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essay on stroke management
essay on stroke management
physiotheraputic management of a stroke
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Stroke Medications and Treatment “Time is brain” is the repeated catch phrase when addressing the treatment and management of stroke (Saver, 2006). Access to prompt and appropriate medical care during the first few hours of stroke onset is critical to patient survival and outcomes. Recent changes in the guidelines for acute stroke care released by the American Heart Association (AHA) and the American Stroke Association (ASA) have improved patient access to treatment. Stroke treatment now follows the model of myocardial infarction treatment. Hospitals are categorized into four levels based on stroke treatment capability. The most specialized treatment is available in comprehensive stroke centers followed by primary stroke centers, acute stroke-ready hospitals, and community hospitals. The use of telemedicine now enables even community hospitals, with limited specialized capabilities, to care for stroke patients. Telemedicine puts emergency hospital personnel in contact with neurologists providing expertise in the evaluation of a stroke patient and determination of their eligibility for treatment with thrombolytic medication (Jefferey, 2013). Ischemic Stroke A recent study in the Journal of the American Medical Association stressed the importance of onset to treatment time as a factor in patient clinical outcomes. The study also indicated that early treatment of ischemic stroke with intravenous recombinant tissue plasminogen activator (rtPA) resulted in fewer deaths, intracranial hemorrhage, and an overall better prognosis for patients post-stroke (Saver et al., 2012). The clot-dissolving drug, also known as alteplase, is the only FDA approved medication for acute ischemic stroke and is recommended to be administered ... ... middle of paper ... ...Laleh, Petzold, Axel, & Kitchen, Neil. (2003, October 1). Triple-H therapy in the management of aneurysmal subarachnoid haemorrhage. The Lancet Neurology, 2(10), 614-620. doi: 10.1016/S1474-4422(03)00531-3 Talabucon, L. (n.d.). Potential Complications After a Stroke. Retrieved from https://www.healthxchange.com.sg/healthyliving/ManagingChronicIllnesses/Pages/Potential-Complications-After-a-Stroke.aspx Thompson, G. E., 2011.Venous Thrombus and Embolus. Retrieved fromhttp://www.web md.com/dvt/venous-thrombus-and-embolus U.S. National Library of Medicine (2013). Comprehensive metabolic panel. Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/003468.htm Van Leeuwen, Anne M. & Poeljuis-Leth, Debra J. (2009) Davis’s Comprehensive Handbook of Laboratory and Diagnostic Tests with Nursing Implications (3rd edition). Philadelphia: F.A. Davis Company.
Ischemic Stroke is caused due to a blood clot in an area of the brain, leading to loss of neural function if last for more than 24 hours. In the United States, ischemic stroke affects 2.7% of men and 2.5% of women of age range 18 years and older. In addition, it has reported that annually about 610,000 and 185,000 of new strokes and recurrent strokes cases occur in US1. Moreover, it has reported that patients who have suffered from a stroke have more chances of recurrent stroke, Myocardial infarction, and death from vascular causes2. One of the risk factor of ischemic stroke is formation of plaque in the blood vessels causing blood clot3. Several randomized trials have also reported that antiplatelet medications are efficient in preventing recurrences of stroke in patients who had an incident of ischemic stroke. Antiplatelet medications for preventing recurrences of stroke are aspirin, combination of aspirin and extended-release dipyridamole, and clopidogrel alone4. It ha...
Globally the leading reason for mortality and morbidity rate is stroke. Nearly twenty million individuals can suffer from stroke annually and around five million individuals won't survive [1]. The developing countries account for a median of 85% of worldwide deaths from stroke [2]. Stroke ends up in practical impairments with a median rate of two hundredth survivors who need institutional care once an amount of three months and 15%-30% are going to be disabled for good [3].
There are many causes of strokes and risk factors that can increase likelihood of stroke. Causes include conditions such as atherosclerosis, also known as plaque build...
Treatment for strokes is called "acute care." What is an acute care? Acute care is when you make sure the condition is caused by a stroke and not some other medical condition, determining the type of stroke where it occurred and how serious the stroke is, prevention of another stroke from happening, or maybe rehabilitation.
Stroke units, introduced in the 1950's, have become an established essential component of an effective functioning stroke service, in the modern stroke services provided today. A stroke unit refers to organized inpatient care for stroke patients, provided by a multidisciplinary team that specialise in stroke management. The Stroke Unit Trialists Collaboration (SUTC) has carried out Cochrane reviews on stroke unit trials since 1997. Findings, from random trials and systematic reviews, have shown that the provision of care in a stroke unit can increase a patient’s chances of survival, which enables them to return home and regain independence in activities of daily life (Langhorne et al., 2012). Stroke units seem to benefit
Strokes are not only the leading cause of mentally disabling adults, but they are also the third most common reason for deaths worldwide (Jarvis, 2012). In general, a stroke, also called a “cerebrovascular accident,” occurs when blood flow of the vascular system is blocked from reaching parts of the brain (Jarvis, 2012). There are two types of stroke, an ischemic stroke or a hemorrhagic stroke, and they differ in the way they affect the vascular system. An ischemic stroke is the most common type of stroke, accounting for 80 percent of all strokes, and it is due to a thrombus or embolus blocking blood vessels supplying the brain (Durukan & Tatlisumak, 2007). A hemorrhagic stroke is less common, but is caused by the rupturing of a blood vessel in the brain and causes bleeding (Jarvis, 2012).
Panagos, P. (2008). The approach to optimising stroke care. The American Journal of Emergency Medicine, 26, 808−816. doi:10.1016/j.aejm.2007.11.014
Goldstein, L.B. and G.P. Samsa, Reliability of the National Institutes of Health Stroke Scale: Extension to Non-Neurologists in the Context of a Clinical Trial. Stroke, 1997. 28(2): p. 307-310.
In summary, Hospital A will implement a new process for responding to in-hospital stroke calls. This new process will improve quality outcomes of patients experiencing in-hospital strokes. There are no additional costs involved in implementing this process. Data will be collected and reported for stroke measures previously outlined. Through researching this project, additional educational opportunities were identified. Hospital A will further explore these opportunities in the future.
Stroke is a serious medical condition that affects people of all ages specifically older adults. People suffer from a stroke when there is decreased blood flow to the brain. Blood supply decreases due to a blockage or a rupture of a blood vessel which then leads to brain tissues dying. The two types of stroke are ischemic stroke and hemorrhagic stroke. An ischemic stroke is caused by a blood clot blocking the artery that brings oxygenated blood to the brain. On the other hand, a hemorrhagic stroke is when an artery in the brain leaks or ruptures (“About Stroke,” 2013). According to the Centers for Disease Control and Prevention (CDC), “Stroke is the fourth leading cause of death in the United States and is a major cause of adult disability” (“About Stroke,” 2013). Stroke causes a number of disabilities and also leads to decreased mobility in over half of the victims that are 65 and older. The CDC lists several risk factors of stroke such as heredity, age, gender and ethnicity as well as medical conditions such as high blood pressure, high cholesterol, diabetes and excessive weight gain that in...
The main issue here will be the extent of mobility after your stroke. Once released from the hospital, there may still be the need for 24 hour care in a rehabilitation facility. If you are able to get to
The patient’s experience relates to the concept of Perfusion since blood clots may interfere with adequate blood flow. Ischemic stroke is a sudden loss of function resulting from disruption of the blood supply to a part of the brain (Brunner and Suddarth, 2010). The presence of partial blockage of the blood vessel can be due to vasoconstriction, platelet adherence, or fat accumulation and therefore decreases elasticity of vessel wall leading to alteration of blood perfusion with the initiation of the clotting sequence. This may later lead to the development of thrombus which can be loosened and dislodged in some areas of the brain such as mid cerebral carotid artery th...
Small vessel disease affects the intracerebral arterial system. A stroke due to impedimenta of these vessels is referred to as a lacunar infarction. Lacunar infarctions are small (0 2 to 15 millimeter in diameter) noncortical infarctions caused by occlusion of a single penetrating branch of a large cerebral arterial blood vessel. Lacunar stroke has 5 classic syndromes and motor stroke is the most syndrome. The typical presentation is hemiparesis of face, arm or leg of one side. Clinical symptoms of stroke are slurred speech, right hand numbness, weak right mitt grip, and right sided facial palsy.(health direct, 2014)and most common among ischemic strokes (Rathore, Hinn, Cooper, Tyroler, & Rosamond, 2002).
Prevention includes decreasing risk factors, as well as possibly aspirin, statins, surgery to open up the arteries to the brain in those with problematic narrowing, and warfarin in those with atrial fibrillation. A stroke is often requires emergency care. An ischemic stroke, if detected within three to four and half hours, may be treatable with a medication that can break down the clot. Aspirin should be used. Some hemorrhagic strokes benefit from surgery. Treatment will give to recover lost function is called stroke rehabilitation and ideally takes place in a stroke
Stroke is a commonly known disease that is often fatal. This cellular disease occurs when blood flow to the brain is interrupted by either a blood clot halting the progress of blood cells in an artery, called an Ischemic stroke, or a blood vessel in the brain bursting or leaking causing internal bleeding in the brain, called a hemorrhagic stroke. When this happens, brain cells are deprived of oxygen and nutrients because the blood cells carrying these essential things are stopped, causing them to die. When the cells in the brain die, sensation or movement in a limb might be cut off and may limit an organism’s abilities. A person with stroke is affected depending on where in the brain the stroke occurs. In other words, symptoms of a stroke