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How do stroke patients recover at home and to whom does it fit? - Walla! health

2019-12-08T06:09:32.204Z


About 20,000 people in Israel suffer a stroke every year, with many undergoing a rehabilitation process to return to optimal function. How to choose the continuation of treatment after hospitalization, what must ...


How do stroke patients recover at home and to whom does it fit?

About 20,000 people in Israel suffer a stroke every year, with many undergoing a rehabilitation process to return to optimal function. How do I choose to continue treatment after hospitalization, what must be insisted on, and is it possible to go through the process at home?

As rehabilitation begins nearer the stroke, the chances of returning to function improve. "Home rehabilitation (Photo: Sabra Medicine)

Home rehabilitation after stroke (Photo: PR Zabar, PR)

In Israel, there are about 20,000 new cases of stroke each year. This is a moving event, but it is not an unmanageable situation, on the contrary. It all starts with awareness, the speed of arrival at the hospital and the assistance of a person with a stroke from the time the symptoms appeared.

The signs of stroke are sudden hand or leg weakness, unusual headache, sudden or asymmetrical smile or sudden speech disorder. In the event that these signs appear, it is important to seek immediate treatment to prevent long-term damage. Many of the people who have had a stroke can then return to partial or full function, mainly thanks to the immediate treatment and subsequent rehabilitation process.

Personal Rehabilitation Plan

"What is important to know is that there are no two similar stroke patients," says Pnina Rosenzweig, CEO of Ne'aman - Cerebral Event Victims, which helps people who have had a stroke and their families when it comes to post-hospital care and rehabilitation. And of course the speed that comes to the hospital and the care that is given. There's also a big deal of luck, "she admits.

"Time is a critical factor in the treatment of stroke and subsequent rehabilitation," agrees Dr. Itamar Ofer, CEO of Sabra Medical, an inpatient and home rehabilitation unit, which operates nationwide and employs hundreds of senior care providers in intensive rehabilitation and home care training. "The closer the restoration process begins to the event, the better the chances of returning to optimal functioning," Dr. Ofer explains.

"Before discharge, the patient should be evaluated for continued hospital care by a doctor or rehabilitation physician. It is important that people do not leave without a detailed rehabilitation report from the hospital. There are many criteria for rehabilitation, and it is important to pay attention to them," Rosenzweig explains, emphasizing that many Not exercising their rights even though they certainly exist.

Sometimes the rehabilitation begins weeks after the stroke. Home rehabilitation (Photo: Sabra Medicine)

Home rehabilitation after stroke (Photo: PR Zabar, PR)

Today, due to clutter in the medical system, a stroke patient is sent for rehabilitation for weeks after the event, when those weeks are likely to recover, and when most of the waiting time is spent in an inpatient ward - where he is at risk for infection. "Many of the patients are referred to a rehabilitative hospital. It's actually a re-hospitalization, when the patient goes through a rehabilitation process that has been tailored to him and is there for several weeks. For five years we have been doing all this at home, all funded by a health fund at no cost to patients," explains Dr. Ofer. , "Home rehabilitation basically teaches the patient to return to functioning in his or her natural environment, the one that he will continue to live and function in. Get out of his bed, use his shower, cook in his kitchen. The transition from initial hospitalization to home rehabilitation actually saves an adjustment phase for rehabilitation at an institution, after which the patient returns home and has to adapt - again - to a different environment. "

Home rehabilitation treatment

"Stroke is a sudden, minute loss of most often physical and cognitive functions that manifest from slight weakness in the hand to significant dysfunction," Dr. Ofer explains. "Usually a person with a stroke comes to a hospital, gets immediate treatment, and within a few days He no longer needs to be hospitalized anymore. The mission of the family and caregivers is to restore it to the function closest to what it was a minute before the stroke occurred, and restore independence to it. "

The decision on whether to choose a rehabilitation at home or a hospital depends primarily on the patient's condition. Some people from a clinical medical point of view have to stay in the hospital, so at this point in time, they cannot go home. There are patients whose home is not adapted to their functional status, such as people who suddenly have to wheelchair and cannot enter their home. And in some situations, the family can't even accommodate the hospital.

"First and foremost, we have a conversation with the family and the patient and examine each case," Dr. Ofer explains. "A person who is fit and family agrees on the nature of the rehabilitation, will return to his home and at the beginning we will see and see if the home requires adjustments. On the first day of home rehabilitation, a regular and experienced nurse arrives at the hospital, which will be available 24 hours a day from then on. A rehabilitation physician will build a customized rehabilitation plan for each patient, depending on their medical condition, family capabilities, and living environment. ”The nurse will join a physiotherapist on the first day of work according to the plan given at the hospital and reach the patient's home for up to five days a week.

How It Works?

Within two or three days of the patient arriving at his home, a rehabilitation physician arrives to perform tests and provide a rehabilitation program for the next few weeks. The rehabilitation process also includes occupational therapist, dietician and communication clinician, unless there is no ingestion or cognitive impairment. In addition, they accompany family and social worker patient, who guides them about their rights, and accompanies the family and patient in the emotional face.

"This is a very traumatic event for the family and the patient, and the social worker accompanies them, and is part of the diagnosis and therapeutic system," Dr. Ofer explains. In return for an active and healthy lifestyle, it is important to note that the patient associated with the patient is a regular team, who accompanies him throughout the process and learns to know his preferences, habits and abilities.

5-13 weekly visits by professionals. Home rehabilitation (Photo: Sabra Medicine)

Home rehabilitation after stroke (Photo: PR Zabar, PR)

All the caring staff are expert and competent in the home care world. These are about 5-13 visits per week of the various professionals over a period of between one month and two months, depending on the patient's condition and progress. The sooner the rehabilitation period begins, the better the chances of recovery, and research has shown that when rehabilitation begins during the first few weeks after the event, rehabilitation results are better compared to the rehabilitation process that begins one month after the incident.

Faster adaptation

The biggest advantage of the home restoration process is the practice in the natural environment, allowing for quicker adaptation and return to routine. The caregiver helps the family adjust the home environment to the patient's needs, and gives the patient and their family guidance on post-release behavior - preventing falls, making minor transitions at home and more.

"If there is, for example, a problem with getting into the bath, then it is about the patient's bath at home, as well as the kitchen, bed, etc. It saves time, and everything is already getting ready for the new situation, which is not happening in a rehabilitative hospital," says Dr. Ofer. About two-thirds of those with stroke need some kind of rehabilitation. The problem is that many people do not receive the rehabilitation they are entitled to because they are unaware of it and do not understand their rights. Even before discharge from the initial hospitalization, it is important to find out - whether the patient is suitable for home rehabilitation, and how this can be required. Information can be obtained from the caregiver at the hospital, from the health fund, or from the community doctor. This is a right that stands for every citizen in Israel and it is important to exhaust it. "

Source: walla

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