Stroke is still the leading cause of disability. Traveling stroke reduces the quality of life in the functional and psychological sphere. The European Stroke Initiative recommends that patients with stroke should be assured with rehabilitation as soon as possible. The most important goal of stroke rehabilitation is to restore all the functions lost by the patient as a result of the disease and also to compensate those which have been irretrievably lost. The latest data from the literature show that the best period in terms of potential for improvement of the functional status after stroke is the first three months of the onset of the stroke incident. To review the literature in the area of stroke rehabilitation and its importance for the improvement of the functional state.

Introduction. Stroke is still the leading cause of disability. Stroke experiencing reduces the quality of life in the functional and psychological sphere. It is recommended by the European Stroke Initiative that patients with stroke should be guaranteed rehabilitation as early as possible. Aim. Assessment of the impact of various factors on the post-stroke functional condition and the evaluation of the usefulness of scales assessing the functional status in a distant prognosis. Material and Methods. The study included 103 patients hospitalised in the Ward of Systemic Rehabilitation with the Neurological Rehabilitation Unit of RSS in Grudziądz. It was carried out with the use of a questionnaire of sociodemographic, clinical data, selected functional scales and categorization of nursing care. Results. The greatest functional progress during hospitalization was observed within the first 21 days of rehabilitation; whereas in week four it was the smallest. Conclusions. Clinical NIHSS scale, the analysed scales and functional categorization of nursing care proved to be appropriate tools to predict functional post-stroke prognosis, where the strongest impact in the multifactoral analysis was found for BI.

Introduction. By 2015, the goal of the rehabilitation set by the Helsingborg Declaration 2006, was that more than 70% of survivors are independant in their activities of daily living by 3 months after the onset of stroke.

Introduction. The motor-neurone disease Amyotrophic Lateral Sclerosis (ALS) includes slowly progressive disorders with a waveform which is the result of pathologies involving neurones in the cerebral cortex, brain stem and spinal cord. Its severe course is associated with damage to certain brain functions responsible for controlling important vital signs. ALS is an incurable disease that belongs to the neurodegenerative disorders. Due to the progressive nature of the disease, the nurse plays an important role in patient care -from the stage of diagnosis to palliative care. The main objective of the study is to present nursing problems and tasks undertaken by a nurse in the process of nurturing a patient with ALS. Case Report. A man, 42, admitted to the Rehabilitation Clinic of the University Clinic Centre in Gdansk, due to the massive para paresis, upper extremity paralysis more pronounced on the left side. On the basis of clinical picture, there was a suspicion of ALS. Discussion. The presented ALS case with laboratory abnormalities having uncertain meaning (ALS-LAUS syndrome) was characterised by an unusually fast progressing course. Conclusions. The importance of the role of a nurse in the care of the patient with ALS is confirmed by the conclusions reached in the presented case description: 1) The patient was found to have limited physical fitness, communication problems, high risk of developing pressure ulcers and complications associated with immobility. 2) Due to the significantly reduced efficiency of self-service, the patient required a holistic nursing care with regard to activities of daily living. 3) After the hospitalisation the patient required continuity of comprehensive care ensured by the family and support institutions related to home respiratory care. (JNNN 2015;4(4):170-177)