Martha is nearing discharge from hospital. she still has some left arm weakness and left leg weakness. Martha sometimes neglects people and objects on her left side – but much less so than when she first had her stroke. Martha is also less confused than she was soon after her stroke, but still has memory and problem-solving difficulties.
Martha is now able to transfer out of bed and in to a chair by himself. she has good sitting balance but still has trouble with balance when walking so she is using a quad walker. The therapist says that Martha should work on balance activities and on strengthening her leg and arm. She suggested that she would benefit from arm therapies such as constraint-induced movement therapy, task-oriented training, virtual reality, rTMS, motor imagery, mirror therapy, and functional electrical stimulation. For strengthening of her legs and to improve balance the therapist suggests aerobic exercise, balance training, functional electrical stimulation, mirror therapy, strength training or task-oriented training.
Martha is returning to her two-storey home that she shares with her wife and adult daughter. There are 5 steps up to the bedroom and she is able to go up the stairs using the newly-installed railing. she will need other assistive devices for bathing, etc. Martha is anxious to return home and becomes tearful (something that happens quite often these days) when discussing discharge. You might be worried that she is experiencing depression.
As a family member you may feel concerned about how things will work out once Martha is home and how you will cope with all of these changes in your life. You have spoken to the doctor and to the nurse who also suggest that Martha would benefit from learning more about how to prevent another stroke.