Doctor insights on:
How Do I Reteach Someone Basic Skills After Stroke
No simple answer: Physical therapists and occupational therapists are the experts in this area. Everyone who has had a stroke deserves special attention from these professionals and you can learn directly from them and apply that knowledge at home on an on-going basis. They'll be very happy to teach you, in my experience. ...Read moreSee 1 more doctor answer
Gran had stroke and can't use knife or hold coffee cup. Ot tested other skills and said she didn't need therapy. She wants to be indepndent. What to do?
Home OT and PT: If your grandmother can't use a knife or hold a coffee cup it is hard to believe she was cleared by ot, but insurance is trying to cut back on such services. I would request a repeat home ot evaluation (different therapist) but also work on techniques yourself. These can include a larger handle on utensils (best to buy them that way, but could also wrap with duct tape in a pinch). ...Read more
First 30 days: You are at greatest risk within the first 30 days, then the risk gradually decreases. Atrial fibrillation that is untreated increases the risk. Treatment for stroke not associated with atrial fibrillation can be Aspirin and a lipid lowering agent. The therapy does not need to be complicated, nor does it require a specialist to follow you.Your pcp can follow the lipid lowering agent. ...Read moreSee 1 more doctor answer
What to measure: After a stroke, a person should have their blood pressure, heart rate and rhythm measured. They should have blood testing for blood count, cholesterol/LDL, electrolytes and blood sugar. They should have a CT scan of the head. They may also have an MRI of the brain, ultrasound of the carotid arteries (or something similar), and echocardiogram. ...Read more
Yes, it is possible: Might be for years, as brain death or severe injury does not necessarily cause cessation of cardiac function, and artificial machine support could prolong life indefinitely. This assumes that the brain stem functions which support cardiac and vascular homeostasis have been unscathed. Different issue if stroke causes herniation, which can destroy brainstem function. ...Read more
Could someone regain speech and mobility after a acute stroke with having uncontrollable movements?
It depends: In theory, if a person has had even a small actual stroke, a brain MRI would show changes in the affected area. If, however, someone has a transient ischemic attack (tia), the effects are typically reversible and therefore do not show any changes on imaging. Given all that, it is more important to be evaluated by a qualified specialist to determine risk factors and conduct appropriate workup. ...Read more
Is it possible for someone's memory to actually get better after a stroke? Like if they forget they were depressed?
Yes: It depends on the type and location of the stroke and the type of memory (declarative verbal memory can improve at the expense of implicit visual memory....working memory can improve at the expense of emotionally charged autobiographical memory, etc.) Young people with otherwise good health tend to experience this sharpening of "residual" function. In essence you become a new person over time. ...Read more
Not good news: There is bleeding and clot in the brain will lead to major problems and will need all kind of care.prognosis in my experience is not good ...Read more
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