Acute stroke care

Common Questions and Answers about Acute stroke care


Avatar n tn The onset of pain under any circumstance shouldn't be ignored. I highly recommend that you pay a visit to your doctor as soon as possible. That said, I'm not sure why your post bears the title "Stroke". Strokes usually present over the course of several hours and involve a plethora of neurological symptoms, like confusion, difficulty speaking, memory loss, sudden lethargy, tingling or numbness down one side of the body, and sometimes a sharp pain in the head.
Avatar n tn My 75 year-old mother had an acute ischemic stroke a week ago today. She had a frontal parietal infarct that damaged a third of her left hemisphere. She hasn't really regained any level of alertness, though has shown marked improvement every day. Yesterday was the first time she was able to really open her eyes and look at things, though she closes them again after a few seconds. She can hear and move all her extremeties, though the movement is much more limited on her right side.
Avatar n tn They put in a mini trach, and he is now home with me as bed ridden and with home health care and my care. I refused nursing home. He was doing somewhat better in acute rehab, but on the retun for the pneumonia, one of the transport people who took him for xray, brought him back and put the oxygen on wrong, where he got too much co2, The resperatory therapist caught it but he has not rebounded well yet from it. Any one know what that can do and if so how to treat it?
Avatar m tn It depends, if the stroke is stabilized, he may be shifted to a nursing home for long term care. 10% of stroke patients require care in a nursing home or other long-term facility. For skilled nursing facility, stroke survivors require daily skilled nursing or rehabilitation services that can be provided only on an inpatient basis. So, he may have been shifted. Regards.
Avatar f tn My mother had a massive stroke. The Drs said it was the type of stroke that is fatal. 4 days later she is starting a very soft diet, physical therapy, and speech therapy. The stroke hit the left side of her brain and was bleeding. She is gaining little feeling in right leg, can move head to right(slightly) and attempting to talk. She responds by hand squeezing and smiles as well as slight laughter. She remains in ICU but we are looking for nursing home.
Avatar n tn And, if you have insurance or can find a way to afford it, get your husband out of a skilled nursing facility and into an acute or post-acute care rehab facility, preferably one that specializes in brain injuries. My husband had a severe stroke in August and is currently in a neurorehab. He was paralyzed on the right side, lost his ability to speak intelligbly, had no sense of balance, couldn't swallow, short-term memory loss, and had many cognitive issues.
Avatar m tn My dad in Indonesia, 63 years old, is currently in hospital due to stroke (brainsteam?) since a month ago. Based on what I heard, I am in usa, he is currently physically getting better. He can write and move his hand/foot. However, he still can not breath by himself and rely on the ventilator although the doctor did tracheotomy. Everytime, the ventilator is taken out and replace with the oxygen, he start having difficulty to breath.
Avatar f tn The problem in this case is that because the ICU/CCU unit she was transferred , wants us to transfer her to an acute care long term hospital. I guess thats because while they admit that she is stable, for all intents and purposes right now, they are no longer giving the Mannitol to reduce brain swelling. . That coupled with the fact that she is still totally unresponsive ( still), has led them to be almost rude and forceful with my sister re: my mom.
Avatar m tn I haven't seen her since a couple of days after she was moved from the acute care hospital to the nursing home. Very cold today, and I am working outside. If anyone happens to know someone who is in Trump Pavilion, her name is Carole Reisman and she is in room 228. Maybe you could talk to her for me.
Avatar n tn We tried to get dad into an acute care facility but were told he did not meet minimum requirements. Acute care for rehab centers normally require a minimum of three hours rehab 5-6 days a week. When my dad was tested, he did not consistently respond to commands. I am positive that he could hear, and he responded some days much better than other days. Keep telling your father that you are working on getting him to a higher level of care.
Avatar n tn Sorry to hear about your father's recent stroke. Although I do not know the specifics of your insurance coverage and your hospital's policy, I can tell you what we do here at the clinic. When someone has a swallowing problem, we have speech therapy come and assess them as to what is appropriate for them to eat. Then speech therapy works with them on both their speech and swallowing. Swallowing in itself can be a problem but with time does get better in many cases.
1346447 tn?1327866172 Risk factors for falling among stroke patients Avoiding falls and keeping records of falls is most important task for care giver. 0 Diagnosis – Acute infraction in right frontal sub cortical location. No evidence of hemorrhage. Occulision of left ICA along its entire extent beyond origine. 1 woman 2 old age-69 year-Geriatric- osteoporosis 3 weight-67 kg: over weight-to reduce weight 4 BMI- patient is eating less, weight is gradually reducing is good sign.
Avatar n tn There is a lot of work and care that will be required for him until such time if and when he can take some care of himself. A place with a very good nursing care is his best bet for recovery right now. Once he's more interactive -- a more acute rehabilitation place may be in order. good luck and stay strong.
Avatar f tn As my father is affected by Acute Brain Stem Infarct (Pontine Stem Stroke) which has all the vital functions like breathing, swallowing, sleeping, thinking, movements etc. He got the stroke on 2nd Mar 2012 and now he is able to breath by himself. Swallowing is not properly done, so Ryle's tube is inserted through the nose for his feed. He is not able to move and he is bed - ridden. On 26th Mar 2013 he vomited some black particles through the Treacheostomy tube.
Avatar f tn Hello, My mom just had an ischemic stroke about 4 days ago. She moved from the hospital to a rehab hospital. My question is, she appears to be geting worse as the days go by. At first she could write her name and yesterday could touch her nose. Tonight she can't even lift her arm. How long does it continue to get worse??
Avatar n tn my mother is now 15 days post stroke and in acute care (complex care), pain constantly from head to toe. right middle dense CVS. left sided paralysis absent gag and swallow reflex at present. signs of recovery are slow, some gross motor movement returning, aggitated and right leg shaking with pain. she is constantly crying out and wants to die with the pain at the present. we stopped the morphine, stopped the ativan and flexeral because very sedated and lethargic.
Avatar n tn Do you also get some respite care so you can get a break from care giving? Take care of YOU tool. Hang in there, I'll be thinking about you.
Avatar n tn I am pleased you obtain some value from my posts. It sounds like you are doing a terific job. There are no "right" answers or "right" treatment. As I mentioned, I provide a variety of morning supplements, that I believe are helpful. My experience is anecdotal, however there are a number of studies that suggest these are helpful. Daily supplements of vitamin B-12, folic acid and zinc. Daily supplements of DHEA.
Avatar n tn My 79 year old husband suffered a hemorrhagic stroke on 11/18/08. Before the stroke he was very active and seemed to be in generally good health. Since the stroke, he does not have use of his left side(leg or arm), but he does speak and eats regular food. He spent 10 days in the hospital and then went to a rehab facility. After 5 days he was sent back to the hospital with pneumonia.
744637 tn?1250806622 Hi, It is difficult to differentiate complicated migraine from stroke. The symptoms of stroke develop very rapidly while the symptoms of complicated migraine develop insidiously. MRI and CT scan in patients of stroke shows the characteristic small vessel ischemic changes. The best treatment for migraine is recognition and avoidance of trigger. Medications like NSAIDS are used to abort acute attacks of migraine. Other medications include butalbital, isometheptene and botox.
Avatar f tn In doing alot of reading it seems that speech is one of the things effected. I understand each stroke and stroke patient is different, but what could we expect in relation to time of recovery and how much recovery should we realistically expect? Any advice or experiences shared would be appreciated.
Avatar f tn The headache was worse and my neck was stiff in the back. I went to the walk up care center and was sent to the hospital for stat CT scan. The scan was normal and was given Rx for pain. Got up next day felt even worse..still repeating words, headache, when I would bend over and get back up it felt like my head was going to explode. I was queasy and having trouble keeping my balance. Called Dr who told me to go to ER. When riding to ER when car would stop I felt like I was still moving.
Avatar n tn It's been nearly 23 months since my wife had a hemoragic stroke at age 54. Day one after the surgeon placed 13 platinum coils (about 14 feet of wire) in her giant anyerisum, she was in critical condition. As she awakened over the next few days, it was obvious she would have issues. Today, she has only one big remaining issue which is the loss of her left peripheral vision in both eyes. This would seem to be permanent.
Avatar n tn Lahinva, it sounds like your dad may have been bumped down two levels rather than one. As I understand it, Medicare pays for three different levels of care after a stroke. First is a hospital, until medically stabilized. (My husband was in hosp for a bit over a week after his May 28 brain bleed.) If they think the patient can tolerate and will benefit from intensive rehab, Medicare supports up to several weeks of what they call "acute rehab".
Avatar n tn The rehad doctor almost did not let him come into the rehad department because he was progressing so slowly. Many stroke victums only spend a few days in intensive care, he spent a week, many stroke victums only spend a few days in the neuoscience ward, he spent 2 weeks there because of the embollisms. Those were just as dangerous as the bleed. I watched his slurred speech come back, I watched his left side neglect, fade away.
Avatar n tn My 54 year old brother just had a massive stroke a week ago. He was care flighted to a trauma facility that specializes in patients that were as critical as him. He is currently in a comma, has developed pneumonia and is running a high fever. He is on life support and a couple of times has shown movement on his left foot and right eye lid. I'm not sure if the movement is reflexes or if there is actual brain stimulation.
Avatar m tn Hi, Delirium is the presenting feature in a few stroke patients, but can complicate the clinical course of acute stroke in up to 48% of cases. Old age, extensive motor impairment, previous cognitive decline, metabolic and infectious complications, and sleep apnoea are all predisposing conditions for delirium. Patients with delirium have longer hospitalizations and a poorer prognosis, and are at increased risk of developing dementia.
Avatar f tn Parenchymal defect and Wallerian degeneration consistent with remote left parietal periventricular infarct or other remote insult.. No evidence of acute infarct.. No acute ischemia.
Avatar n tn I forgot to add one thing that really helped us to get him into the acute rehab. We contacted the Acute Rehab Center and they sent a care manager over to the SNF to evaluate my dad. She was the one who really helped us fight the insurance company by saying my dad would benefit from the acute therapy.
Avatar n tn My husband is coming home from a care center on Wednesday after surviving a very serious hemmoraghic stroke. The stroke occurred June 28th. He was operated on that day and has been in rehab skilled care for all this time. I am afraid I am not doing enough for him. He has atrial fibrillation and has been put back on coumadin. He walks with a walker, but is unbalanced and may fall causing another stroke. A gait belt is used to steady him when he walks.