Can brainstem hemorrhage be cured?

Can brainstem hemorrhage be cured?

Brainstem hemorrhage is relatively common in life. When this happens, timely treatment should be carried out and rehabilitation care should be strengthened. Generally speaking, the younger the age, the better the rehabilitation effect will be. If the patient is older, the rehabilitation effect is often not particularly satisfactory. During the rehabilitation process, psychological care must be strengthened to prevent complications, and patients must conduct rehabilitation exercises in a timely manner.

1. Psychological care patients often have emotional reactions such as depression, frustration, irritability, anger, pessimism and disappointment. Therefore, family members should care about and be considerate of patients psychologically, talk to patients more often, comfort and encourage patients, create a good family atmosphere, patiently explain the condition, eliminate patients' doubts and pessimism, make them understand their condition, and build and consolidate their confidence and determination in functional rehabilitation training. 2. Prevention of complications (1) Help the patient turn over and pat his back 4 to 6 times a day, each time for about 10 minutes. If a patient is found to have coughing up yellow sputum, fever, shortness of breath, or bluish lips, you should seek medical attention immediately. (2) Encourage patients to drink plenty of water to clean the urinary tract. And pay attention to the cleanliness of the perineum to prevent cross infection. If you find cloudy urine or fever, these are signs of a urinary tract infection and should be treated early. (3) Most paralyzed patients suffer from constipation, and some may suffer from recurrence of cerebral hemorrhage due to straining during bowel movements. Therefore, attention should be paid to the dietary structure, and patients should be given more low-fat, high-protein, high-energy foods and vegetables and fruits containing crude fiber, and given enough water. Defecation should be done in the toilet at regular times and places, and laxatives or enemas should be used when necessary. (4) When the patient is paralyzed in bed, bedsores are more likely to occur on protruding bones such as the occipital protuberance, scapula, hip, sacrum, and heel. Use a soft pillow or sea foam pad to protect bony protrusions, turn over every 2 to 3 hours, avoid dragging, pushing, etc., keep the bed dry and clean, and regularly use warm water baths and massage to enhance local blood circulation and improve local nutritional status. (5) Perform centripetal massage on the limbs daily for 10 to 15 minutes each time to promote venous blood return and prevent deep vein thrombosis. Once unexplained fever or swelling and pain in the lower limbs is discovered, prompt diagnosis and treatment should be sought.

3. Maintaining the functional position Maintaining the functional position of the paralyzed limb is a prerequisite for ensuring the smooth recovery of limb function. When lying on your back or side, raise your head 15 to 30 degrees. The knee joints of the lower limbs are slightly bent, the foot and calf are kept at 90 degrees, and the toes are pointed straight up. The forearm of the upper limb is in a semi-flexed position, and the hand is holding a roll of cloth or a round object. 4. Functional exercise: Perform functional exercise 3 to 4 times a day, and gradually increase the amplitude and frequency. As the body recovers, patients should be encouraged to exercise on their own and get out of bed and move around in time, and they should be carefully prevented from falling. At the same time, acupuncture, physical therapy and massage can be used to speed up recovery. (1) Upper limb function exercise: The nurse stands on the patient's affected side and holds the wrist of the affected side with one hand. The nurse places the other hand slightly above the elbow joint and moves the affected limb up, down, left, right, in extension, flexion, and rotation. The nurse holds the wrist of the affected limb with one hand and moves each finger with the other hand. (2) Lower limb functional exercises. The nurse holds the ankle joint of the affected limb with one hand and slightly below the knee joint with the other hand to extend, flex, internally and externally rotate, and adduct and abduct the hip and knee joints. The caregiver holds the arch of the affected limb with one hand and performs toe exercises with the other hand.

5. Daily life movement training The ultimate goal of home care is to enable patients to take care of themselves or be assisted in taking care of themselves. Gradually train the patient to eat, dress, wash, go to the toilet and do some outdoor activities, transitioning from complete care to assisted care until they can take care of themselves.

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