THE IMPORTANCE OF NURSING CARE AND PHYSICAL THERAPY IN POST-STROKE PATIENTS

Moždani udar se definira kao naglo nastali neurološki poremećaj koji je posljedica poremećaja cirkulacije u mozgu, te dolazi do nedovoljne opskrbe mozga kisikom i hranjivim tvarima. Kao posljedica nedostatka kisika i hranjivih tvari dolazi do oštećenja živčanih stanica te posljedično se manifestira oštećenjem funkcija kojima ti dijelovi mozga upravljaju. Oko 85% moždanih udara su ishemijski, a ostalih 15% moždanih udara su hemoragijski. Moždani udar u opskrbnom području srednje moždane arterije i unutarnje karotidne arterije uzrokuje kontralateralnu kljenut udova (hemiparezu, hemiplegiju), ispade vidnog polja (hemianopsiju), ispade osjeta, a kada je zahvaćena dominantna polutka mozga dolazi i do poremećaja govora. Liječenje moždanog udara u akutnoj fazi podrazumijeva period od dolaska bolesnika u bolnicu do stabilizacije stanja, od prvih 24 sata pa do 48 sati hospitalizacije. Bolest ostavlja trag na kognitivnim funkcijama i emocijama, te najviše zaostaju motorički deficiti. Planiranje zdravstvene njege obuhvaća utvrđivanje prioriteta, ciljeva, planiranje intervencije te izrada plana zdravstvene njege. S kineziterapijom koju provodi fizioterapeut započinju pacijenti koji nakon moždanog udara imaju različite stupnjeve hemiplegije ili hemipareze, ispade osjeta ili ravnoteže.Stroke is defined as a sudden neurological disorder that results from a circulatory disorder in the brain, resulting Stroke is Stroke is defined as a sudden neurological disorder that results from a circulatory disorder in the brain, resulting in an insufficient supply of oxygen and nutrients to the brain. As a result of the lack of oxygen and nutrients, nerve cells are damaged and consequently manifested by damage to the functions that these parts of the brain control. About 85% of strokes are ischemic, and the other 15% of strokes are hemorrhagic. Stroke in the supply area of the middle cerebral artery and internal carotid artery and causes contralateral limb clenching (hemiparesis, hemiplegia), visual field loss (hemianopsia), sensory loss, and when the dominant hemisphere of the brain is affected, speech disorders occur. Treatment of stroke in the acute phase involves the period from the arrival of the patient in the hospital to the stabilization of the condition, from the first 24 hours to 48 hours of hospitalization. The disease leaves a mark on cognitive functions and emotions, and motor deficits lag the most. Health care planning includes setting priorities, goals, intervention planning, and developing a health care plan. Kinesitherapy by a physiotherapist is started by patients who, after a stroke, have varying degrees of hemiplegia or hemiparesis, loss of sensation or balancethe arrival of the patient in the hospital to the stabilization of the condition, from the first 24 hours to 48 hours of hospitalization. The disease leaves a mark on cognitive functions and emotions, and motor deficits lag the most. Health care planning includes setting priorities, goals, intervention planning, and developing a health care plan. Kinesitherapy by a physiotherapist is started by patients who, after a stroke, have varying degrees of hemiplegia or hemiparesis, loss of sensation or balancedeficits lag the most. Health care planning includes setting priorities, goals, intervention planning, and developing a health care plan. Kinesitherapy by a physiotherapist is started by patients who, after a stroke, have varying degrees of hemiplegia or hemiparesis, loss of sensation or balance