Managing the effects of stroke: Fatigue and sleep
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- Gervais George
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1 Managing the effects of stroke: Fatigue and sleep Fatigue It is very common to feel tired after a stroke. This may be due to: damage to your brain from your stroke mental or physical activity You will feel less tired with time. As you become more physically active, you will start to have more energy. Some stroke survivors feel tired for a long time. If you continue to feel tired, here are some helpful tips to manage fatigue. Tips to help you feel less tired 1. Eat a healthy, balanced diet and drink plenty of fluids. See My nutrition (page 34 of the binder) for tips. 2. Make a to do list and decide which tasks are most important to you. 3. Break up big tasks into smaller tasks. 4. Plan activities for the time of day when you have the most energy. 5. Plan your day and week to include rest time. If you know you have a busy day make sure it s followed by a rest day. 6. Take short rest breaks or naps if needed, but save your longest sleep for the night. 7. Try to go to sleep and wake up at the same times each day. 8. Try to be as physically active as you can.
2 Sleep Good sleep: is being able to fall asleep and sleep through the night is vital to your recovery helps your brain heal gives you mind and body energy Poor sleep: is trouble falling asleep or not being able to sleep through the night makes you feel tired during the day can make it harder to concentrate or do things you enjoy If you have poor sleep, talk with your doctor. There are many ways to get better sleep. Some options are: counselling cognitive behavioural therapies medications help from a sleep specialist You and your doctor can decide what will work best for you. Sleep apnea Some people have poor sleep due to a medical condition called sleep apnea. With sleep apnea, there are pauses in your breathing while you sleep. The pauses may last a few seconds to minutes. During the pauses your body doesn t get enough oxygen, which causes you to wake up. As a result, you have poor sleep and feel tired during the day. Sleep apnea may also increase your risk of high blood pressure, heart disease and stroke.
3 You are more likely to have sleep apnea if you: are an older adult have a family member that snores or has sleep apnea are overweight are a heavy smoker are a heavy drinker When should I see my doctor? See your doctor if you or your partner notice these signs of sleep apnea: I snore loud enough to disturb my sleep or others. I wake up feeling short of breath. I wake up with headaches. There are pauses in my breathing during sleep. I feel overly tired during the day. This makes me sleepy while working, watching television or driving. Questions about fatigue and sleep Do I have trouble sleeping because I m worried, anxious or my mind is racing? Am I too tired for my daily activities or doing things that I enjoy? Do I have sleep apnea?
4 Resources to help with fatigue and sleep GENERAL INFORMATION Let s Talk About Stroke, a guide developed by the Heart and Stroke Foundation, page 41 B136CE6C95BF%7D/Lets-talk-about-stroke-en.pdf Amercian Sleep Apnea Association Canadian Sleep Society Mayo Clinic National Center for Sleep Disorders Research National Sleep Foundation Sleep Education, provided by the American Academy of Sleep Medicine The Apnea Support Forum is an internet-based support group
5 SLEEP CLINICS MedSleep provides comprehensive diagnosis and treatment of sleep disorders in clinics across Canada Sleep Ontario Clinics provide detailed conscientious care to people with any sleep and wakefulness problem irrespective of age The Sleep Management Group offers support and education in the field of obstructive sleep disorders
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