10:00 10:05
individual therapy session where he is asked about the therapist. No answer 10.10
warned: the therapist is coming
10:22 therapist arrives and looks around for a colleague 10.30
therapy begins. The therapist needs to X. to lift your leg 12 times. But X
can count to 12? It can lift your leg? He knows what it means to "lift" your leg?
The therapist goes away before he had the answer these questions. 10:40
the therapist comes back, shakes the patient asks whether he did the twelve lifts
"Yes" is the answer. But it would be "No".
If these are the notes that you are taking and the therapist is acting in the world that you describe in the notebook, imagine what happens when you are not present. And for this reason that you need to be frequently present. As soon as you realize that there is any problem, do something immediately. Assess whether the problem is with a therapist or someone else and ask for a change of shape. Sometimes there is a personality conflict between patient and therapist. While you are not qualified to judge the experience technique of the therapist, of course you can tell if he is impatient, contemptuous, indifferent, cruel, neglectful, harsh or just honest with your family. You should however be aware that many therapists are necessarily strict in order to motivate the patient would not otherwise be motivated, try to watch. It 'still pretty sure that a patient will express a great antipathy to a therapist too hard or that challenge. The match between the patient and the therapist must always be productive. It is not a marriage ... it is even more important! There is life at stake! Some patients do better with men than women therapists (usually surrounded by several male patients female figures in their daily lives need a male presence). Based on what you wrote down on your notebook (for example, that a session of one hour actually lasts 20 minutes), you will have good reason to ask for a change of personnel. If your documentation shows that the team is not operating efficiently make an appointment with the medical director and member of your problem. Remind them and yourself that you entered as you exit. If there are alternative services, threatened to go to the figure of higher responsibility. All this can be unpleasant but you must fight for what you know to be right. Your family deserves to get a good therapy to help him keep in good condition the body spirit and mind including muscle tone, flexibility, coordination, motor skills, cognition and speech. A good rehabilitation is aimed at those results. Remind your managers structure these fundamental rights and understand that you want to do what is necessary to obtain them. Your rights are guaranteed by the fact that you want a good person who can not fight for herself. A good rehabilitation service will present your views. You are the only ones who know that person is the patient and who was the first stroke.
One important thing to consider is that even if you are getting the best service rehabilitation with the best therapists in the world, progress in the recovery of stroke will be very slow and measured at small increments. Nothing will happen quickly. Speak, walk, move the affected arm, none of what you would like to happen overnight even if treatment is timely and the therapist works with every minute of his time. The results often vary from individual to individual. Remember what we said earlier, after a stroke paths are rarely similar. Unfortunately, there is a predetermined table to determine the degree of recovery and what will happen to your family. However, the recovery does not end in three months or three years, but continues throughout life. Maybe now you think that the recovery is slow but there will be a day that will be even slower, strike while the iron is hot, use this time wisely and to greater advantage of your family. Make sure that everyone around your loved one is acting in the most useful. There is no place for negative things in this scenario. Try not to absolutely make comparisons with others during the course of treatment. And this should be aware of all: friends and relatives. You have to remember that every brain recovers with a rhythm and a different degree, no matter how motivated the patient, what treatment was provided and those who do not allow, however, that the word has ever uttered. If your family member is receiving treatment to relax the muscles or medications, make sure that they are provided at the best time, it is certainly easier to do physical exercise when you do not feel pain, so make sure wherever possible that these medications are not performed without consideration of when to take place Physical Therapy. Sometimes the doctors and nurses do not think.
Since progress so slow, it is very important to continually encourage your family to work and not give up. Celebrate any progress no matter how insignificant. Get a big calendar and mark all the date of stroke and all the important events that you have lived: the first solid meal, first step, etc. ....... Make so that your loved one is aware of the date, name and number of days and months that often tend to forget. This will help in the awareness of time passing. In moments of discouragement is useful to say, "Look here ... two weeks ago you could not do it. You are now an expert in ...". When something important happens (the first step, the first glimmer of movement) you a party! Take the balloons, food and beverages, for such an occasion. Impatience is a major determinant of stroke is so important not to postpone this holiday season ever. Show your family how much you're proud of him now, and do not forget to write each event on the calendar, surrounded by a red star. Take pictures or video because it's almost guaranteed that will review its progress. They remember as they were before the stroke and are constantly aware of not being so. Try hard to keep your family aware of its presence in the world. Look at the news, discuss them, listen to music together. Talk about what you are seeing, doing, listening. Talk about family, friends, all the things that normally you would have spoken, and in the same tone of voice you used to use. Yes, your family have suffered un'ictus but they need to know that the world around them and is still waiting for their return. Just as you did during the hospitalization in intensive care, decorated the room of your family in the rehabilitation center. Hang pictures of friends and family. This helps patients to remember who I am and the staff have access to another dimension of the person lying in that bed: this was an active person with a family, this is a loved one. Also photos mental stimulation, as well as the newspaper if the person is able to read.
If you can accompany your family out of the room for him to walk down the aisle. Explore together every corner. Try it out as much as possible. The room used for sleeping and resting, not a place to hide and escape from the world. As soon as you are allowed take it off the property. Take him if possible of different food, not a hospital. If there are problems with swallowing, a meal consisting of your favorite foods will comfort the family and the contrary opinion of the doctors will not lead to instant death. Anyway, be careful, do not overdo it.
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