What to do if aggression occurs after a stroke in the elderly
Stroke is one of the most common diseases in the elderly. Moreover, many are concerned about the question of what to do in case of aggression in older people after a stroke. This is one of the most common diseases of the cardiovascular system.
Unfortunately, the prognosis after a stroke is disappointing. Mortality after cerebrovascular accident reaches 30 percent, and disability after a stroke is close to 50 percent.
Stroke is neurological in nature. The cause of this formidable disease is an acute violation of cerebral circulation. It is disturbed due to blockage of blood vessels by blood clots or as a result of cerebral artery embolism. Stroke is most common among people in developed countries. It is believed that a sedentary lifestyle increases the risk of stroke. The brain is poorly supplied with oxygen, which leads to acute brain hypoxia and the subsequent death of nerve cells.
Nerve tissue is the most delicate and sensitive. She absolutely does not tolerate circulatory disorders: this leads to the rapid onset of ischemia and disruption of the normal functioning of neurons. In just half an hour after the blood flow is disturbed, irreversible changes occur, which form the picture of the disease. Thus, with a stroke, it is important to help the person as soon as possible before the changes become irreversible.
In medicine, it is customary to divide stroke into two categories:
ischemic, when there is a complete overlap of the lumen of the vessels;
hemorrhagic, when a vessel ruptures and hemorrhage occurs in the surrounding tissue. In this case, a hematoma of the brain is observed.
The mechanisms of development of the disease are approximately the same, but the consequences may be different. Statistics say that in 80% of cases, it is the ischemic form of stroke that occurs . Both forms of stroke are associated with atherosclerotic changes in the vascular system.
Important: a hemorrhagic stroke is more dangerous, since with the development of a hematoma, a shift in the brain can sometimes occur.
Causes of Stroke
Stroke refers to the so-called multifactorial diseases. Stroke is thought to have many different causes, each of which contributes in some way:
an unhealthy lifestyle, which may include overeating and physical inactivity;
great psycho-emotional stress;
bad habits, especially smoking;
some other factors, including heredity.
These factors can act together or separately.
What are the causes of violent behavior in people with stroke? They are as follows:
damage to areas of the cerebral cortex responsible for emotions, behavior and intelligence;
extensive brain damage. This is the most common reason for the development of aggression.
One of the most common consequences of a stroke is paresis of the facial muscles. The person’s face is twisted.
Important: aggression in people who have suffered a stroke may develop not as a result of lesions of the brain regions, but already in the rehabilitation period, when a person cannot come to terms with the loss of some functions of his body.
Manifestations of aggression in post-stroke psychosis
Aggression after a stroke has a number of features. Usually, with the development of inappropriate behavior, the patient is dangerous to himself and others. The aggressive state does not develop immediately, but gradually, over two or three months. It is characterized by the following:
the patient closes in his thoughts and moves away from everyone;
intense psycho-emotional background;
interest in surrounding things and people disappears;
inappropriate behavior, especially at night;
loss of body weight.
In a person who has suffered a stroke, aggression is often complemented by a depressive state. Aggression is characterized by seizures. Most often, it manifests itself at night. Emotional instability leads to increased vulnerability of the patient, and this, in turn, causes him an inferiority complex. A vicious circle arises.
Relatives observe with horror that a loved one has become different, detached and aggressive.
The person has become aggressive – what to do?
Scientists have not yet formed a reliable method for the complete recovery of people after a stroke. Attention from relatives and friends is of great importance. A person who has suffered a stroke is in great need of support from relatives.
The best solution is not to lead to the development of post-stroke psychosis and depression. In some cases, psychotherapy may be required. It is important that the victim himself is aware of the need to combat manifestations of aggressiveness. Then there is a chance for healing.
With mild forms of disturbance of the psychoemotional state, love and care from loved ones will be quite enough. Prescription of antidepressants brings a good effect. In general, treatment after a stroke includes taking:
angioprotectors – drugs that strengthen the walls of blood vessels;
nootropics – drugs that improve cerebral circulation;
thrombolytics – blood thinners.
The faster the recovery processes in the brain take place, the sooner a person gets rid of depression and psychosis.