World Turned Upside Down By My Wife's Unexpected Stroke

Hi Graham...this all sounds very familiar to what happened when our Mum was discharged back in April. She had been in hospital for just 10 days and in that time - received limited physio and rehab. We were not allowed to visit at all, so were reliant on the updates from the nurses, and a couple of occasions when they would help her with the phone, so we could have a brief chat.

The OT rang us one morning to say she was declared medically fit, and they wanted to send her home ASAP - the next day in fact - with an early discharge care package. Like you I was able to negotiate a couple of days to make the changes needed, which included completely rearranging our front room...dismantling various bits of furniture...and bringing down a bed. This was just my Sister and I, with no help from anyone else....trying to pull it all together - whilst still coming to terms with the shock of the stroke itself. As you rightly said, the hospital seemed to give no consideration to the practical / logistical side of all the changes that were needed.

We were given a care package of visits three times a day, for six weeks. Three times rapidly turned to twice a day, and the six weeks became three. As once they knew my Sister and I were here 24/7 - they were very quick to inform us we were only entitled to UP TO six weeks. Hopefully your experience will be a little more positive as far as that element is concerned.

We were provided in the early stages with just a commode and walking frame - everything else we purchased ourselves...including an over bed table (which has been in constant use), a wedge cushion - to help Mum sit up in bed, various physio balls and a pressure cushion..as there was a 10 week wait. Eventually they also provided a wheelchair, perching stool and toilet frame, and arranged for an extra hand rail to be fitted.

We very much felt as if we were just left to get on with it, with little support or guidance. As I mentioned to you previously - we googled all the information we needed and much of that came from the Stoke Association website.

Mum has been home since the 17th April and in that time it has been a hard journey to get through. The only home visits being from the Speech and Language therapist, to assess Mum's swallow function. And the district nurses to treat various issues.

I would describe it as treading water, waiting for the time when the virus restrictions lifted - and we could receive visits from physio. Which has finally happened this week - she had her second session this afternoon. We have no downstairs bathroom or toilet facilities, which has made things a lot harder and have had no input from any Occupational Therapists, to assist with some of the more practical things, such as washing hair, or being able to get in and out of the car. All we had were a few exercise sheets to follow, and we have had to find the way ourselves, which has been very challenging at times. But we take it one day at a time and just do the best we can. Celebrating all the steps Mum has already made on her own, to get her to this point. Which hopefully will now be progressed forward by the Physio visits.

It will all feel very frightening to begin with...but it sounds as if you will get the support you need to get you going. And Jan has already made such amazing progress - I'm sure with time and patience you will find each day easier.

Sending my very best to you both,

Take Care, Karen

 

 

 

Hi Karen. Just to mention that you can buy little sachets of dry hair wash. We used them on my dad when he was in a care home. These will save you loads of time, unless your mum has really thick or long hair. Take care.

Sorry who is Alan - my wifes name is Jan?

Hi Julie - thanks for this. We started off with spray dry shampoo, then moved to Nilaqua no rinse shampoo...before trying the shampoo caps !! Mum is now able to walk out into the kitchen so we are able to do it at the sink. So far so good....we haven't flooded the floor yet yes

Hi Jeanne

Many thanks for sharing your experience and kind wishes.

Jan will have been in hospital for 5 weeks this Sunday - it is only in the last 10 days (approx) she has made astonishing progress.A couple of weeks ago Jan was still in ICU and her left side like yourself was paralysed and hoisted daily in a chair - she then gradually managed to wiggle her toes an over a week she sensed tiggling in her arm.Then in the last week she has progressed to getting out of bed with her quad (previously a re turner I think), climbing up and down the stairs, bearing weight on her left leg- and today she told me she walked in the ward.

There is still so much I dont know what she can do - and Jan was originally told on Wed she was coming home Fri, which much as I want Jan home that was too short a timescale.Jan is now coming home Mon, returner seat/commode quad stick delivered tommorow and additional bannister fitted next week. 

I was told Covid 19 dicatates an early release where the case permits.Jan has been medically stable for a couple of weeks and her determination and desire to be at home has led us to where we are. (victim of her own sucess)

I guess we are lucky in W Yorkshire that we will have care support from Mon 4 times a day, 7 days a week for 6 weeks plus Physio support.I am glad as there is a huge learning curve for us both - but as you have said she is better of at home and we will flourish I am sure.

Heres to the new normal and as always day at a time.

I will keep everyone up to date and hopefully Jan will add her comments.

Best Regards

Graham

I will call them tommorow thanks

Hi Norma

For the last couple of weeks I have returned to work part time (am), but I have arranged from Mon to take a holiday/work from home for several weeks to be there for Jan coming home and to meet / learn from the carers attending Mon - so that where possible I can take a more active role and help Jan as much as possible.

Jan is really looking forward to coming home, as am I and we will take it day at a time and face each challenge and suceed.

I will keep everyone updated on Jans progress and maybe Jan may add a few comments.

Best Regards

Graham

Predictive text is a nightmare

I agree I want Jan home as soon as possible as you hear all these stories of infections etc - even more so now with the current crisis.

I confess I gave the OT team merry hell when Jan informed me she was coming home on the Fri on Wed lunchtime! (you could say if Jan didnt tell me when would I be told!!)

Anyway long story short Jan comes home monday lunchtime (want Jan home but you need time to organise everthing), the carers come in monday pm and I still need to finalise dates but I believe physio starts Tue -   phew!

Anyway I have told work I am on holiday/working from home from monday for a couple of weeks so I can be there from day 1 and support/learn as much as I can.

I will keep you up to date, and hopefully Jan may be able to add a few comments soon

Best Regards

Graham

 

Thanks Jason - I will keep updating via this forum and hopefully Jan may be able to add a few comments

Regards

Graham

Hi Sue

tissues on standby!

I have just finished taking the bed apart upstairs - will move the dining table , set up the bed downstairs this weekend in preperation for Jans homecoming on monday - very exciting and challenging times!

I will keep you updated of Jans progress

Best Regards

Graham

Thanks Katy

glad to get Jan home - we will deal with each challenge together

Keep you posted

Best Regards

Graham

Hi Karen

Thanks for sharing your experiences and kind wishes.

I fully sympathise with your experiences and I suppose time will tell how long and effective the support is.

I will stay on everyones case to make sure Jan gets the best support - but with a bit of luck Jans desire to return to as near normal as possible will help the process - time will tell and all we can do is take it day at a time and hope Jan continues to improve in the way she has for the last couple of weeks in hospital (It has to be better in your own home, going to bed when you like and sitting in the conservatory looking at the sun rise over the hills?)

I will keep you up to date with Jans progress

Best Regards

Graham

No problem Fred

Well done you for organising everything. Once Jan is home you can work out your own routine together as she starts to make progress. One tip.... make sure the hospital have got all her medication ready when they say she is ready to come home. Usually, they say patients are ready to go home and you take time off work and dash over the hospital only to be faced with a 3 hour wait when you get there because the pharmacy haven't got it ready yet!  And one other thing - in amongst all the other things you are doing and that's don't forget to eat!! 

Thanks for the reply Graham I bet you are counting the days but as I have said it will be very strange at first for you both I tended to get frustrated a lot but with patience it soon passed.All the best I will be thinking about Jan on Monday. Norma.

I had a very fast initial recovery. The doctors said on day five i was medically recovered so go home. I was given six weeks of early release help. That was visits from a team of medics, five days a week. Incredibly helpful. The hospital did check that i have a suitable home as i walked very little and would not make it up or down stairs.

Arriving home was traumatic. I wanted to be back in the safe hospital unit. I couldn't cope with darkness, so i slept with the light on. The emotionality was severe. Nightmares. Hallucinations.

My wife did what she could, but i knew everything was down to me. The stroke happened in bed and i fell on the floor. I found it very disturbing to see where i had to lie and await the ambulance.

But i think these trials would have occured whenever i had been discharged. So sooner home, soonest mended.

At home, i was determined to get recovery. I had to sleep every two hours. It took hours to wash and dress. But little by little things improved. Personally i believe we should not go to bed in the daytime. Snooze, sit by all means but we are medically recovered so no bed rest.

good luck on monday

colin

 

I have checked several times - they have confirmed Jan will be 'released' no earlier than lunchtime Monday (I need to pop in to work to organsise a few things, then for the next several weeks Jan has me 24 hrs).Jan will be brought via ambulance mon pm (covid 19!! &local lockdown) - as I wont be there Jan knows to chase up medication & discharge paperwork.. 

Carers have been confirmed to arrive mon evening

Awaiting call (will chase Mon) for pyhsio to srart Tue 

I got delivery today of the re turner & wheelchair/commode - Jan comes home with new best frien the quad stick.She has already told me she doesnt need the re turner chair as she can get by on her stick! (Go Jan)

Anyway thanks again for your advice and I will be in touch

Best Regards

Graham

 

 

Thanks Norma - Jan & I really appreciate your kind words

Got the weekend to re arrange the rooms - looking forward to monday no matter how challenging, just good to get Jan out of hospital

Best Regards

Graham

Thanks for sharing your experiences Colin

Jan is obviously a fighter and in the space of two weeks determined to get home as soon as possible.I worried was it too quick, will there be enough support etc.Like you have described our area likewise has a 6 week care package starting monday pm plus physio (to confirm start dates)

I am sure Jan is nervous/anxious but every time I see her she is beaming at the prospect of coming home.Jan from what she tells me and the medical staff describe is now able to walk/bear weight on her left leg and is learning to get by on her best new friend - the quad stick (if I have pronounced that correctly).The left arm is now moving but the fingers are more challenging and according to the consultant I spoke to today will probably be the most problematic (a real pain for a left hander!)

Jan has already told me she does not want to spend all day in the bed (Go Jan) and at least being at home with everyone on hand she has now the option of self choice

I never forget day at a time, but a big step forward 

Best Regards

Graham