In the United States, 795,000 people will have their first or recurrent stroke. Studies show that 10% of strokes are secondary to intracerebral hemorrhage and another 3% are due to subarachnoid hemorrhage. The frequency of stroke varies with age, sex, ethnicity and socioeconomic status. African Americans and Hispanics have the greatest threat of intracerebral hemorrhage and excess risk is mostly observed in young and middle aged people (Liebskind & O 'Connor,2015).
Pathophysiology
Both intercerebral hemorrhage and hemorrhagic stroke are terms that can be used interchangeably. When a patient is having a hemorrhagic stroke, bleeding occurs in the brain parenchyma. This is usually caused by leakage from tiny intercerebral arteries which are commonly damaged by hypertension. Other risk factors for hemorrhagic stroke are anticoagulant therapies, aneurysms, cerebral amyloidosis, and cocaine abuse. Although less common than ischemic strokes, hemorrhagic strokes are responsible for about 40% of stroke deaths.
A subarachnoid hemorrhage stroke is caused by bleeding in the space between the brain and the skull. When blood is released into this space, there is an increase in pressure on the brain. Clotted blood, as a result of the bleed, can force the brain against the skull and cause it to shift and herniate. This cascade of events causes normal cerebral spinal fluid to be blocked causing dilation of ventricles.
Intracerebral hemorrhage is caused by bleeding within the brain tissue. Small arteries within the deep tissues of the brain rupture due to thin walls usually caused by hypertension. The blood collects and forms a hematoma. The hematoma causes pressu...
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...used on a potential stroke patient that may come into the hospital at anytime. The main goal of the NP 's care is to keep the rate of care moving at a fast pace to ensure that no time is wasted during the acute phase of a stroke.
A Stroke Nurse Practitioner can also be found in areas of both primary and secondary prevention where he or she makes certain that each patient is evaluated and preventative therapies are implemented. Such assessments include brain imaging, dysphagia and hypertension screening. In addition, this NP can act as a coordinator for stroke patients from admission to discharge by meeting with families and rehabilitation centers and providing information and resources to the post stroke patient. This NP is the gateway to educating the nursing staff in recognizing the signs and symptoms of stroke and implementing the facilities stroke protocol.
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...
Stroke occurs when the blood supply to the brain is blocked or condensed. Blood works to transport oxygen and other beneficial substances to the body’s cells and organs, as well as the brain. There are two main types of strokes that are known as Ischemic strokes and Hemorrhagic strokes. When the blood vessels that provides for the brain becomes congested, is it referred to as ischemic stroke, the most common stroke within adults. Blood clots, a cluster of blood that sticks together, are the cause of Ischemic strokes. Ischemic strokes also takes place when arteries become backed up with plague, leaving less blood to flow. Plague is cholesterol, calcium and fibrous and connective tissue that sticks to the walls of blood vessels. Ischemic strokes eternally damage the brain and cause a person's body to no longer function habitually.Some risk factors that may increase stroke are high cholesterol, diabetes, high blood pressure, and obesity. Some stroke factors are also due to old age or having a family that has a history of strokes. Men are more likely to have a stroke but the most st...
It is frequently expressed by stroke patients and caregivers that they have not been afforded the suitable information related to stroke, treatments, or post discharge management and recovery, and that the information conveyed is perceived as insufficient and complex. The problem is that there is a failure of healthcare professionals in identifying the learning needs of stroke patients associated with a deficiency in knowledge of just how to access and communicate this crucial information. Indeed, while patient education can be time consuming and nurses may not be properly trained in stroke education it is a nursing duty to provide these teachings to patients and caregivers prior to discharge. This paper will propose an educational plan intended to train, assist, and support nursing staff responsible for stroke patient education, in providing accurate, individualized, guideline based stroke education to patients and families prior to discharge. This plan
A stroke can happen at any age but for patients who are 55 and older, their risk factor will increase due to age and physical activity. “While stroke is common among the elderly, a lot of people under 65 also have strokes”(“About Stroke” page 1). Also at risk are African Americans because of other health issues that can trigger a stroke, for example: high blood pressure, diabetes and obesity. Caucasians and Hispanics are also at. Not only does Ethnicity and age play a factor, but so does other health conditions. Patients who suffer from high blood pressure, diabetes, heart disease, obesity, alcohol and drug
A serious brain injury could lead to bleeding in or around your brain, causing symptoms that may develop right away or later.
The bleeding of the brain also causes increased pressure on the brain and it presses against the skull. Symptoms of a hemorrhagic stroke vary upon the amount of blood tissues affected and the location of the bleeding. A transient ischemic attack only lasts for a few hours of the day or a day and it doesn't cause permanent brain damage like an ischemic stroke would. (TIA) transient ischemic attack is not considered to be a stroke, it is referred to as a warning signal before having a stroke. Ask yourself how does a stroke change a person's everyday life drastically? People who suffer from strokes have to live with a mental or physical disability that causes them to be limited.
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
... J. (2009). Heart disease and stroke statistics--2010 updated: a report from the American Heart Association. Journal of the American Heart Association. doi:10.1161/CIRCULATIONAHA.109.192667
This module has enabled the author to understand the concept of vulnerability, risk and resilience in relation to stroke. Therefore, it will contribute to her professional development and lifelong learning (NES, 2012). Additionally, the author has gained evidence based knowledge of person-centred care, compassion and self-awareness; all of which can be used to inform future practice (Miller, 2008). Consequently, she will be able to provide the appropriate level of care that can make a difference to a person’s recovery.
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
It is a known fact that approximately 8% of all strokes occurring worldwide, are caused by the rupturing of brain aneurysms. Those are the unlucky people, fortunately, about 94% of all brain aneurysms do not rupture at all, and people are able to live their lives normally, just of course being careful not to do anything to severely damage their head (Nisacara). The “brain” is the control center for your body. Your brain receives messages from your body. It also sends messages to other parts of your body” (DeGezelle).
It is caused by clot that blocks blood vessels from supplying blood to the brain through cerebrovascular events. If there is no blood in the brain, then there is no oxygen or nutrients because it is blood that supplies it to the brain. This can cause permanent brain damage which can cause inflammation. Fasting has there been known to be effective and efficient against stroke because it increases cognitive functioning and health of the brain. In addition, fasting has been known to increase neuro-protective proteins and reduction in inflammatory substance known as cytokines. This is critical reducing the chances of damaging the brain that can cause
Cerebrovascular Accident a) Overview - definition and the effects of the stroke on the body A stroke is a serious, life-threatening medical condition that occurs when the blood supply to part of the brain is cut off. (http://www.nhs.uk/conditions/Stroke/Pages/Introduction.aspx) This condition is a common cause of death and disability, especially in older people. Some predisposing factors include: • hypertension • atheroma • cigarette smoking • diabetes mellitus It occurs when blood flow to the brain suddenly interrupted, causing hypoxia. The effects include paralysis of a limb or one side of the body and disturbances of speech and vision.
The animals that stroke primarily affects are humans. This is likely caused by risk factors that humans attain, such as cigarette smoking, high blood pressure, diabetes, high blood cholesterol, a poor diet, stroke occurring in ancestors, and physical activity/obesity. Stroke has is also starting to become recognized in cats, dogs, and rabbits. According to the World Health Organization, 15 million people suffer from a stroke worldwide every year. Of the people diagnosed, 5 million die and 5 million are permanently disabled. In the United States, 795,000 suffer from stroke annually. 85 percent of the diagnosed strokes are ischemic and 15 percent of them are hemorrhagic As for the humans diagnosed, three fourths of the people that suffer from a stroke are elderly (over the age of 65). This is caused by raising cholesterol levels and the narrowing of arteries as someone ages. Ethnicity, as well as age can also affect a person’s risk to fall victim to a stroke. Africans have a much higher risk of death from a stroke than Caucasians do. This is partly because blacks have greater risks of high blood pressure, diabetes, and obesity. Research suggests Africans may carry a gene that makes them more salt sensitive, inevitably increasing the risk of high blood pressure. Fortunately, research is still being done to prevent stroke. Rats and mice are primary animal subjects for studying this deadly
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...