October 22, 2016
1.An accurate blood pressure measuring device as a lot of the automatic ones give varying results. It would be wise to take your automatic blood pressure device to your Doctor to compare it with manual readings to ensure the device is an accurate one. Once this has been established, the patient's blood pressure is taken 3 times a day, 1st thing in themorning, afternoon and in the evening. The pulse rate and blood pressure readings should be charted in a notebook and showed to the managing Physician during medical checkup.
This step alone is probably the most single factor in ensuring the stroke patient's blood pressure is effectively monitored/managed. Ideally, there are ambulatory blood pressure devices that can be connected to the patient and these will automatically take the blood pressure readings at intervals throughout the day usually over a period of one week and charted for later review by the managing Physician but these devices are not cheap and are not readily available in this environment.
2.If the stroke was identified as being ischaemic in nature, then the patient's doctor will place him/her on a drug called Clopidogrel.
3.If the patient has high cholesterol, routine lipid profile tests every 3-6 months will have to be done and the patient's diet will have to be modified by a Dietician. The patient mayalso be placed on anti-cholesterol medication as cholesterol worsens heart disease / hypertension.
4.In most cases, stroke victims tend to lose some functioning of their limbs usually one side of their body is affected depending on which side of the brain the stroke occurred.So, most stroke patients will benefit from some form of physical rehabilitation or Physiotherapy.
5.Sometimes the speech patterns of the stroke victim may also be affected. In an ideal setting, a Speech therapist would be highly recommended but where there is none, frequent conversations and encouragement by loved ones will go along way in rehabilitation.
6.Most stroke victims are depressed. They should be visited often by their loved ones and encouraged.
7.They will also need a caretaker as most stroke victims are very reluctant in moving around and should be encouraged to do so as lying all day in one position will only predispose the patient to the development of pressure/bed sores which is a rather difficult thing to treat. They should be turned from one position to another every 2 hours to ensure bed
sores don't develop.
8.All in all, how fast a stroke victim recovers is multifactoral. A stroke victim surrounded and encouraged with the aid of his family will usually recover faster than a stroke victim that is neglected and locked away in a dark room.Dr Akindele Goodluck is a Medical Doctor and General Surgeon. He is the Medical Director of Goodluck Specialist Hospital based in Lagos. He offers special Mobile services to his patients. He Can be reached on firstname.lastname@example.org