Decreased mental function

What you can expect:

After a heart attack, a patient may not seem as mentally sharp as he once was. Heart attack can seriously stress the entire body, including the brain. Bypass surgery has also been associated with cognitive decline, although recent studies have called this finding into question.

What you can do:

• Give the patient time to recover. The changes in his mental function are most likely temporary. Don't expect him to perform mentally stressful tasks, such as balancing a checkbook, in the first weeks of recovery.
• Talk to the doctor. Some medications, including beta-blockers, can decrease mental function. His may be able to prescribe another medication.

Sleep problems

What you can expect:

Sleep problems are common during recovery from heart attack. A patient may experience insomnia or fragmented sleep because of discomfort, stress, and a change in routine. But rest is an essential part of recovery, so the more you can help him get a good night's sleep, the better.

What you can do:

• Minimize pain and discomfort at night. Arrange pillows to help him find the most comfortable sleeping position. Ask the doctor if the patient can take analgesics such as aspirin or ibuprofen 30 minutes before bedtime.
• Keep him busy to prevent his napping too much during the day, but try not to let him get overtired.
• Eliminate caffeine in the late afternoon and evening.
• Play relaxing music.