Activities of Daily Living (ADL) After Stroke: Part 1

[@shaunwalker6651]

I'm a retired Home Health Aide.I miss working with my stroke patient.Watch these videos bring back good memories I enjoy watching my patients improve each day it may me feel so good knowing I was doing my best to help somebody.

[@kimberlyb9608]

Wow, so much negativity! I had a stroke at 46, I was very fit. I had 3 blockages in my brain, I couldn't stand on my own, slurred speech, left arm no control. I went to inpatient therapy for 10 days. I gave it my all and told therapist to push me. I wanted to be independent again, felt like a toddler having to relearn. My speech is good, struggle with some words. I walk by myself, no Walker or cane. Left arm more control. Did 2 months of outpatient therapy. I still have some balance, coordination, weakness on left side. Would a stranger know that I had a stroke 8 months ago, nope! Family and friends know it! My brain is healing at a much slower pace. So I'm a new me.

[@t.c.5456]

Good job!

[@dportass]

Fanstastic to hear, my Dad suffered a stroke 2 months ago with loss of movement of his left arm, hand and leg. This has been further complicated by a fall breaking his left hip so he's slowly recovering and has the determination to become independant again so it's great to hear you've reached the point where others can't tell which brings me confidence he will too

[@shaunwalker6651]

I so glad to hear that you're doing good 😊.

[@zainabisa4637]

I'm glad to hear that you're doing good. But were you administered any drugs for recovery?

[@paulalopes3310]

She has very good movement for a stroke survivor🤗👍 im 16 years post and wish I could move like her mine was a massive ischemic stroke.

[@prernalal8474]

Appreciate the effort!! But it doesn't seems like the client has any symptoms of stroke or may be she would have had TIA(Transient Ischemic Attack). It would have been better to show a client with challenges or difficulties in the areas of occupations and the strategies or the techniques used by OT st to overcome those difficulties in daily living activities following stroke.

[@maryskitchen9222]

Pt is independent...retrieving clothing material can be a CGA or just supervision. I did not see any difficulties during her ADL

[@rachelm8232]

where is the "challenge," as mentioned in the video description? can we see ADL training with a patient who has dense hemiparesis, severe L neglect, and apraxia?

[@shawncooper9999]

My husband had a stroke five days ago. He stay in the hospital for 72 hours. I bring me house Saturday night. Now he would to do is stay in bed all day and night. I can't get him up and out of bed. All he went to eat is soups all day. What can he eat for breakfast and lunch and dinner?

[@ashleynicolesia9180]

If your husband only wants to eat soup, perhaps you can try different soups? So that he can get more nutrition, even if he only eats one thing. Maybe you can try oatmeal or porridge for breakfast? I don't know if your religious or anything, but I'll be praying for you and your husband. Best of luck!

[@paulalopes3310]

Every stoke is different, this girl on the video looks like she had a mini or mild she can manage the normal movement,m im 16 years post stroke and still don’t move like her only starting to have some use of my hand thumb and pointing finger can hold light stuff I walk with a limp, if your husband is staying in bed all day and does not want to get up it means that he is depressed talk to his doctor about that he might need to go on anti depressant for a while I know this is hard on you as a caregiver but on him is worse cause he is the one that lost body movements pls take care of you both you have to be strong for both❤️🙏

[@paulalopes3310]

Soup is good if he has to be on soft food because of the muscles to swallow soups are good yes fruit shakes cereals.

[@sierrajernigan7126]

What is your response when pts say "I'm not doing that silly mess" in reference to ADLs when all they want to do is "go walking". I do explain how important and functional that ADLs are but they just dont get it sometimes.

[@HelenHayesHospital]

“Our therapy staff have similar discussions. At times, it is challenging to make the connection between these activities and the functional improvement in the home setting. We find that regular communication among the various disciplines in therapy helps to convey a unified message that each aspect of care is unique and important. As progress is being made, our team continues to evaluate the patient’s goals to determine if any modifications to the plan of care are necessary.”

[@samanthasims7123]

Wow this was good

[@HanY-gf3sx]

If i can wear my shirt, but i have huge difficulties wearing my underwear, pants and shoes (can't lift my legs). am i considered dependent?

[@TerrileeYO]

GREAT REHAB IT SEEMS SHE HAD AS SHE SEEMS PRETTY FUNCTIOAL IN THIS VIEW

[@christinasingh152]

Wheres the gait belt?

[@Ryan-cu7ht]

Where's the gait belt!?

[@dcampochiaro19]

boom roasted

[@tonsterc899]

I wondered the same thing when I started acute hospital. They don't endorse or recommend gait belts due to state regulations on infection control. Even in SNFs, they are getting more strict on gait belt because of infection control. They want it to be sanitize each time and not the cloth type. So this OT is actually doing a great job in terms of intervention. He also has the proper mechanics for mobility and therefore she is not at risk for falls.

[@TheOriginalMarimoChan]

Not all patients need gait belts. If they are steady on their feet, are not impulsive, do not have vestibular problems or a history of falling due to mechanical/vestibular/chemical issues then a gait belt is not necessary, especially if they are doing familiar things such as self care in an outpatient setting. I would use a gait belt if the patient was being challenged with balance such as uneven surfaces, over-reaching or having to use the stairs (more PT territory) or in an inpatient setting where there are multiple drugs, narcotics, pain killers plus being acute status. Helen Hayes appears to be an inpatient rehab facility that does therapy with medically stable patients released from inpatient status. Use of a gait belt unconditionally, regardless of the fact that that don't even need it teaches the patient that they are not trustworthy regarding balance and a constant falls risk, which does nothing for their mental health as well. It's called professional judgment.

[@cr9497]

Can you try doing this with a real CVA patient? This person had nothing going on with them....

[@HelenHayesHospital]

Thanks for your comment. Every patient’s rehabilitation journey is unique and we strive to document patients at various points in their recovery. This video features a patient towards the end of her inpatient stay, and we are very happy to have played a role in the restoration of her functional mobility. As there seems to be a lot of interest in seeing more videos on stroke rehab at different stages of recovery, we will certainly get working on creating more stroke content in the future. Please also check out our full KZbin channel for videos of patients in other stages of their recovery--including more videos of Rosa during rehab.

[@abigailcossou8439]

great job

[@bingkybirung9562]

「とても良くて面白いビデオは素晴らしいエンターテインメントの感覚をもたらします！」、

[@HelenHayesHospital]

ありがとう

[@العراقيالعابر]

🏵🏵🏵

[@christycorpuz9219]

It seems that she isn't stroke patient. Both sides are functioning.

[@TheOriginalMarimoChan]

If you do your homework on strokes you can see there is a wide range of ability or disability. There are people who have suffered strokes with no ill effects whatsoever, and there are those that are hemiplegic and unable to ambulate, unable to toilet themselves, much less speak or even know where they are. This patient is one of luckier ones, and she is able to function and regain these life skills because of the therapy provided to her. You don't know her journey or where she came from - she could have been a lot more debilitated before she got to this point. This is an instructional video to show how OT's work their magic and change lives, not to portray how paralyzed a patient is.

[@doroschristou5063]

Come on you guys. The idea is to help people by presenting real stroke patients. Otherwise you do it just for the publicity

[@25MK]

doros christou This is really useful for training and educational purposes though

[@tonsterc899]

Actually you can learn a lot by how he did it. He did a great job incorporating ADLs and self-care tasks. His body mechanics with mobility to the dresser is something you can take notes on. He keep his hands on her waist and assist with balance to retrieve the clothes. The dressing techniques are educational for her to practice safely as she will eventually be doing all of this on her own. This is actually a typical treatment session in hospitals.

[@asiarichmond6900]

You need to have a massive stroke patient. Not a functional one. This is not helpful at all. I have severe spasticity just got my 3rd baclofen pump other 2 got infected. I have many medical issues. Stroke put me in wheelchair, have a lot of strength , able to stand a take little steps but have foot drop , I’m doing casting to correct. And I’m only 29. Had stroke at 24

[@munawwarbharde9791]

I don't think that she had stroke because she is doing like a normal

[@HelenHayesHospital]

Level of function is unique to each individual recovering from an injury or illness. We encourage you to watch our other videos for examples of individuals with other abilities or at different stages of recovery. Thanks for watching!

[@Jonases_20]

this guy is so handsome. i wish he was my bf

[@charlesming7875]

It’s a demo people, calm down

[@HelenHayesHospital]

Hi Charles, thanks for your comment. This video was actually not a demo. The patient was an actual inpatient with us at the time this was filmed. We aim to show videos that represent patients with varying levels of ability at all stages of their recoveries.

[@jennywitkop8467]

Condescending to say w"we"are going to do this or that. He isnt speaking to a child

[@helenfox6121]

I thought that!

[@kimberlyb9608]

After I had a stroke, I was back at a toddler stage. Seeing me now 8months later, my family/friends know it. Strangers wouldn't.

[@mariaeatsfood]

although they’re saying “we” , it’s not a sense of infancy. it’s more in a sense of teamwork. they’re both working together to get her ADL tasks accomplished

[@paulalopes3310]

I know, but that’s how they talk to stroke survivors in the begining at the hospital because some real stroke survivors Are mentally very affected and need to learn everything like a child including speech, every stroke is different.

[@fionanaidu9288]

Maybe it allows them to feel less overwhelmed like not doing this activity alone and frustrated etc

[@georgekafantaris7807]

DOESNT HAVE ANY PROBLEM LIFTING LEGS,,,,FAKE VIDEO

[@HelenHayesHospital]

The level of function is unique to each patient recovering from an injury or illness. We encourage you to watch our other videos for examples of individuals with other abilities or at different stages of recovery. Thanks for watching.

[@anhdinh9249]

The severity of stroke depended on the location of damage in the brain. If strokes affected around the middle part of the brain where muscles controlled, she might have difficulty using her legs or arms. This lady received some rehabilitation with physiotherapist before this video was conducted. It could also be that the damaged area was small and she received treatment on time so she appeared to be 'normal'.