Rehabilitation care during recovery from stroke brain hemorrhage

Psychological care After systematic clinical treatment, patients with cerebral hemorrhage have physical and language dysfunction and morphological changes in appearance that are difficult to recover in a short period of time, which can cause patients to become bitter, depressed and pessimistic. They show behavioral characteristics such as irritability and shyness to meet others. The nursing staff should try to be considerate and caring to the patient, give more comfort, guidance and encouragement, and introduce some cases with better functional recovery to inspire the patient’s confidence to overcome the disease. At the same time, arrange some suitable activities according to the condition. Such as watching TV, playing chess, listening to the radio to make patients feel full of life and eliminate loneliness, so as to strengthen their confidence in overcoming disability and keep their body and mind in the best condition. The diet of cerebral hemorrhage patients should be light, low-fat, moderate protein, high vitamin, high fiber food, small meals, no animal offal, animal oil, no more than 6 grams of salt per day, and more vegetables and fruits. For patients with facial palsy, chewing dysfunction and unfavorable tongue movement, they should be assisted to eat a thin and soft diet, with slow movements and appropriate reduction in volume to avoid choking and coughing or choking due to food obstruction in the respiratory tract. Functional exercise 1. Functional exercise for facial palsy Use the thumb to press and rub slowly from between the two eyebrows through the arch of the eyebrows, through the temple to the inner canthus of the eyes, and then down through the side of the nose, the nasolabial groove, the corner of the mouth to the angle of the jaw until it becomes hot and sore. 2.Language function training To patiently and meticulously practice word by word, when practicing, attention should be focused, emotions should be stable, the pace of speech should be slow, first from simple single words, words practice. Encourage the patient to boldly talk to others, which is also a method of language exercise. 3, hemiplegia functional exercise sitting and lying exercises: by family members to help patients repeatedly sit up, lying down movements; or tied to a rope at the foot end of the bed, so that the patient’s healthy hands grab the rope for their own up and down training. Upper limb exercise: frequently press and rub the affected limb, then make abduction and adduction and elbow extension and flexion, internal and external rotation movement. Lower extremity exercise: patient lying prone, family members with the back of the hand on both sides of the spine from top to bottom, so repeated several times. You can also have the patient sit on a stool and roll the limbs back and forth on a bamboo tube or walk, and help the patient walk up and down stairs to improve function. Control blood pressure and prevent rebleeding During the recovery period, patients with cerebral hemorrhage should check their blood pressure regularly to keep it around 18/11.5 Kpa, insist on taking antihypertensive drugs correctly, do not stop abruptly or replace them on your own, and do not take multiple antihypertensive drugs at the same time to avoid sudden drop in blood pressure or too low to cause cerebral blood supply deficiency, quit smoking and drinking, do not overexert yourself, and avoid strong mental stimulation to avoid life-threatening sudden rise and fall in blood pressure. The blood pressure should not be changed at the same time.