Acute stroke therapy

Common Questions and Answers about Acute stroke therapy


Avatar n tn Your husband's condition sounds similar to mine, when he was discharged from acute rehab unit of the hospital. We continued with physical, speech and occupational therapy home visits through a private agency. Are home visits for therapy an option for you? I found that though the scheduling was erratic for these home visits, it gave us both something to work from.
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 mental imagery, passive movement, mirror-box therapy, thermal therapy. I would say your crucial answer is to completely understand neuroplasticity and find therapists who understand how to do that.
1263858 tn?1270663778 She had been diagnosed with pnumonia 10 days earlier and taking antibiotic. Early the following morning she had an acute stroke. Her Nuerologist (she loves) and General Dr (she loves too) met me when I arrived while both physicians are professional I took 1 look at them and knew it was not good. Her stroke was always fatal. Left side-so right side was paralyzed. She was moved from ICU today to PCU.
Avatar f tn 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. She is receiving potassium due to slightly low levels.
Avatar n tn She suffered a couple of set backs (pneumonia, bowel blockage, and now the pain) which slowed up her progress. She is currently in a sub-acute facility as the acute one seemed to be a bit much for her. The crying and anger really is upsetting for us, my aunt not normal behavior for her. The worst part of watching all this is not knowing what to do to make it better for her. I have a few questions, if anyone could help I sure would appreciate it. 1.
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 m tn Hello, About 4 weeks ago my mother had a stroke. She is in a nursing home now and can't move either her left arm or her left leg at all. I don't know the full extent of the damage, other than the fact that her face was also affected and her speech. This is a sub acute facility she is in, as they term it. Does anyone know how long the stay is in this type of facility? Her progress has been slow, unfortunately.
Avatar n tn If your mom isn't too high level or low level (can't walk on her own, but can handle 3 hours of therapy a day) she may qualify for acute-rehab. Most hospitals look for good family support, insurance, appropriate level of funcitoning and a good discharge plan (family to go home to and help if needed). There are always outpatient clinics that may be appropriate if you can afford it or have insurance. You can go online, or go to and they will have lots of info for you.
Avatar n tn As for placement issues, we have case managers who help family members with making sure a patient goes to the right place such as acute rehab, subacute rehab, home with physical/speech therapy or a nursing home. If your hospital does not have this, perhaps a social worker can help you. There has to be someone at the hospital who can help you, some patient-hospital liaison, because even if they say it's your responsibility they should give you some guidance.
Avatar n tn My dad had a stroke 12 days ago. He cannot speak and has right side paralysis. He does communicate with us and cognitive skills appear to be good. However, he "tunes out" when therapy people come by and shook his head "no"yesterday when I asked if he wanted to go to rehab, kind of rolled his eyes like it was useless. He is 68 and was very active before his bypass surgery and stroke (3 days later) and this attitude was very surprising.
Avatar m tn Stroke can be ischemic or hemorrhagic. Ischemic stroke occurs as a result of blockage to an artery. For this therapy with clot dissolving drugs (thrombolytics), should be initiated early. Aspirin, an anti-thrombotic drug, is given immediately after an ischemic stroke to reduce the likelihood of having another stroke. Some stroke patients do appear to have 100 percent recovery. And many regain a great deal of their abilities.
21064 tn?1309312333 I was recently started on aspirin therapy and because this is so new to me, I am wondering how many others are taking an aspirin. If so, what dose have you been prescribed? I'm on one 325mg coated aspirin/day. Thanks all!
Avatar n tn He moved out of ICU and was recovering great until he had his stroke on the fourth day. He was moved back to ICU and is still there 19 days later. My Dad had a left brain stroke - he is unable to talk, communicate or move his right hand. His consciousness is foggy most of the time. He moved his right foot slightly yesterday. He got a lung infection, which has cleared and has some breathing difficulties. He shows some recognition of visitors.
Avatar f tn Hello. I was wondering if anyone could help. I am an Occupational Therapy student and I have been giving a case study about man who has had a stroke, which I have to present on Tuesday the 22nd of January 2012. I was just wondering if you could help me clarify something, I would really appreciate it. The man in the case study was admitted to the acute stroke ward via A&E 4 days ago.
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.
Avatar n tn They have him in a restorative nursing program at this point, but we really want him back in therapy. He is definately stronger today than he was when they stopped the therapy a few weeks ago. We feel like the therapists have given up on him because he is 80 years old. But before the stroke he was very active. All we want is for him to be able to go home with some in home health.
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 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 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 My grandfather had an ischemic stroke last Friday. The doctors weren't able to use blood thinners because he was outside of the three-hour window. They sent him home and said rehabilitation wasn't possible because of his age (88) and the severity of the diasability (he doesn't recognize family members, has no control of his bladder, and doesn't know the function of household objects such as the telephone). My question is about what's next.
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 n tn For most stroke patients, the rehabilitation process includes nursing, occupational therapy (OT), physical therapy (PT), therapeutic recreation (TR) and speech therapy (or speech language therapy, SLP). OT involves exercise and training to help the stroke patient relearn everyday activities, sometimes called the Activities of daily living (ADLs), such as eating and drinking, dressing, bathing, cooking, reading and writing, and toileting.
Avatar n tn My 55 yr old mother had a "massive" hemorrhagic stroke Feb. 18/05. The neuro surgeon said it was a large deep bleed in the left side of her brain, apparently she is lucky to have survived it and without surgery. The latest CT scan 3.5 weeks after the stroke the blood has started to re-absorb and swelling is going down.
Avatar n tn My dad was also 80 when he had his stroke. When he was being discharged from the hospital the doctors recommend acute rehab, but the insurance company denied it. So he was sent to a SNF. He had two weeks of therapy ther and then they said he had reached his full potential. We continued to fight with the insurance company and after 3 months, we were able to get him into an acute rehab facility. The bad thing was that he had sat in the SNF for 3 months getting no therapy.
Avatar f tn My mother had an acute ischemic stroke on Jan 26. Three days later she had swelling in the brain and was in ICU for about 5 days. Afterward, she was in hospital for a few days then she was moved to a SNF for rehab. Before she left the hospital, she complained of pain in her left side near her heart. The stroke affected her right brain and she has paralysis on her left side. They did an EKG at the hospital and found nothing. They gave her pain medication.
1069105 tn?1256704012 ) In 5/09, while hospitalized due to methyldopa induced cholestasis, she was diagnosed with atrial fibrillation. In 8/09, 14 days into Warfarin therapy, she fell, suffering a skull fracture causing an acute subarachnoid and subdural hemorrhage. She was initially paralyzed on her left side. She recovered almost 90% after 3 weeks. On our request, she was switched from Warfarin to 100mg Aspirin. In 12/09, she had an open cholecystectomy due to acute cholecystitis with pigmented gallstones.
1069105 tn?1256704012 Mom 72, Singapore. Diagnosed w/ HTN '92. 5/’09, hospitalized due to methyldopa induced cholestasis, diagnosed w/ A fib. 8/’09, 14 days into Warfarin, she fell (cause unknown), suffering a skull fracture causing an acute subarachnoid and subdural hemorrhage. Initially paralyzed left side & recovered almost 90%. On our request, switched to Aspirin. 12/’09, open cholecystectomy due to acute cholecystitis w/ pigmented gallstones. In 5/’10 , she had a minor stroke.
Avatar n tn Vestibular therapy (vestibular rehab) is very specialized therapy that is provided by the therapist with special training. You can find detailed information is in the following article. If you'll be looking for a therapist to do this, do not hesitate before you make an appointment to ask him if he is familiar with this type of rehab. Let me know where your dad is currently residing - I may be able to help you to find a therapist.