Adapting After a Stroke
After a stroke,
rehabilitation will not only focus on helping you
recover from disabilities but also on making changes in your lifestyle, at
home, at work, and in relationships. Changes will depend on the type of
disabilities, which are determined by the part of your brain that was affected
by the
stroke.
A stroke in the right side of the
brain can cause difficulty with performing everyday tasks. This type of stroke
affects the ability to judge distance, size, position, rate of movement, form,
and the way parts relate to the whole.
Perception problems may
include:
- Not noticing people or things on the affected
side and turning your head or eyes to the unaffected side. Someone with these
types of problems may not be able to steer a wheelchair through a large doorway
without bumping the door frame.
- Not being aware of body parts on
the affected side.
- Having difficulty forming numbers and letters,
confusing similar numbers, or not being able to add numbers.
- Having
trouble spelling words and reading.
- Confusing the inside and
outside of clothing or the right and left sides of clothing.
- Having
a hard time perceiving whether you are sitting or standing.
People with perception problems—even minor ones—should not
drive a car. A stroke can also affect mobility, communication, vision, and
decision-making, all skills that are needed for driving.
Some tips
for working with someone who has perception problems include the
following:
- Cut down on clutter to prevent a fall. Also,
make sure that rooms are well lit. Put night lights in the bedroom and
bathroom.
- Mark lines on door frames or full-length mirrors so that
the person can see what is vertical.
- Do not overestimate the
person's abilities. Watch to see what can be done safely.
- If your
loved one has trouble performing a task, be patient, and walk him or her
through the steps.
People who have had a stroke tend to be slow, cautious, and
disorganized when they are doing unfamiliar activities. They appear anxious and
hesitant, which is often quite different from the way they were before the
stroke.
Depending on the amount of disability, many people may
need help at home with a variety of daily activities. For more information,
see:
Stroke recovery: Coping with eating problems.
Also see: