Posted by: dlip | April 26, 2008

Hand & Foot care – post stroke

Caring for the stroke victim’s hands

A stroke can cause a lack of sensation or movement in one or both hands. Fluids may pool in the hand because it is not being used. This can cause swelling, pain and skin problems. 

What can be done

  • Support the arm on a lap tray with the hand in front, fingers opened and wrist supported
  • Place foam wedges or arm supports to elevate the hand to reduce swelling
  • Encourage the stroke victim to use his/her other hand to gently bend and open the fingers But if the hand is extremely contracted tight or spastic, don’t force it open. Gently stroke the back of the hand and wrist until the fingers start to open
  • Do not squeeze soft balls. This causes the hand to close and the fingers to tighten

Foot care

A stroke often affects how the stroke victim walks, which can lead to problems with the feet.

 What can be done

  • Check feet daily for cracks, blisters, sores, swelling or changes in skin colour. Tell the doctor or chiropodist if you notice any signs of infection such as redness, swelling or discharge.
  • Always wear socks made of natural fibres (cotton or wool) to help absorb sweat and keep the feet cool and dry.
  • Make sure shoes fit properly. They should be wide and deep enough but fit snugly at the heel. Shop for shoes at the end of the day when feet are naturally swollen and be sure to have both feet measured.
  • Ideal shoes for anyone who has had a stroke is low heels, shock absorbing soles, laces or Velcro, deep rounded toe boxes and leather or canvas uppers.

Many people who have had a stroke need special footwear either for support or to fit braces or orthotics (devices that give extra support and help straighten your foot inside your shoe). Footwear advice and specialty items can be obtained from a chiropodist or stroke rehabilitation specialist.

adapted from www.heartandstroke.ca

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Responses

  1. […] Simple and Divine wrote an interesting post today onHere’s a quick excerpt… deep rounded toe boxes and leather or canvas uppers. Many people who have had a stroke need special footwear either for support or to fit braces or orthotics (devices that give extra support and help straighten your foot inside your … […]

  2. […] Hand & Foot care – post stroke April 2008 1 comment 3 […]


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