Wednesday, February 20, 2008

Patch Ita Per Port Royale 2

Chapter 2.3. Admission to the Department - Be vigilant

Checklist

· Do the questions. Make sure that the answers satisfy you completely.
· Asks an assessment of swallowing function.
· Now begins the rehabilitation phase. You have to be determined.
· Keep a positive attitude but be realistic.
• Do not allow you to make negative comments in front of your family.
may not be able to speak but could understand.
· Where possible, make the hospital environment pleasant with all comfort that you can
have at home.



(...) There is no time to be shy or reserved. There are moments in life when it is important to pretend to know what you do not know. Like now. Compared to the experience of stroke are now the equivalent of a two year old child and act as such. Often ask "Why does this happen?" Why? "100 times a day as a child. Get rid of excess anger if things do not go as you want. So do not be a little 'and decided go by the competent authorities if you believe that any operator has misbehaved. On the other hand thanked with hugs and praise those who deserve it. If you can not transform into aggressive people, do not try to force yourself too much, rather you call someone who can help you to face your battle. Do not be whiners. Nobody likes a whiner, whatever age have. Been fighting for the life of someone you love and deserve respect from all.

Stroke can be difficult to accept emotionally, but what about the part on the physical problems in swallowing may be the first problem to consider. The muscles of the body can not function properly and the opposite of what you think is true: the more attention should be given to the ingestion of liquids, in fact, the water and fluids back up or, worse, are aspirated into the lungs. Often the food has to be whipped until the speech therapist will perform an examination of swallowing your family. In that analysis the operators control how they are eating solids and liquids ... and only if the test is negative the person is allowed to eat normally. Do not despair if this is not possible, does not mean that your family will not eat anymore. Also in this case, you can get excellent results doing a rehabilitation program.

Speaking of rehab, it is activities (physiotherapy and speech therapy), which should begin as soon as possible, as soon as the patient is able to tolerate them. Physical therapists take care of the arms legs, appearance, motor, and the speech therapist takes care of verbal communication and swallowing of the patient. Facilities which include a staff occupational therapist, may be useful to undertake a program of occupational therapy (which has nothing to do with the profession). In fact, it does not matter if the patient is a doctor, lawyer, Indian chief. After the stroke, the main job may be made from learning to dress himself, brush teeth, do the basic skills of coping with life disability that has caused the stroke. These things should take care occupational therapist.

is important that all parts of the body that do not work are set in motion as if it functioned normally. These exercises of "passive motion" will be taught by physical therapists whose instructions you enter in the usual notebook. Your hands are put to work until you are what you / to work with both hands. And besides being useful in physically with your hands you can communicate messages of love to your family. All this is because if the brain will recover enough to move his limbs again, they must be ready to respond. "I forgot how do you "is rarely a good excuse in any situation, so go ahead with courage and do not allow the muscles to remember how to move.

Riddle: what is the only luxury that you can take advantage when your family member in hospital (but did not understand until it is back home)?
Answer: Time! advantage of this time to put order into your life.

During the long night of silence, think about whom you should contact that might help :

The health worker at the hospital:

Do you need some information on how to move, ask what benefits, what practices to start, in short how to proceed with all the bureaucratic paperwork. If you need to look for the name and phone number you can call a social worker regularly. It can become your best friend. Having a person of reference is preferable to find a new one every time you need.


The employer of your family:

Discuss any resumption of work or the possibility of activating an early retirement for health reasons from (get help in this health workers if they will direct you to a social worker ). Find out what they can do for you and lasciateglielo do. Remember that the answer to the question "Can I help you?" is always a strong "Yes".
Use all possible information to find out what benefits are available and how to apply. There are procedures that take months. The paperwork is huge, but once the request is approved sometimes you get benefits that apply from the date of commencement of the disability. Make sure that everything is running while you are still sitting at the edge of the bed of your family.

(...)

Still, while you're sitting in the hospital room, look around thinking of ways to make the environment more comfortable. On a bulletin board if you can expose the beautiful cards, hang pictures of family members, your home, pets Tracks of a loved one or an artistic work of your nephew is a good idea to wear a Walkman with tapes of music they like your family, or a calendar with important dates marked all of the family (birthdays, anniversaries, holidays). Create a guest book that visitors can sign. You can not rely on the memory of your family or your ability to tell you who went to see him. Also signed you, you will be able to understand how much time you spent in hospital.

And then that terrible bell to summon the nurse can cause more problems and frustration as a cause of the stroke. "To call, press the bell!" may seem a request easy, but for a person with stroke may be as complicated as doing an elaborate calculation. We often forget that the person with stroke often have communication problems, and maybe not even recognize the bell. It is necessary for you to take precautions. First make sure that the bell is located on the side of the patient's body that works so that it can achieve. The bell is connected to a cable, the latter tied to the headboard of the bed. If there is a television and the remote is placed near the bell, leave a note with an apology. About 150 times a day your family will press the button instead of help when trying to change the channel!

Put a sign on the wall or on the bed so that anyone who wants to help patients know what part of his body that does not work, and then where to go put the objects that he must take, such as the bell, a glass or bottle . If possible (asking permission), leave a note on the wall with the words "patient unable to speak." It will be useful for operators who do not read the medical records. If necessary, make sure the nurses know that the patient can not answer the question "Can I help you?"

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