Is it normal for a stroke survivor to not follow directions?

1 answer | Last updated: Jun 29, 2011
Patiernan asked...
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Caring.com User - James Castle, M.D.
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James Castle, M.D. is a neurologist at NorthShore University HealthSystem (affiliated with The University of Chicago) and an expert on strokes.

Sorry to hear about this.

Much of what you are describing sounds to me like a post-stroke dementia. Many patients who have a large stroke have memory problems and personality See also:
What is the long term prognosis for a 58 year old man who had a TIA and clot buster with nearly full recovery?

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changes. Two things that come to mind as possible treatments: First, consider having her started on a cognitive enhancing medication such as donepezil. This may improve her memory and behavior and I have had quite a bit of success with this. Second, consider placing her in an assisted living facility that has full time nursing care to help with such issues. Assisted living facilities and nursing homes were created specifically for these types of issues - when someone needs full time care to help take care of them. If the idea of sending your mother to a facility is unbearable to you and your husband, consider hiring a 24 hour nursing service to help with these issues.

Good luck!

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