Stroke is a leading cause of disability in Singapore, with over 8,000 cases annually. While rehabilitation begins in hospital, much of recovery happens at home with family support. This guide helps caregivers understand the recovery journey and provide effective support.
Understanding Stroke Recovery
Stroke recovery is a gradual process that varies for each person. The brain has remarkable ability to heal and adapt, especially in the first months after stroke. Understanding the timeline helps set realistic expectations.
Hope in Recovery
Brain plasticity allows the brain to rewire itself. With consistent rehabilitation, many stroke survivors continue improving for years after the event.
- Days 1-7: Acute phase, medical stabilization
- Weeks 1-4: Most rapid recovery period
- Months 1-3: Continued significant improvement
- Months 3-6: Slower but ongoing progress
- Beyond 6 months: Continued gains possible with therapy
Supporting Mobility and Movement
Many stroke survivors experience weakness or paralysis on one side of the body. Helping with mobility safely requires proper techniques to protect both of you.
Safety First
Attend the stroke caregiving course at your hospital or through AIC ($163.50, CTG applicable). You'll learn safe transfer techniques and exercise routines.
- Always assist from the affected (weaker) side
- Use gait belts for safe transfers
- Learn proper lifting techniques to protect your back
- Encourage use of the affected limbs in daily activities
- Practice exercises prescribed by physiotherapists
- Set up the home for wheelchair or walker access
Communication and Speech Support
Stroke can affect speech and language in different ways. Aphasia affects ability to speak or understand language, while dysarthria affects the muscles used for speech. Both require patience and specific strategies.
Speech Therapy
Speech therapy is usually covered under MediSave and CHAS subsidies. Ask your hospital about continuing outpatient or home-based speech therapy.
- Speak slowly and use simple sentences
- Allow plenty of time for responses
- Use yes/no questions when possible
- Try communication aids: pictures, writing, gestures
- Practice speech exercises from the therapist
- Encourage all attempts at communication
Daily Care Activities
Stroke affects everyday activities like bathing, dressing, and eating. The goal is to help your loved one regain as much independence as possible while ensuring safety.
- Adapt clothing: loose clothes, velcro, elastic waistbands
- Use assistive devices: long-handled sponges, shower chairs
- Place items within reach on the stronger side
- Break tasks into small, manageable steps
- Celebrate small victories to maintain motivation
- Resist the urge to do everything—encourage participation
Emotional and Psychological Support
Depression affects up to one-third of stroke survivors. Emotional changes, frustration, and grief over lost abilities are common and valid. Psychological support is as important as physical rehabilitation.
Mental Health Support
If you notice signs of depression lasting more than two weeks, speak with the doctor. Treatment helps recovery—depression slows physical rehabilitation.
- Acknowledge their feelings without minimizing
- Maintain social connections—isolation worsens depression
- Encourage participation in enjoyable activities
- Watch for signs of depression: withdrawal, sleep changes, hopelessness
- Seek professional help if depression symptoms persist
- Join stroke support groups for peer connection
Preventing Another Stroke
Having one stroke increases the risk of another. Medication adherence and lifestyle changes are crucial for secondary prevention.
Medication Reminder
Use Elderwise or a pill organizer to track medications. Missing blood thinners or blood pressure medications significantly increases stroke risk.
- Take medications exactly as prescribed
- Monitor blood pressure regularly
- Attend all follow-up appointments
- Support healthy eating: less salt, more vegetables
- Encourage physical activity as cleared by doctor
- Help with smoking cessation if applicable
Singapore Stroke Resources
Singapore has comprehensive stroke rehabilitation services and support for caregivers.
Key Contact
<strong>Singapore National Stroke Association:</strong> 6294 7990<br/><strong>AIC Hotline:</strong> 1800-650-6060
- AIC Stroke Caregiving Course: $163.50 (CTG eligible)
- Community Rehabilitation Services: Home-based therapy
- Stroke Support Groups: Singapore National Stroke Association
- Day Rehabilitation Centres: Structured rehab programmes
- Caregiver Training Grant: $200/year for courses
- Home Caregiving Grant: $250-$400/month cash support
Key Takeaways
- 1Stroke recovery continues for months and years with rehabilitation
- 2Learn safe transfer and mobility techniques to protect both of you
- 3Communication support requires patience and specific strategies
- 4Watch for depression—it's common and treatable
- 5Preventing another stroke through medication and lifestyle is crucial