Rehabilitation experience of 60-day cerebral hemorrhage patients

The disadvantages of rehabilitation at home are beginning to appear!

First, the enthusiasm of exercise depends entirely on self-awareness. Although my father is still active, I still feel that the amount is not enough.

Second, exercise is not scientific enough. Obviously, I feel that the recovery has encountered a bottleneck period and there is no breakthrough. With so many devices at home, the key language has been weak. I don't know what to do next.

To sum up, I consulted related rehabilitation videos and books over the weekend, and fully discussed with my parents, and decided to arrange my father to go to the rehabilitation hospital for systematic rehabilitation treatment again next week, especially in terms of language.

I went to see my father on Thursday. He was so excited that he shed tears and made a few polite remarks. How's the food? Is it cold? He also asked the nursing staff how they were. After a few words, my father said that he would go back to exercise. Finally, I spoke to the nursing staff. My father is currently training from eight to eleven in the morning and from two to five in the afternoon. There is no way to enter the rehabilitation hall. I can only look at him from a distance through the glass, and he also looks at me from a distance through the glass, which is very sad. I hope he can recover scientifically, and he hopes to go home early. At least we reached an understanding before hospitalization. Rehabilitation depends on yourself. You must train well and study hard. If you want to leave the hospital, I'll help you, but it's hard to come back.

I put my heart and soul into making money. After all, it costs a lot of money. At present, it seems that everything is on track, self-adjustment is also very good, the cost is at the bottom, and the things to be done are very clear. Come on, work hard, struggle.

The following is my recent rehabilitation experience.

My dad had a cerebral infarction, left cerebral hemorrhage, and the amount of bleeding was 20ml. He was hospitalized for 25 days, recovered in a rehabilitation hospital for 7 days, and voluntarily asked for rehabilitation at home after discharge. The state of discharge is that the muscle strength of the right leg is 0 and the muscle strength of the right arm is 0, so it is impossible to speak. The conclusion given by the doctor in the inpatient department is hemiplegia, and the conclusion given by the rehabilitation hospital is that if you continue rehabilitation training, you are expected to be able to stand. The above is the basic situation and can be used as a sample reference.

Rehabilitation supplies-equipment

The preferred equipment is wheelchair, which greatly increases the patient's action radius in the early stage. The most intuitive change is that patients can get out of bed and move in wheelchairs, which is a great psychological release. It is also the most commonly used and fastest equipment in my father's early stage. So far, it feels good. When choosing a wheelchair, the first choice is that the lighter the better. You can go to the physical store to compare. Lightness is the first consideration. First of all, the patient's early strength is not enough, and the lighter the wheelchair, the more controllable it is. Second, the lighter you push, the easier it is. The most important thing is that the road surface in China is not suitable for wheelchair travel at all, and many places need to raise hurdles. Besides being light, you'd better buy one with a brake handle. Safety is also very important. Then consider those with pockets that can greatly increase portability, such as paper towels, cups, hats, etc. , can be carried with the car.

Toilet: this is the second well-received equipment in the early stage. Because the car was not enough, I almost threw it away when I left the hospital. Early defecation is a headache for patients. The biggest problem of conventional family toilets is the long distance, and the second problem is that there are no handrails. Just imagine yourself paralyzed, going to the bathroom in the middle of the night, and basically urinating all the way. Even if you are lucky enough to go to the bathroom, you can't get up alone without holding the handrail. The toilet is placed beside the bed and equipped with handrails. It is also convenient for family members to help, which is needed in the early stage. The problem about the smell or dirt of the toilet is actually easy to solve. Wash it once in the morning and once in the evening, and 84 disinfection will do. Maybe when I was a child, my family was poor and there was no home toilet. I have used spittoon for a long time, which is more acceptable.

Home physical exercise rehabilitation instrument: I call it electrotherapy instrument for short. When I was in the rehabilitation hospital and inpatient department, I saw the nurse do this project for my father. Its main function is to stimulate muscles, simulate muscle movements and stimulate nerves with electrode pads. This is the rehabilitation equipment that my father always insists on using at home. When my dad is completely in bed, he uses it to exercise his muscles. Personally strongly recommended. I don't know how to recover in the early stage and how to protect it. This equipment is very good. Each treatment lasts for 20-30 minutes, five times a week. The biggest problem is that the acupoints of muscles are hard to find, so you need to electrify yourself. Secondly, everyone suffers from different pains, so try to bear the largest amount of electricity to treat it.

Standing stand: This equipment uses various straps and supports to make the patient stand when he can't stand in the early stage. The biggest advantage is that it can be unattended and safe. In the meantime, you can stand. This is a multifunctional bracket. You can buy all kinds of upgraded external equipment and exercise in other places while standing. This kind of equipment is used when the patient can't use crutches and walkers in the early stage. This is just a standing exercise. It is recommended to put it on the balcony to see the scenery. This can be omitted when the patient can stand on his own.

Pulley: I bought this product badly. I have to clip it on the door frame, so I can't close the door. In terms of use, I think it is one of the few equipment that can exercise shoulders. The most troublesome thing for the whole family is the arm. If you increase the standing time, you can exercise your legs. It is very difficult for your arms, especially those with zero muscle strength. Until today, your arm has recovered slowly.

Varicose pressure wave: This device is also seen in hospitals. Its main function is to prevent complications of hemiplegic patients, especially varicose veins caused by long-term bed rest, and finally form thrombosis. My dad does this every day, which can not only promote blood circulation, but also massage muscles. It is painless and highly accepted by patients. 30 minutes at a time.

Four-legged walker: After the patient can stand independently, he can exercise and walk with the aid of the walker. When buying, he must choose the light one, the lighter the better. The product is foldable and easy to store. The most important thing is that it has high and low hands. When you change from sitting to standing, you can borrow money. My dad helped me a lot when he learned to walk and get up in the early stage.

Orthopedic device for varus: Paralyzed patients must be properly worded in the recovery period, because the patient is not strong enough and slow to respond, and the secondary injury may be very serious. Regarding the walking of lower limbs, the most worrying thing is that the feet are turned in or out naked, and long-term stress will lead to deformity and even bone injury. This one I bought is made of steel wire, and the patient can operate it with one hand. Pay attention to the size of your feet when buying.

Shoulder rest: it is also a protective product to prevent dislocation, but it has been useless. The reason is that it is winter, and it is difficult to tie the shoulder pads in thick pajamas. Secondly, my father's shoulder exercise is more casual, and it is inconvenient to exercise with shoulder pads. I don't think this product is practical yet.

Tablet iPad. Because my dad's language has also dropped, and his tongue can't be flexibly controlled, so at least swallowing and eating are not affected. I have thought a lot about how to restore his language function. I didn't think about online tongue stickers. I subjectively think that my father will not cooperate with tongue sticking practice. The rehabilitation hospital has a special language rehabilitation class for 30 yuan, but it is held in a one-on-one secret room. I don't know how to train I asked my dad, and he couldn't explain it clearly. Finally, I used the iPad. When he exercises, he uses it.

Experience article

In addition to related rehabilitation equipment, the most important experience is how to face patients as family members. Let me talk about my experience, hoping to give you some reference value. During the whole process of hospitalization and discharge, patients were very depressed, sensitive and bad-tempered. Because my father's language has been difficult to recover and communication is difficult, it is easier to get angry. Scold family members, scold nurses, and scold anyone who is angry. First of all, family members should be patient and be prepared for a protracted war. The most important thing in family rehabilitation is to stimulate patients' willingness to take the initiative to exercise, supervise the completion of daily rehabilitation exercise, ensure diet and sleep, increase spiritual communication and positive energy transmission, and cultivate a sense of tacit understanding. At present, my father can stand and walk, and he can take care of himself simply. His arm is weak, so he can only lift it up and put it down, and his fingers can't control it. Language can curse people and pronounce simple words such as eating and sleeping. The most important thing is that my mental outlook is completely new. I take the initiative to exercise and take medicine every day, and I am also worried about reminding me of big and small things at home, such as closing the window and collecting clothes. When he is forced to exercise by us every day, from giving up treatment and giving up himself to finding that he can slowly gain strength and stand up, he himself becomes a master. The process is still very difficult. Again, be prepared for a protracted war, put patience first, learn more about the rehabilitation points of related diseases and related cases, and everything will be fine.