How to Care for Stroke Patients Who Are Bedridden
May 26, 2022
Source: Cainiu Health
Dr. Li Man
Introduction
In the daily care of stroke patients, it is essential to encourage regular physical activity—or passive movement if the patient is unable to move independently—such as frequent repositioning to prevent localized pressure that could impair circulation and lead to tissue necrosis. Caregivers should regularly assist the patient with these activities. When necessary, secretions should be suctioned to prevent airway obstruction and aspiration. Patients experiencing dyspnea should receive supplemental oxygen; those exhibiting agitation or restlessness should be protected with bed rails; and for patients with difficulty falling asleep, a pre-sleep massage of the Yongquan (KI1) acupoint is recommended.
Stroke is a common condition encountered in daily life. Exposure to cold air may trigger stroke. So, what are the appropriate nursing measures for bedridden stroke patients?
Nursing Measures for Bedridden Stroke Patients
In the daily care of stroke patients, it is essential to encourage regular physical activity—or passive movement if the patient is unable to move independently—including frequent repositioning to prevent localized pressure, impaired circulation, and tissue necrosis. Caregivers should assist the patient regularly. When necessary, suction secretions to prevent aspiration and airway obstruction. Administer supplemental oxygen to patients experiencing shortness of breath; use bed rails or protective side rails for agitated or restless patients; and perform acupressure on the Yongquan (KI1) point before bedtime for those with insomnia.
Once the patient’s condition stabilizes, guide them through rehabilitative exercises. Pay special attention to oral, ocular, cutaneous, and perineal hygiene; rinse the mouth with normal saline or herbal decoctions. For patients with urinary incontinence, insert an indwelling urinary catheter and perform scheduled bladder irrigation. Whenever feasible, take the patient outdoors for sun exposure.
Stroke refers to a group of disorders characterized clinically by ischemic or hemorrhagic brain injury, also known as cerebrovascular accident (CVA) or “brain attack.” Hemorrhagic stroke has two main subtypes: hypertensive intracerebral hemorrhage and subarachnoid hemorrhage. Ischemic stroke primarily includes cerebral infarction and cerebral thrombosis, with cerebral infarction being the most common. Hemiplegia is a frequent sequela of stroke and significantly impairs patients’ quality of life, necessitating long-term treatment and rehabilitation. Primary therapeutic approaches include rehabilitation training, acupuncture, and traditional Chinese medicine. We hope this information proves helpful!
