Posted at 11.22.2018
In this assignment I discuss Paul who is a 65 year old male and has suffered a stroke. My aim is to make clear just what a stroke is, the complexities and effects, and present you my understanding of could as a HEALTHCARE Worker can help identify, meet and care for the client's needs following a stroke. Because of this assignment I will bring together the data I have gained as a healthcare assistant student to date along with some research also.
I have carried out my research utilising the web, Irish heart foundation, stroke centre organisation, stroke. ie. My focus as a healthcare assistant is to describe what care my client should receive after his stroke, identify the assistance needed and present suggestions to meet his rehabilitation, to help him keep abilities and regain lost capabilities and also look after his needs such as physical, emotional, social and intellectual needs.
"A stroke is caused by an interruption of the blood circulation to part of the brain, the word stroke originates from the fact that it usually happens with no warning, 'striking the individual from out of the blue" (ihf. com) A stroke can happen to anyone, a lot of people are at higher risk for different reasons such as age and family history. Other risk factors include high blood circulation pressure, smoking, carrying excess fat, diabetes, and raised chlesterol. "2 people per 1000 in the world have a stroke, people damaged are mostly older than 60, and stroke is another leading reason behind death over the age of 65yrs". (ihf. com) Paul is 65 years of age and lives alone he was very active and in a sound body until he suffered a stroke. Paul suffered an ischaemic stroke (a cerebral thrombosis) a cerebral thrombosis is the most common type of stroke. When Paul arrived at a healthcare facility he was met by the stroke physician. He spent 2 days in intensive care and 4 days on the high dependency ward and is currently is on a recovery ward. I the health care assistant combined with the rehabilitation team in a healthcare facility doctor, nurse, consultant, and physiotherapist etc can help assist in my client's recovery.
"A stroke causes harm to the brain, the effects be based upon the area of the brain that is affected, but every stroke is different". (stroke. ie) For many people the consequences are mild and don't last long, other strokes can have severe or continued disability. "The proper side of the mind controls the left side of your body and vice versa". (stroke. ie) Any weakness or paralysis in the right arm can derive from a stroke from the left side of the brain. The left side of the mind in the majority of men and women controls language, reading, talking, writing and understanding. On the right side perceptual skills (understanding what the thing is, hear, touch) and spatail skills (speed, position, and distance) are controlled.
Paralysis happens because of harm to the area of the brain that sends messages to the limbs and balance can be damaged also. Swallowing problems affect half of the people who have had a stroke, so food and liquids are harder to swallow. Communicating can affect the person's ability to make use of and understand language this is recognized as aphasia, two main communication problems are difficulty understanding the spoken word and trouble expressing words. Vision can be lost on one side, if the individual has weakness on the left side of your body it can be difficult to see on that side. "Emotional changes fluctuations can be caused either by distress that originates from possessing a stroke, or changes which may have happened in the brain". (stroke. ie) Changes in the mind cause mood swings, depression, anger, sadness and lack of confidence, therefore the patient could find it hard to regulate thoughts and can laugh or cry for no reason.
Physical ~ some people find it difficult to match leisure activities due to low mood, no motivation, a disability or low self-esteem following a stroke. While still in my care, i am going to help my client by keeping his talents he has, and gain back the capabilities he has lost with stroke, I'll help my patient with any exercise he needs and help him become more independent. I'll combined with the physiotherapist will help my client get into good sitting and lying positions as this can help to prevent skin breakdown, support the weak side damaged to help reduce changes in muscle tone due to inactivity, and all the time encourage my client to attain his personal goals.
Hygiene ~ the care of a client's personal hygiene is very important for their health and wellbeing. I am going to ensure that the client's hygiene needs are met and can help my client along with his daily hygiene by washing him at his bedside until the guy can get into the shower, also helping him with dressing, shaving and brushing his teeth.
Nutrition ~ is vital in maintaining the client's health, and good nutrition is essential as it helps maintain body weight and keeps the cells working properly. My client Paul is left handed and is also very weak on the right side so I will assist with his meals until he gains enough strength to feed himself. He has dysphagia (difficulty in swallowing), so I have pureed his food to make it easier for him to swallow. You will discover specialised utensils that will assist my client when he gains the ability to feed himself.
Emotional ~ carrying out a stroke the person is left with a feeling of loss and could feel anger, fear, worry, uncertainty and rejection. I'll provide Paul with psychological comfort re assuring him that he is in safe and sound surroundings, and can show him patience, understanding, empathy and encouragement supporting him always in his recovery.
"Stroke rehabilitation is the process where a stroke survivor works together with a team of health care providers with the purpose of regaining as much of the function lost following a stroke as is possible". (sc. org) My client will join in a comprehensive rehabilitation programme in hospital and when he leaves, this will increase his likelihood of recovery and help him regain a big part of his functions lost therefore of stroke. Some of the professional team involved with this will be: Physical medicine & rehabilitation physicians, "physiatrists take both the physical impairments and medical conditions of these patients into consideration and work with other health practitioners to devise treatment plans". (stroke. org) Physical therapy will help my client restore function, improve mobility, relive pain and help limit permanent disabilities and also help with maintaining overall fitness and well-being. Occupational therapy can help Paul with any mental, physical or emotional problems by developing his ability to perform tasks in his daily living surroundings, and help him recover or keep everyday living and work skills. Speech therapy is an essential part of life following a stroke as aphasia disturbs the procedure of language and understanding due to brain damage from a stroke my client can receive this to help him gain back this ability. My client has family have the ability to help, and can play a essential part in the care and wellbeing that Paul will need when he goes home. They can help him by supporting and encouraging him through the different stages of his recovery. The general public health nurse is part of any community care team and can provide advice on managing difficulties that can occur while caring for a person in their home. She will also determine my client's needs, so that she can supply him with appropriate support services, speech therapy, physiotherapist, social worker, and home help etc. Paul can also get advice on practical aids such as walking frames, suitable beds and other mobility aids my client may need.
A stroke can be considered a devastating and distressing experience to happen to the individual and their families, stealing the individual effected of their independence, confidence, talents and health. Stroke recovery is usually a slow process and could take months as the brain is healing. Recovery all is determined by the individual and permanent effects can range between mild to severe. There is a variety of specialists that look after a stroke patient from the medical, nursing, and remedy professionals. The multi-disciplinary team give care to the individual in a variety of settings, ICU, general ward, and home after care. Some individuals are afflicted mildly and might not exactly take long to recover, however in others it can leave the individual with severe disabilities, paralysis, communication problems, and loss of vision, physical and emotional changes. All of the people involved try to help the individual regain the best level of function, although following a stroke the person may depend totally on others as they can be very ill. The care and needs changes as their conditions may get worse or better,