoon after marriage first. This exciting experience will be a catalyst for stroke patient rehabilitation process minds.

TIP: 11 - BATHROOM TO MODIFIED To keep the stroke patient safety, equipment in the bathroom need to be modified to facilitate use by patients with stroke. The bathroom floor should be installed to ensure that the rubber mate the bathroom floor is always safe from spilled water shower gel, soap or water. As for those who stroke if there are few parts of slippery floors as a result of contact with water, soap or shower gel it can cause patients to slip and fall (for stroke patients is difficult to balance the body when it derailed, causing it to fall over). If the stroke patient falls it can cause a variety of serious injuries that may occur to the spinal slip dish that allows consequence paralyzed from the waist to toe. If this situation happen, it will result in increased severe stroke patients and can be attacked by a second stroke. Custom stroke two times to have an adverse effect greater

TIP: 12 - STRESS MANAGEMENT either the husband or the wife who had to care for their partner who had a stroke, she must undergo Stress Management. This is important because of the increasing burden of responsibility can lead us to experience stress. Prolonged stress if not managed properly can result in us being attacked by various diseases such as hypertension, depression, etc. Based on the various issues that arise in the dictionary daily life, then we should have the power to run the physical and mental stress. among the things that need to be emphasized is:
1. Accept the fact that the hardship and suffering incurred by spouses and jug root of the burden of responsibility we bear is the test and tested of God for us. God chose us to receive a test is because Allah  Knowing that we were able to face His test . We also need to  feelings set in our minds , that we has been selected by God to receive His test. If we managed to deal with it will be given a great reward in the hereafter. Trouble today is rewarding to occupy the heaven of God in the afterlife
2. Rest assured that the hardship faced today, we are promised paradise with Allah is full of enjoyment. Thus we will assume that any trouble would be follow by ultimate victory. Therefore we need to be patient in the face of any challenge.
3. All problems will be resolved shall be based on our ability to tackle it. If we are not able to finish alone can get other people advice.. Help can be obtained from the nearest family of kin.  intimates or of certain bodies. The author's experience in dealing with stress is to read the Koran every day, besides that we also need to understand and appreciate the content of the verses were read, as far as possible try we practice the teachings that is described in the Qur'an in our lives, hopefully we will get a guide in the blessings of life in the world and also achieved success in the hereafter. Also we need to pray more and celebrations and pray to God if you have any deadlock in solving a problem. Hopefully there will be a solution.

TIP 13: HELPING PATIENTS FOR POSITIVE THINKING..
 People with stroke who have a positive mindset that healing can be achieved with the permission of Allah, and it is also striving to restore the physical condition of paralysis. Positive thoughts when patient have to heal, it will give a will to patients to perform physical movements such as undergoing exercise, try to do the work normally done by him before the attack by the stroke. When this situation exists in patients illusion, the patient will be more confident  to do  all activities that will strengthen weak muscles, when the healing  happen little by little it will be continued until recovery.  Always tell the patient that who  was attacked  by time will be better. Hopefully with set mindset that says every disease can be cured by God. Makes him not demoralized and will be the man God persistent exams. If this situation can be constructed in stroke patients themselves, making it increasingly eager to do adventure activities that can help to  faster the  healing process.

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