I'm Aoi Hashima , an occupational therapist working in Saga Sumai and Fukuoka.
The other day, I summed up the checkpoints for home improvement.
"Home Improvement Checkpoints"
I'm Aoi Hashima, an occupational therapist who works in Saga Sumai and Fukuoka. It's been three years since the Covid-19 crisis, but our hospital has yet to make repairs to the homes of stroke patients. Family...
There are a lot of people who are confused about renovating the house they're used to, and I've had experience helping people who had to renovate their house after a stroke after building a new home, and I've even considered it.
The goals of home improvement are varied.
① Able to carry out activities of daily living independently
② Expand the scope of activities (scope of activities)
③ Lighten the burden on those who live with you and those who support you
and many more.
① "Being able to carry out activities of daily living by oneself" includes "renovation of the house according to the physical condition of the subject" and "prevention of falls".
The other day, I also put together an assessment tool to check for falls after a stroke and during hospitalization.
"The Thing About Falling After a Stroke"
I'm Aoi Hashima , an occupational therapist who works in Saga Sumai and Fukuoka . Have you ever fallen while walking after a stroke?
"About falls/fall assessment tools"
I'm Aoi Hashima , an occupational therapist who works in Saga Sumai and Fukuoka . Yesterday we talked about falling after a stroke...
Before renovating the house, we think about how to remodel the house, consider the tools to use, and organize the house.
From hospitalization, through the assessment and practice of activities of daily living, master measures such as "redecoration", "consideration tools", "organization", etc., and take responsibility for life after discharge.
This time, I want to write down the thoughts I would like to hypothetically live after such a discharge.
What to Expect and Think About on the Process Line
Check the condition of floors and steps along the flow lines.
If there is a power outlet cord or carpet in the flow line, your feet could get caught in the wires and fall while walking.
In addition, if there is a threshold on the flow line, you need to consciously step over it when walking.
While in the hospital, you will practice stepping over thin beams and ropes.
In this case, we may ask you to move the wires along the flow line to the wall or put away the rug.
Regarding the threshold, consider renting welfare equipment to eliminate steps and renovate the house.
What kind of shoes do you wear indoors?
During my hospital stay, I thought I was wearing hospital shoes or using indoor shoes.
From a fall prevention standpoint, I think slippers are rarely used in hospitals.
At home, however, you can walk indoors in slippers or just socks.
I also wear slippers at home.
Even after discharge, you may want to wear indoor shoes at home, but some people choose to go barefoot or socks, so we might consider walking barefoot or wearing non-slip socks.
How to use drawers and drawers
I would like to ask what kind of drawers and chests of drawers do you usually use?
The shoulder-to-elbow-height drawer makes it easy to put in and take out your own underwear, bath towels, and clothes while standing.
Reaching from a standing position to open drawers, or load and unload items above your head, requires balance.
If possible, try to store clothes in drawers high enough for safe removal, and consider moving frequently used items to drawers or shelves that are easily accessible.
During recovery, we practice opening and closing drawers, and we try what works for the patient, assuming life after discharge.
Check your usual chairs and sofas
I heard that sitting on the sofa you used to use, it was difficult to get out of bed until you were discharged from the hospital.
We also hear stories of people falling while sitting or standing on low-seat chairs such as those without legs.
When you come home from the hospital after a stroke, you may not be able to use the sofa or legless chair you used to use without difficulty.
Most sofas are designed so that the body sinks into the seat or rests deeply on the backrest.
In addition, standing and sitting in a chair with a lower seat like a legless chair requires lower body muscle strength and balance compared to a normal chair.
Immediately after discharge, you will be asked to use a hospital-like chair and, if necessary, we will ask you to consider using tools to help you stand.
If you sleep on a tatami futon
When I'm at home, I often think that if I'm sleeping on a futon on a tatami floor, I'll consider introducing a bed.
However, if they want to continue living on tatami, or cannot have a bed due to circumstances at home, we will assume that they will continue living on tatami as before, and we will assemble a recovery menu. sometimes.
In some cases, you may be asked to practice getting up from the floor or use an assistive device for getting up from the floor to see if you can do this safely after discharge.
At the end
This time, we've rounded up your thoughts on what to hypothetically live after you're discharged from the hospital.
I'd be happy if you could use it as a reference.
☆*:.｡. Thank you for reading to the end.｡.:*☆
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This article was reprinted on September 15 , 2022 on Aoi Hashima's blog " Stroke Rehabilitation Longevity Consultation Center " .