Thelma Hubbard, third from the left, is with the staff of Encore Rehabilitation-Russellville
Thelma Hubbard came to Encore Rehabilitation-Russellville for treatment following a stroke. Why did she chose Encore? She says, ” First of all, the clinic is in Russellville but also the people are nice and they care about us.”
Clinic Director Bethany Sutton, DPT, commented, “Ms. Hubbard has been a great patient and has an awesome work ethic!”
Thank you, Thelma, for choosing us! Congratulations on being selected Patient of the Month for Encore Rehabilitation-Russellville!
The Adult Neuroscience Center (Ocean Springs, Mississippi) held its Annual Support Group Christmas Party on Friday, December 15th for members of the four support groups offered at our clinic. These groups include the Parkinson’s Disease Support Group, the Aphasia & Communication Support Group, the Movement Disorder Exercise Group, and the Stroke Support Group. Good times and laughter were shared by all who attended!
For further information regarding when/where these groups meet, please call our Ocean Springs Office at (228)-818-1207.
Dealing with a flood of emotions can be hard for stroke survivors. Some emotions are normal responses to the changes in your life after stroke. Others are common but should not be considered a normal part of stroke recovery. If you suffer from depression, anxiety or emotions that are not in line with the occasion, seek help.
Dealing with Depression
Grieving for what you have lost is good for you. But when sadness turns to depression, it’s time to act. Depression can take hold right after a stroke, during rehabilitation (rehab) or after you go home. It can be – but not always – caused by brain damage from the stroke. Mild or major, it is the most common emotional problem faced by survivors.
Your treatment may include counseling, medicine or both.
Depression symptoms include:
Feeling sad or “empty” most of the time
Loss of interest or pleasure in ordinary activities
Fatigue or feeling “slowed down”
Sudden trouble sleeping or oversleeping
Sudden loss of appetite or weight gain
Being unable to concentrate, remember or make decisions like you used to
Feeling worthless or helpless
Feelings of guilt
Ongoing thoughts of death or suicide, suicide planning or attempts
A sudden change in how easily you are annoyed Crying all the time
Some useful tips:
Make the most of rehab; the more you recover, the better you will feel
Spend time with family and friends
Maintain your quality of life by staying active and doing things you enjoy
Seek help soon after you note symptom
Having Extreme Anxiety
Anxiety is an overwhelming sense of worry or fear. It can include increased sweating or heart rate. Among stroke survivors, feelings of anxiety are common. Often, stroke survivors suffer from both depression and anxiety at the same time.
Anxiety can affect rehab progress, daily living, relationships and quality of life. So, be sure to seek help right away.
Anxiety symptoms include:
Ongoing worrying, fear, restlessness and irritability that don’t seem to let up
Feeling panicky and out of breath
Scary rapid heart beat
Feeling sick to your stomach
Again, treatment may include counseling, medicine or both.
Do you find yourself laughing or crying at all the wrong times? If so, you may suffer from Pseudobulbar Affect (PBA). Also called emotional incontinence or pathologic lability, PBA is a common medical problem among stroke survivors. It can cause you to laugh at a funeral or cry at a comedy club. It can even make you cry uncontrollably for little or no reason. For this, it is often confused with depression. But, PBA is not depression.
People with PBA are unable to control their emotional expressions the way they used to. When this happens in social settings, they feel embarrassed, frustrated and angry. They also sense that others are uneasy. They may avoid work, public places and family get-togethers. This can lead to feelings of fear, shame and isolation.
There is no treatment approved by the Federal Drug Administration (FDA) for PBA, though antidepressant drugs can help.
These things may help you cope with PBA:
Be open about it. Warn people that you cannot always control your emotions.
Explain that the emotions you show on the outside don’t always reflect how you feel on the inside.
Distract yourself. If you feel an outburst coming on, focus on something boring or unrelated. Try counting the number of items on a shelf.
Note the posture you take when crying. When you think you are about to cry, change your posture.
Breathe in and out slowly until you are in control.
Relax your forehead, shoulders and other muscles that tense up when crying.
What Can Help
Ask your doctor about emotional changes and symptoms early on.
Ask your family to stimulate your interest in people and social activities.
Stay as active as possible and stay involved in your hobbies.
Set goals and measure accomplishment.
Plan daily activities to provide structure and sense of purpose.
Stay involved with people, thoughts and activities that you enjoy.
Get information on stroke recovery from National Stroke Association. Visit http://www.stroke.org or call 1- 800-STROKES (1-800-787- 6537).
Contact your local stroke association. Join a stroke support group. Other survivors will understand your issues, and offer support and ideas to help you manage your emotions.
Speak openly and honestly to your caregivers about your emotional changes. They’ll be glad you did, and together you can work out a solution.
Psychologists, psychiatrists and other mental health professionals experienced with stroke-related emotional disorders.
Rehabilitation is a lifetime commitment and an important part of recovering from a stroke. Through rehabilitation, you relearn basic skills such as talking, eating, dressing and walking. Rehabilitation can also improve your strength, flexibility and endurance. The goal is to regain as much independence as possible.
Remember to ask your doctor, “Where am I on my stroke recovery journey?
Kacee Ward, SLP, Mr. Barker, and Jaime Garrett, OTR
Mr. Barker suffered a catastrophicstroke in February 2015. He received inpatient therapy and was then transferred to Ocean Springs Health and Rehabilitation Nursing Home for long-term care. After discharge, he received therapy in the home environment before beginning PT, OT, and speech at the local VA. A swallow study was conducted which indicated that Mr. Barker was aspirating on foods and liquids so it was decided that he would rely solely on the feeding tube that had been placed in the hospital for all of his nutritional needs, meaning that he could not eat or drink anything by mouth. He was wheelchair bound, required assistance for most of his self-care and had significant coordination and visual deficits. On 10/05/15, Mr. Barker was evaluated by speech therapy at the Neuroscience Center. Following evaluation, it was decided that the main goals of therapy would be to increase intelligibility when speaking and upgrade the patient’s diet from a feeding tube to foods and liquids that he could tolerate safely. Shortly after, patient also began occupational and physical therapy at the Neuroscience Center where he began training using a walker, learning techniques to compensate for visual deficits, balance training, strengthening and coordination training.
After several months of swallowing exercises in conjunction with neuromuscular electrical stimulation, Mr. Barker had a repeat swallow study. The speech therapist who conducted the study found that Mr. Barker was safe to start out on a mechanical soft diet with nectar-thickened liquids. We could finally start trials of foods and drinks in therapy! His feeding tube was removed on June 29th after he had maintained a healthy weight over the course of one month. As of August 2016, Mr. Barker is able to go out and enjoy meals at his favorite restaurants and at home. He is able to walk using a walker, can complete nearly all self-care with independence and even participates in light household tasks.
On a scale of 1-10, Mr. Barker rated his overall recovery at the beginning of therapy at this clinic at a 2, and now he feels that he is at a 9/10, “only because there is always room for improvement.”