Caregiver in La Mesa CA: The after-effects of a stroke are certain to change how an elderly person lives their day-to-day life. They can cause poor vision, partial paralysis, poor balance, speech and swallowing issues, and problems with mobility. Caregiver in La Mesa CA: The after-effects of a stroke are certain to change how an elderly person lives their day-to-day life. They can cause poor vision, partial paralysis, poor balance, speech and swallowing issues, and problems with mobility.