Posted May 5, 2018
Is it possible to re-wire the brain after a Stroke? A stroke sometime called “brain attack”, occurs when blood flow to the brain is interrupted. When a stroke occurs, brain cells begin to die because they stop getting oxygen and nutrients they need to function.
The affected areas of the brain stop working certain parts of our body system. “The mind is thinking to move the arm, but the brain does not move the arm.”
After a stroke, our brains cannot grow new cells to replace the ones that have been damaged, so your recovery depends on your brain’s ability to reorganise its undamaged cells and make up for what has been lost. This is called neuroplasticity.
Neuroplasticity enables people to recover from Stroke, Autism ADD and ADHD, learning disabilities and other brain deficits.
The ability of the brain to re-organize itself physically and functionally by repetitive training, the brain begins to formulate new pathways to send signals. The more something is practiced, the more connections are changed. Every time we repeat a thought or an emotion we reinforce a neural pathway.
Physiotherapy after stroke is critical to reinforce weakened connections and develop new ones. The sooner the recovery can begin, the better the outcome. Research has shown that the most effective types of physiotherapy are exercises and practising specific tasks that you aren’t able to do well. So if you are having difficulty keeping your balance when standing, you need to practise standing up a lot; if you have difficulty lifting your arm, you need to practise doing activities which make you lift your arm, and if you are having difficulty walking you need lots of walking practice.
Our Home Physiotherapy team will work on a one-to-one basis, particularly on the tasks and the movements you are just learning to do. Talk to your physiotherapist about what is suitable for you.
LEADERS IN HOME CARE, Enayati Home Healthcare is committed to ensure the development of its staff and the ongoing competency skill upgrades needed to keep up with best practice standards.” Enayati Home Physiotherapist are committed to delivering safe patient care.
Posted November 17, 2017
Among the Elderly, symptoms of a Urinary Tract Infection are often missing. Beware!
A UTI is an infection of the urinary tract, most commonly the bladder. For most people, the need to urinate frequently and/or urgently are two key symptoms of a UTI. A burning sensation when you go, and a change in color and odor are other common signs. Sometimes, a small amount of blood in the urine is visible. But in older adults, those symptoms are often missing. Instead, older adults may suffer from unexplained incontinence, vague fatigue or significant changes in their behavior and mental status.
ALL OF A SUDDEN CHANGES
Beware! A sudden change in behavior for an Elder is a medical emergency. Our patients in the home present different sign and symptoms. All of a sudden, the elder becomes confused, combative, agitated, cannot sleep, sees bugs crawling, and shadows on the wall. The behavioural changes are often dismissed by the family as “a sign of aging”, or “it’s the dementia”. We call this Delirium. Even if the Elder has a current diagnosis of Dementia, a sudden change in mental status is considered to be Delirium. And a main cause of that sudden change is usually a UTI. Medical attention is required to diagnose a UTI and look out for other probable causes such changes in sodium and potassium levels, elevated urea, thyroid levels, dehydration and constipation or even medication levels in the blood stream.
RECOVERY FROM UTI
Home nurses can help recently discharged patients and their families at home following hospitalization. Prescribed antibiotics can cause short term inconvenient side effects such as loose stool, upset stomach, loss of appetite, dizziness and weakness in walking. Recovering from a UTI is challenging for the elder and if not managed well can cause feeling of sadness related to their loss of independence.
HOME NURSING AND PHYSIOTHERAPY
For the once independent elder, coping with the sudden unexplained incontinence and change in mental status is a major setback. With proper care at home, functional independence can be restored. Home physiotherapy is most recommended for elders being treated for a UTI to build muscle strength, balance and coordination and restore confidence to functionally manage bowel and urinary continence.
Home nurses from Accredited Organizations are trained to detect sudden changes in mental status and behaviours and can help rehabilitate the elder back to his or her routine and regain function and restore mental health, once the underlying medical condition is addressed.
Enayati Home Nursing is recognized by Accreditation Canada International for providing safe home nursing care. Nursing strategies to manage Delirium, Dementia and Depression in the elderly are integral to Enayati training program. Our teams are trained in Elderly Care, Parkinson ’s disease, Dementia, Alzheimer Stroke/CVA.
Posted June 22, 2015
Rather than being a secure nest for our seniors, homes are the number one place for elderly falls. Falls at home are the leading cause of death, injury and hospital admissions among the elderly population. Here we have identified 6 main reasons seniors fall at home so much more frequently than younger people:
1. Lack of physical activity: Failure to exercise regularly results in poor muscle tone, decreased bone mass, loss of balance, and reduced flexibility. Among all the reason, at Enayati home care we believe this is the most prominent but easily avoidable.
2. Impaired vision: Among the reasons, is a simple but usually overlooked cause related to age vision diseases, as well as not wearing glasses that are off the shelf and not particularly prescribed for them.
3. Medications: Sedatives, anti-depressants, and anti-psychotic drugs, plus taking multiple medications are all implicated in increasing risk of falling.
4. Diseases: Health conditions such as Parkinson’s disease, Alzheimer’s disease and arthritis cause weakness in the extremities, poor grip strength, balance disorders and cognitive impairment.
5. Surgeries: Hip replacements and other surgeries leave an elderly person weak, in pain and discomfort and less mobile than they were before the surgery.
6. Environmental hazards: One third of all falls in the elderly population involve hazards at home. Factors include: poor lighting, loose carpets and lack of safety equipment. When caring for elderly, we always make sure to keep their entire environment as secure as possible.
However, falls are not an inevitable part of growing older. Many falls can be prevented, by making the home safer and using products that help keep seniors more stable and less likely to fall, check our next blog to see how at Enayati home care we made fall prevention among elderly our mission and how we can prevent your beloved seniors from falling.
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