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Just curious if patients really do fully recover to their normal state after a stroke. There is some limb involvement, as well as speech. Assuming they do therapy, are their chances good?
I would say it depends on the severity of the stroke, and the patient.
MIL's stroke was not severe, and even though it went undetected for several days, she made a near-full recovery. (mind you, she was never the sharpest knife in the drawer, so to my way of thinking, she didn't have as far to go - to make a "full" recovery, LOL)
A friend, had a larger stroke, never regained his speech fully, was able to walk, but had some weakness that remained on one side. And we've never been sure if he lost the ability to read (may have just lost the desire, but at any rate - quit reading after the stroke). His personality took a big hit afterwards as well.
Different friend, had a massive stroke, was in need of assistance for 6 months or more - did rehab during that time, and he may still be doing it. He's a few years recovered and he walks with a cane, has weakness on one side and a brace on one leg - but his speech is clear and thought process is very good.
So it's just a mixed bag. I do think, that the level of effort on the patient's part is critical for the recovery. If they are serious about rehab (PT, OT, Speech) that will serve them well!
Okay. Thanks for that input. That helps a lot. I don't know the extent yet, but, think it was pretty severe. She was in the hospital for about a week. I'll just hope for the best. She is very motivated, so, I guess that will help.
I think recovery also depends on the age of the stroke patient...the older they are, the more daunting it may be for them depending on the damage. Blessings!
I agree, it all depends on the brain damage involved. If they were an active person, they may work to get back to as normal as they can.
PT is physical therapy, OT is occupational. Physical pretty much explains itself. Occupational is where the stroke client is taught different ways to do things if the stroke effect a limb, lets say. OT tries to get the client independent again. And the more the client does for themselves the better. Improvement depends on the client too. They have to be willing to work.
It really depends upon what part of the brain is affected by the stroke. Some folks make pretty complete recoveries, some develop vascular dementia. I'm not sure that there is any way to predict recovery.
If there is some movement in the effective limbs and understandable speech within 7 days of the stroke, then there's a good possibility of 90+% recovery of physical movement, speech, and swallowing within the first year after the stroke with PT. Many strokes are limited to the portion of the brain that controls movement and people can have near total recovery from this type of stroke. Strokes that impact the thinking and creative portions of the brain are the ones that can create problems, but even here other regions of the brain can retrain, particularly in younger people.
I have known a 86 year old man who physically recovered to normal walking over 2 years and went on to live another 10 years. My SIL had 3 small strokes after a cerebral aneurysm at age 42, recovered enough to walk with a cane and use utensils, then stopped PT due to depression and lost ground, eventually only limited functionality in her hand; the strokes also impacted her speech slightly and her vision enough that she could not drive or enjoy watching baseball anymore. My father had multiple TIAs beginning in his 50s but no major strokes and suffered vascular dementia, an "early" scan showed 8 dead areas in his brain as well as significant shrinkage; his personality and executive reasoning degraded greatly.
As it turns out, this stroke victim is able to walk, but, is still very weak. The speech is pretty mixed up. Words are sort of like word salad. I can imagine that is pretty frustrating. (This is for a family friend, not my LO, who is in end stage dementia.)
SunnyGirl, I'm so sorry to hear this. You have so much on your plate now. Your compassion is admirable, being concerned for an acquaintance while also caring for your family.
As to your question, as already written, it depends on the severity of the stroke, and the person. I had a right side stroke in 2017, 10 days after the inauguration. I'll let you and others infer what you will from that!
I thought I was having one but was more sure in the middle of the night. However, I wasn't going to go out in the winter time in the wee hours of the morning, so I went out the next day. I was right.
I still have signs of the stroke in that my right side is larger (making getting shoes harder), but other than that and occasionally succumbing to self-pity, it hasn't required anything else. PT would have been helpful, but I was still taking care of Dad.
What I would suggest though is to search for Rehabilitation Institutes, or facilities (not rehab centers) that focus on TBI and related issues. From what I've seen and learned, they offer more comprehensive rehab than just an ordinary rehab facility.
In my area, the Rehab Institute of Michigan was affiliated with the DMC group of hospitals. It was REALLY impressive, from what I saw. I had therapy there once.
Here's an example of one of their applications: robotic exoskeletons: https://www.rimrehab.org/our-services/exoskeletons
Acquainting yourself with their website will help you if you look for a rehab institute in your friend's area.
https://www.rimrehab.org/
I also saw a stroke patient in rehab at the excellent center for another hospital, a nonprofit one. Although I've only had private therapy with one company, I would never use them again. I've always used hospital related PT sources until a doctor recommended the private one, where he just happened work before becoming a doctor.
If your friend's motives are strong, I think that's half the battle. Support is another factor, and as I've noted, highly competent, diversified therapists.
And I think moral support is another major factor.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
MIL's stroke was not severe, and even though it went undetected for several days, she made a near-full recovery. (mind you, she was never the sharpest knife in the drawer, so to my way of thinking, she didn't have as far to go - to make a "full" recovery, LOL)
A friend, had a larger stroke, never regained his speech fully, was able to walk, but had some weakness that remained on one side. And we've never been sure if he lost the ability to read (may have just lost the desire, but at any rate - quit reading after the stroke). His personality took a big hit afterwards as well.
Different friend, had a massive stroke, was in need of assistance for 6 months or more - did rehab during that time, and he may still be doing it. He's a few years recovered and he walks with a cane, has weakness on one side and a brace on one leg - but his speech is clear and thought process is very good.
So it's just a mixed bag. I do think, that the level of effort on the patient's part is critical for the recovery. If they are serious about rehab (PT, OT, Speech) that will serve them well!
PT is physical therapy, OT is occupational. Physical pretty much explains itself. Occupational is where the stroke client is taught different ways to do things if the stroke effect a limb, lets say. OT tries to get the client independent again. And the more the client does for themselves the better. Improvement depends on the client too. They have to be willing to work.
I have known a 86 year old man who physically recovered to normal walking over 2 years and went on to live another 10 years. My SIL had 3 small strokes after a cerebral aneurysm at age 42, recovered enough to walk with a cane and use utensils, then stopped PT due to depression and lost ground, eventually only limited functionality in her hand; the strokes also impacted her speech slightly and her vision enough that she could not drive or enjoy watching baseball anymore. My father had multiple TIAs beginning in his 50s but no major strokes and suffered vascular dementia, an "early" scan showed 8 dead areas in his brain as well as significant shrinkage; his personality and executive reasoning degraded greatly.
As to your question, as already written, it depends on the severity of the stroke, and the person. I had a right side stroke in 2017, 10 days after the inauguration. I'll let you and others infer what you will from that!
I thought I was having one but was more sure in the middle of the night. However, I wasn't going to go out in the winter time in the wee hours of the morning, so I went out the next day. I was right.
I still have signs of the stroke in that my right side is larger (making getting shoes harder), but other than that and occasionally succumbing to self-pity, it hasn't required anything else. PT would have been helpful, but I was still taking care of Dad.
What I would suggest though is to search for Rehabilitation Institutes, or facilities (not rehab centers) that focus on TBI and related issues. From what I've seen and learned, they offer more comprehensive rehab than just an ordinary rehab facility.
In my area, the Rehab Institute of Michigan was affiliated with the DMC group of hospitals. It was REALLY impressive, from what I saw. I had therapy there once.
Here's an example of one of their applications: robotic exoskeletons:
https://www.rimrehab.org/our-services/exoskeletons
Acquainting yourself with their website will help you if you look for a rehab institute in your friend's area.
https://www.rimrehab.org/
I also saw a stroke patient in rehab at the excellent center for another hospital, a nonprofit one. Although I've only had private therapy with one company, I would never use them again. I've always used hospital related PT sources until a doctor recommended the private one, where he just happened work before becoming a doctor.
If your friend's motives are strong, I think that's half the battle. Support is another factor, and as I've noted, highly competent, diversified therapists.
And I think moral support is another major factor.