Topic > Stroke Case Study Essay - 1381

DiscussionThe purpose of the study was to identify how physically active stroke patients are during the acute phases following stroke since the amount of physical activity in clinically stable stroke patients is has been identified as one of the crucial factors to promote functional recovery in the next phase. In the intensive care units and post-acute medical departments studied, the amount of physical activity levels demonstrated by stroke patients was low, provided medical limitations existed. They were only active 30% of the time. The remaining 70% was spent inactive in activities such as sleeping, lying in bed, chatting, watching TV, being turned, moved, fed, and passive exercise of the affected limb. Factors promoting low levels of physical activity: Multiple common factors in these setups could have resulted in such a low level of activity. Limiting factors in organizing the care model provided to patients, influence of healthcare professionals' knowledge, attitudes and beliefs about physical activity, awareness of the importance of activity among patients and their caregivers and lack of a physical and psychosocial support to enable activity could all be factors that have led to such low levels of physical activity. The scope of ICU mobility was limited in both hospitals. Space to move was very limited in one of the settings, while the other had sufficient space, in effect a much larger intensive care area that can facilitate patient mobility. But there are other factors like helpers who make them mobile whenever they want, there were no chairs or stools near the patient's bed in ICU so that the patient's relative could sit there during visiting hours and motivate and help him to be more active and mobile. Mos...... half of the document ......hebrovascular diseases, 2009. 28(2): p. 171-176.22. Bernhardt, J., et al., Not all running drives are created equal A comparison of physical activity patterns in Melbourne, Australia, and Trondheim, Norway. Stroke, 2008. 39(7): p. 2059-2065.23. Taylor, F. C. and K. Suresh Kumar, Stroke in India Fact Sheet. South Asian Chronic Disease Network, IIPH Hyderabad, Public Health Foundation of India.24. Bernhardt, J., et al., Inactive and alone physical activity within the first 14 days of care in the acute stroke unit. Stroke, 2004. 35(4): p. 1005-1009.Methodology1. Brott, T., et al., Measurements of acute cerebral infarction: a clinical examination scale. Stroke, 1989. 20(7): p. 864-70.2. Goldstein, LB and GP Samsa, Reliability of the National Institutes of Health Stroke Scale: Extension to non-neurologists in the context of a clinical trial. Stroke, 1997. 28(2): p. 307-310.