First 90 days after recovery of a stroke is referred to as the 'golden period' which is considered extremely important in the complete rehabilitation of a patient.
Stroke – Early Warning Signs - Risk Factor - Rehab - Treatment
Stroke can cause permanent disability and it is important to recognize its early warning signs to stop its progress. Early warning signs of stroke include sudden weakness of facial muscles.
Stroke can cause permanent disability and it is important to recognize its early warning signs to stop its progress. Early warning signs of stroke include sudden weakness of facial muscles.
‘Stroke can hit anyone at any age. First 90 days after recovery of a stroke is referred to as the 'golden period' which is considered extremely important in the complete rehabilitation of a patient because most of the neurological recovery happens during this time.’
Stroke or a Cerebro Vascular Accident (CVA) results from a sudden blood loss to the brain or bleeding within the brain resulting in the impairment of neurological function. Obesity, smoking, hypertension, alcohol consumption, diabetes and family history are considered some of the common factors leading to a stroke. While effective treatment for stroke is evolving in the country, a largely neglected area is the 'golden period' of post-stroke rehabilitation.
The first 90 days after recovery of a stroke are referred to as the 'golden period.' This phase is considered extremely important in the complete rehabilitation of a patient since most of the neurological recovery happens during this time.
How to Deal with a Stroke - Signs - Symptoms - Risk Factors - Prevention
Stroke is a brain attack, which occurs when the blood supply to the brain is interrupted. It affects all age groups; according to the WHO, 15 million people are affected by stroke annually.
Stroke is a brain attack, which occurs when the blood supply to the brain is interrupted. It affects all age groups; according to the WHO, 15 million people are affected by stroke annually.
- In the absence of continued monitoring by a team of skilled nurses and doctors, critical signs in a patient could be overlooked consequently leading to relapse, disability with profound effects on the quality of life or moving to a vegetative state and death.
- Symptoms of heart disease - chest pain, fatigue, congestion, etc.
- Deep vein thrombosis - swelling, pain or tenderness in the legs
- Pneumonia - fever, shortness of breath
- Seizures - tingling sensation, partial loss of consciousness
- Depression - feelings of anxiety, irritability, helplessness
Some of the critical signs to watch for after a stroke are:
- Early rehabilitation in an organized care setting can prevent other common post-stroke complications like recurrent stroke, bed sores, aspirations, spasticity and infections.
- A reliable prognosis (the likely course of a medical condition) in all patients is made within 12 weeks from a stroke's onset. The majority of neurological effects of a stroke can be reduced if early, intense and consistent rehabilitation is initiated.
- With the right rehabilitation care provided by a multidisciplinary team of doctors, within the first 90 days itself there will be noticeable signs of improved functional outcomes in the activities of daily living in a stroke patient. These interventions will enhance socialization and minimize changes of mood issues like depression.
The primary steps of rehabilitation care which needs to be initiated within the first 90 days of the Golden Period are:
- Base assessment and risk profiling - The recovery prognosis of a patient should be made as per the severity of the disease, by taking into account any co-morbidities including high blood pressure, diabetes, hypercholesterolemia and preventable risk factors like falls, aspiration, infections, etc.
- Goal setting - A multidisciplinary team of care providers including physicians, speech therapists, occupational therapists, nurses, physiotherapists, and dieticians should work with the family to set realistic and mutually agreeable goals for enhanced recovery.
- Regular evaluation - Performance indicators should be rigorously monitored to continue/ modify the care plan. Stroke affects differently in individuals, and hence each care plan should be customized as per the individual's condition.
- Empowerment - Soon after discharge from a critical care setting, depending on the intensity of the condition a stroke patient should decide to choose the next care setting. He/she should be advised to handle the disease/risk factors and ideally moved to an organized rehabilitation setting for an empowered and accelerated recuperation.
As India battles a rising stroke epidemic compared to other developing nations, it is high time we focused on specialized programmes of stroke rehabilitation to effectively overcome the disability.
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