Indoor Rehabilitation
What is a Brain Stroke?
Erat morbi gravida ut massa sociis tempus cras nunc lobortis tristique mi sollicitudin ut lectus elit est, quisque eget sed arcu praesent in gravida.
“Dolor fermentum amet tortor cursus duis imperdiet amet, velit, amet, amet sit tincidunt morbi tristique phasellus nec pretium leo nulla cursus lectus.”
Symptoms
What the person may feel – often occur suddenly, and may include:
- Numbness or weakness in the face, arm, or leg – especially on one side of the body
- Sudden confusion, trouble speaking or understanding
- Blurred or lost vision in one or both eyes
- Dizziness, loss of balance or coordination
- Sudden severe headache with no known cause (more common in hemorrhagic stroke)
Signs
What others may observe
- Drooping face on one side when the person tries to smile
- Slurred or unclear speech
- Arm drift – one arm may fall down when both arms are raised
- Unsteady walking or falling
- The person may be unable to respond properly to questions or commands
A simple test: FAST
Face – Ask to smile: one side droops?
Arm – Raise both arms: one drifts down?
Speech – Slurred or strange?
Time – Call emergency services immediately
What is a Brain Stroke?
Erat morbi gravida ut massa sociis tempus cras nunc lobortis tristique mi sollicitudin ut lectus elit est, quisque eget sed arcu praesent in gravida.
“Dolor fermentum amet tortor cursus duis imperdiet amet, velit, amet, amet sit tincidunt morbi tristique phasellus nec pretium leo nulla cursus lectus.”
Symptoms
What the person may feel – often occur suddenly, and may include:
- Numbness or weakness in the face, arm, or leg – especially on one side of the body
- Sudden confusion, trouble speaking or understanding
- Blurred or lost vision in one or both eyes
- Dizziness, loss of balance or coordination
- Sudden severe headache with no known cause (more common in hemorrhagic stroke)
Signs
What others may observe
- Drooping face on one side when the person tries to smile
- Slurred or unclear speech
- Arm drift – one arm may fall down when both arms are raised
- Unsteady walking or falling
- The person may be unable to respond properly to questions or commands
A simple test: FAST
Face – Ask to smile: one side droops?
Arm – Raise both arms: one drifts down?
Speech – Slurred or strange?
Time – Call emergency services immediately
Emergency Management
Time is very important – "Time is Brain."
Ischemic Stroke (blocked vessel):
Clot-busting medicine (tPA) – must be given within 4.5 hours of symptom start
Mechanical thrombectomy – removing the clot using a special device
Hemorrhagic Stroke (bleeding):
Control blood pressure and bleeding
Sometimes surgery is needed to stop bleeding or relieve pressure
Always:
Monitor vitals (BP, oxygen, sugar)
Ensure the airway is clear and the person can breathe
Shift to stroke unit or ICU if needed
FAQs
Rehabilitation is the process of restoring or improving a person’s physical, mental, or social functioning after an injury, illness, disability, or other condition that has impaired their abilities. It aims to help individuals regain their independence, participate in daily activities, and improve their overall quality of life.
– to improve movement and strength, balance, sensations, coordination, hand control,
– for talking and Language problems after certain strokes. – for swallowing problems which can be found in many types of brain strokes.
– to relearn daily tasks like eating, washing hands, using the spoon, picking up glass of water, folding and wearing clothes and so on. Sometimes, these activities are done under physiotherapy.
– for emotional support. Psycho-social support is also needed. After a stroke, the patient and also the family members can go through anxiety, depression and even grief.
Neuro-palliative care is a specialized field focused on improving the quality of life for individuals and their families dealing with serious neurological conditions. It provides support at any stage of a neurological illness, aiming to relieve suffering, manage symptoms, and enhance overall well-being.
Neuro-palliative care is a relatively new subspecialty that combines neurology and palliative care principles. It’s not just about managing symptoms; it’s about optimizing a patient’s quality of life throughout their illness.
It addresses not only physical symptoms but also emotional, social, and spiritual needs.
Addressing pain, fatigue, sleep disturbances, constipation, decreased appetite and other physical symptoms.
Pain and symptom management (headache, stiffness, breathlessness)
Feeding support (soft food, feeding tube if needed)
Bed sore prevention
Support for emotions, fear, and confusion
Spiritual care (if desired by patient/family)
Planning for future care and decisions