EARLY REHABILITATION OF THE PATIENT AFTER STROKE

Moždani udar je drugi vodeći uzrok smrti u svijetu i glavni uzrok invaliditeta. Moždani udar se dijeli na ishemijski i hemoragijski. Hemiplegija i hemipareza su učestale kliničke manifestacije kod osoba s moždanim udarom. Prevencija označava postupke koji se poduzimaju kod bolesnika da bi se spriječio moždani udar, a dijeli se na primarnu i sekundarnu prevenciju. Cilj rehabilitacije je omogućiti najveći mogući stupanj neovisnosti, samostalnosti i produktivnosti. Rana rehabilitacija započinje s počekom bolesti. U ranoj fazi rehabilitacije postupci uglavnom imaju preventivnu ulogu. Postupci koje obuhvaća rana rehabilitacija su pozicioniranje, pasivne vježbe, vertikalizacija, transferi te uspostava aktivnosti svakodnevnog života. U radu su opisani postupci koji se koriste da bi se smanjili deficiti uzrokovani bolešću. Vrlo je važna suradnja bolesnika, njegova motivacija i upornosti, ali i kvalitetna komunikacija multidisciplinarnog tima.Stroke is the second cause of death in the world and the first cause of disability. Stroke is divided in two parts: ischemic and hemorrhagic. Hemiplegia and hemiparesis are common clinical manifestations of stroke patients. Prevention refers to the procedure that needs to be done on the patient in order to stop the stroke, and it's divided in primary and secondary prevention. The goal of the prevention is to enable the biggest level of independence and productivity. Early rehabilitation starts whit the disease itself. In the early rehabilitation stage the procedures have mostly a prevention role. The procedures that sums the early rehabilitation are: positioning, passive exercise, verticalization, transfers and establishing activities of daily life. All these procedures are explained in my final work so they can help to reduce the deficits caused by the disease. Most important is for the patient is his cooperation, his motivation and his persistence, and also the quality communication between a multidisciplinary team