Please help us, after stroke and seeking some information

[mehraban]

Dear Dr.
My mom had stroke 10 days ago and just discharged from ICU yesterday. The stroke affected on her left side of her body and her swallowing ability. Her swallowing ability is getting back very slowly. Besides being bed rest and all different problems, mostly she has suffered a dry mouth for 8 days and now she is in extreme pain. She was and is aware of everything and great memory. However it has been few days we noticed she is not logic. For example she is asking us to let her go home or walk all the time and she doesn’t know her left side has been paralyzed. Another example, she took off the nasal tube (for feeding) from her nose. She doesn’t accept what we tell her logically.  I feel she is mean and doesn’t care about us anymore. I am not sure if this is because of all stress and pressure and being in pain or this is one of the stroke results. At this point we are so frustrated and desperately seeking some help and information. Please please help us.
Is there any one has the same experience?
Thanks in advance.

[mehraban]

Thanks Dr. Noopur.
I did some research about vascular dementia. I am wondering if it is possible to have complete memory but loos the logic. Also, is there any treatment to get back the logic? Moreover, what reaction should we have in response to her illogical thought?
Thank you again.

[DrNoopurMD]

Hi,

How are you?
Memory loss and impaired thinking and illogical thought process can occur after stroke. It all depends on the part of brain involved in stroke. Since her left side of the body was involved it indicates the involvement of right side of the brain. The right hemisphere controls thought and perception and memory.
This is also termed as vascular dementia. Please consult her doctor about as she may need physical and occupational therapy.