Sleep, work and play

Sleep is an important physiological need for the protection of general health and brain health. Sleep-related problems (deficiency or disorder) can have various effects on the body. They can lead to cognitive dysfunction, emotional instability, weakening of the immune system, metabolic problems and an increased risk of cardiovascular disease. Sleep problems are also common in stroke and there is a bi-directional causal relationship between stroke and sleep. Sleep problems can be both a factor that increases the risk of stroke and a factor that negatively affects the post stroke recovery. This chapter includes recommendations for a good night’s sleep, which is a fundamental element of recovery, and also addresses leisure and work-related activities. When applicable, returning to work after a stroke is an important focus of stroke rehabilitation, which should be planned by the stroke team, taking into account the physical, cognitive and emotional state of the patient. A comprehensive assessment should be undertaken with the support of the employer and appropriate arrangements should be made considering the patient’s ability level, workload and work environment. Recreational activities should also be planned to protect and enhance the patient’s physical and mental abilities. Physical exercises, social interactions, art, music and hobbies can support the recovery process. Relatives of stroke patients are also affected by the post stroke recovery process. Caregivers should be supported both emotionally and physically. Education, psychological support and sharing care burden are important to prevent families from experiencing burnout.