AFASI
Aphasia is the medical term used to indicate a loss of communication which is the inability to express themselves through words, gestures of writing (expressive aphasia) and / or inability to understand written or spoken language (receptive aphasia). This usually happens to those who have had a stroke that affected the left side of the brain and then the right side of the body. The severity varies from patient to patient, you can go from a complete loss of speech (severe aphasia) to the occasional difficulty in finding the right word or using the words correctly (mild expressive aphasia). Problems with receptive aphasia can vary from an occasional misunderstanding of the word in a complete inability to understand all the words spoken by others.
Most people with aphasia are mentally intact and did not lose intelligence or common sense. This makes it very frustrating disorder aphasia. People know what they mean but can not. They have a problem with his thoughts in speech writing. The good news is that aphasia does not get worse unless it arises another stroke or other brain injury. Almost all the best people, how and when it happens you never know and every person is a special case. The first goal is to learn to deal with and communicate effectively, despite the aphasia. The speech therapist can show you how to achieve this first success. Here are some
tips for dealing with aphasia:
· provide the person a bell calls such as that found at the hotel reception, or the bell of a bicycle or other tools that make noise and can be used to take care of the person .
· can be a useful indicator with laser
· get yourself a dictionary illustrated boards with letters of the key that can help the person to express his needs or ask your speech therapist to arrange the cards with the key figures that refer objects to which the patient may need: pan, water, or report messages that your family could you want to report the type thanks, I'm sorry, I love you, help.
· Put a label on all objects in the room (telephone, lamp, TV, glass, book ...). Nominate everything you touch when you are using the. People with aphasia often do not remember the name of certain things or numbers. They can call all of the same name, eg. "Key" or the name of a person and although I know that dinner is at six can tell you that you have eaten at 10 o'clock (think of say 6). Speak slowly and clearly, but not very loudly because people can still hear you. Speak one at a time. Be aphasic in a room full of people is like having a lot of televisions placed on different channels at the same time. It is impossible, and irritating to an aphasic person, follow more contemporary discourses.
· assume that your family can understand, even when everything seems to prove otherwise then do not say anything negative or anything but perhaps you would like to heard from your family
· encourage your family to talk but the words that produce incorrect and although she often repeats what you say. Do not speak for fear of embarrassment is worse than trying and failing to get it right. Try not to replace it too the person who tries to talk, speaking in his place, continued practice is necessary to recover
· often a person with aphasia can not speak but still managed to sing. Let them hear some music they like and do try. Choose festive songs (Translator's note there is also a therapy that uses this ability of the patient)
• if you can keep the TV on when no one is nearby. If you have the opportunity to do the subtitles, is a good stimulus for the brain.
(...)
Translator's note: Our association has brochures with tips for communicating with an aphasic person, request, free of charge.
DISLOCATION
If the shoulder is not supported by the affected party, if you leave your arm hanging weight "dead" dead, they cause spillage. Physical therapists with their work to prevent this from happening, so if physical therapy is done try to find out why. Let explain and show the physiatrist and physical therapist who must be the resting position of the affected arm and how to use the pillow to prevent subluxation of the shoulder.
Skin
should protect your family from skin cracks, often moving his body, keeping the skin clean, airy and dry, red spots and treating the wounds as soon as they appear. The frequent use of the pan can cause skin irritation. The adult diapers can be a better idea.
LOSS OF URINE AND BOWEL PROBLEMS OF FUNCTIONS.
Often after a stroke, people struggle to dominate or are unable to control the outflow of urine, and the same goes for the gut function. While this may be caused by damage to part of the brain that control these functions may not be a problem of incontinence, but a real communication problem. The patient may be unable to communicate his need to empty the bowel. It is important that the caregiver is aware of this situation and work with the nurses. DEPRESSION AND EMOTIONAL PROBLEMS
Stroke, like death, is a catastrophic loss of personnel. The only how to heal, to be able to tackle the problem through a painful process involving several stages. The initiative involves several steps, which may occur in any order: a stage of shock, anger, relief, depression, denial, grief, acceptance, and emotion. Pain is a very personal experience that takes time and hard work. In addition there is a socially acceptable way to grieve for someone who has survived his death. The person must be encouraged to bring out the pain for his loss, is a therapeutic catharsis to a natural progression in life. In a sense, the stroke can be more devastating than death itself, for it remains alive the memory of what life was like before. The most common reaction is generally followed by depression which anger and frustration. For those who survive the stroke, the risk of depression is often increased by the fact that the stroke itself alters the chemistry of the brain and in a sense "clear" the natural brain chemicals that control the general mood. The only way to overcome feelings of anger, guilt and sadness is to live them to the end and seek medical advice about the possible use of antidepressants can take both the patient and the caregiver (although you may be distressed and many of the things that could be applied to you). Gradually, with compromise, understanding and help from family, friends, doctors, and even with antidepressant drugs, is able to face all this.
0 comments:
Post a Comment