First Assessment
Free
45 minutes, at home
- Full clinical examination at the patient's home
- The likely cause explained in plain language
- A realistic recovery plan and what it will cost
- No obligation to book any further sessions
After a stroke, the hospital part of recovery ends quickly, and the family in Dhayari is left with the bigger part: a person who has to relearn standing, walking, dressing and using a weak hand, in a flat or house that was never arranged for it. Getting to a rehabilitation centre means a journey on congested roads that is tiring for the patient and hard on whoever has to take them. Stroke rehabilitation at home in Dhayari brings the therapist to the room where the practice actually has to work.
Our stroke rehabilitation page explains the general approach. This page deals with what home recovery looks like in Dhayari and how a family can prepare. The wider Dhayari page has details on visit timing and areas covered.
Why the layout of your home matters
Every flat and house in Dhayari asks different things of a patient with one weak side.
- A flat on a high floor. There are few stairs, but getting the person from the flat door into the lift, and holding the door while a walker or wheelchair goes through, takes two people at first.
- A house with a bedroom upstairs. The family may need to move the bed downstairs for a while, which also puts the patient close to a bathroom.
- A village-core home. Door sills, a step down into the bathroom and floor seating all need to be looked at before the patient is left to move about alone.
- A bathroom with a smooth wet floor. This is often the point at which a second stroke-related injury happens, a fall, so it gets attention in the first week.
What the physiotherapist works on at home
After checking blood pressure and any medical limits set by the doctor, the physiotherapist assesses which side is weak, whether the patient can sit steadily, how they stand and transfer, and what they can do with the hand. Rehabilitation then concentrates on tasks, not just muscles: rolling in bed, sitting up, standing from a chair, taking weight through the weak leg, and walking with the support that is right for that stage.
Practice is built around objects already in the home. A dining chair becomes the standing-up exercise, the passage to the bathroom is the walking course, and a towel on the table makes a hand-reach task. Where the patient has a stiff or painful shoulder on the weak side, we protect it during transfers, because pulling on a weak arm can injure it. Speech and swallowing problems are for a speech therapist, and the physiotherapist will say so when they notice them.
Many stroke survivors are older and have other conditions, such as arthritis. In such cases the plan overlaps with elderly physiotherapy in Dhayari, which focuses on balance and falls prevention.
Teaching the family, then stepping back
In most Dhayari households, the adults leave for work and a relative or hired attendant is with the patient. The most useful thing we can leave is skill: how to help someone stand without pulling on the weak arm, where to stand while walking beside them, how long to let them rest and what exercises are safe to repeat. We ask the main caregiver to be present for part of each visit. Over time the plan moves from the therapist doing the work to the patient doing as much as they safely can, with the carer as a spotter.
Follow-up trips across busy roads
Many patients need to visit a neurologist or hospital for check-ups, and the road to hospitals on the Narhe or city side can be slow. Plan these trips for the time of day when the patient is least tired, bring the walker or wheelchair, and ask the physiotherapist how to manage the car transfer. Do not let a patient walk through a busy lane to reach a vehicle unsupported in the early weeks.
Signs of another stroke or a complication
Call for emergency help at once if there is sudden new weakness, facial droop, difficulty speaking, loss of vision or a severe headache, even if the symptoms pass. Seek urgent medical help too for chest pain, breathlessness, or a hot, swollen calf.
To arrange a first visit, use the booking page and share the discharge summary if you have one. If the patient also needs help after an operation, see post-surgery rehabilitation in Dhayari.