Caring for stroke patients seem simple, but sometimes difficult, expertise and care is needed in caring for stroke patients at home. Stroke remains a major problem and the number of sufferers is increasing. In the United States there are 700,000 new patients each year. Meanwhile, the prevalence of stroke in Indonesia, according to data from the Ministry of Health increased sharply. Stroke ranks third initially, is now the number one cause of death in Indonesia and have been through illnesses that have dominated as the cause of most deaths in Indonesia, namely cancer and heart disease.
Neurologist from the Department of Neurology Faculty of Medicine, University of Indonesia, Prof. Dr. Asaad Suhatno Teguh Ranakusuma SpS (K) says, stroke is a disease that is identified with or attack came suddenly. Stroke is a general term for disorders of brain function due to the failure of brain blood circulation due to vascular disorders or in the brain. "Besides causing death, stroke is also a major cause of disability," he said. The increasing prevalence of stroke in Indonesia can not be separated from changes in lifestyle due to economic progress.
Strokes usually occur through a long preparation of the risk factors that can not be controlled or modified and the actual risk factors can be controlled. Many people who have limited knowledge about stroke so that not a few also which means that the incidence of stroke is "paralyzed half of the body" a sudden. That's what hurt the patient because it will be a delay in early diagnosis and evaluation. From the same delay, then the impact is different. After coming back from the hospital, many stroke patients who have undergone a rehabilitation program at home.
Rehabilitation starts since the stroke, as soon as possible to perform maintenance. Care at home do when the threat to life is negative or no significant complications. Many times when a stroke patient to go home, still experienced residual symptoms of a stroke, such as loss of function hemiplegia circumstances or there are also patients who go home with a state of total rest, loss of communication or difficulty speaking, and others. Handling physiotherapy stroke is an absolute requirement for patients to improve the ability of motion and function.
To perform rehabilitation at home, the family should be given training on practical patient care in the home. This treatment can be simple because there is little problem. However, it can also be complicated because of problems that exist in a patient can be varied or complex. Mental readiness of all family members of stroke patients need to be considered by the medical staff and paramedics. That is, when the patient is still hospitalized, then the doctors and nurses need to introduce mental preparation to the families of patients from an early age.
Introduction to mental preparation should be presented in a wise, do not be scare for all members of stroke patients to understand the intricacies of the change in proportion of patients. Generally, the things that need to be considered by the patient's family, among other linguistic or grammatical disorder described as a decline and dysfunction in the content, form, language usage, and associated with cognitive processes, incontinence, depression, irritability, pain, spasticity , difficulty sleeping and swallowing, decubitus.
Perform activities that patients feel there is variation in life, such as social activities such as family gatherings, sports or gymnastics mild stroke. With activities like this, then the patient's recovery can be quickly accomplished. Sexual needs also need to be considered and this does need to be interpreted as sexual intercourse between husband and wife, but also the psychological needs of this sex can be love of a husband or wife or the patient feel cared for and appreciated or not left in solitude.
In certain cases, the family may experience difficulties or psychological pressure because of changes in patients with a difficult temperament is understood and controlled. That is why families must have the patience and understanding when caring for stroke patients at home. Although it looks trivial, facilities stroke patients who were treated at home should also be considered, such as rooms or beds with light and good air flow, blender, and tools to eat and drink, aids for walking, and if the family is quite capable, then the treatment at home can be assisted by experts.
"Families who do not understand how to care for stroke patients at home, could slow the recovery, could even worsen the situation of stroke patients. That is why education, compassion, and concern for patient care must be grown for those who care for stroke patients, "said Professor Teguh. Education for families of stroke patients on procedures for handling stroke patients at home will be very useful in restoring the ability of motion and function in patients after stroke.