A stroke is a blood clot to the brain caused by atherosclerosis build up. There are two types of stroke, ischameic and hemorgenic. Ischameic stroke is a burst blood vessel to the brain where as Hemorgenic is a blood clot on the brain. With a stroke the blood and oxygen supply is cut off causing brain cells to die. There are also minor strokes known as trans ischaemic strokes.
A stroke is normally caused by atherosclerosis build up. Atherosclerosis is a build up of fatty substences which block blood vessels and arteries. Stroke can also be caused by:
- bad diet
- older age
- family history
- high blood pressure (particularly in ischameic strokes)
stroke symptoms include:
- sloping face and lips
- blured vision
- slured speech
- unable to raise both arms above head
Medical Treatments Include:
- asprin to thin blood
- anti blood clot medication
- medication to reduce blood pressure
Life Style Changes:
- Stop smoking- thickens bloo
- Eat a low fat diet- prevent atherosclerosis build up
- Regular exercise- regualtes blood pressure
- stick to alcohol quide lines- thickens blood and raises blood pressure
Stroke Impacts on the Patient
Physically - may become inmobile, lack of sleep due to worry, may struggle doing basic tasks such as walking, may be unable to do moderate exercise if have movement issues
Intellectual- At first the patient may have concentration isuess and they will learn about the conidtion and ways to treat it.
Emotionally- the client may feel worried or stressed. Stress can e client lead to a stroke so it is important to reduce stress when possible. The client may also feel sad about thier condition or lack of mobility.
Socially- the client may not be able to move so may not be able to go out unassisted. The client may also have to have carers so there may be a strain on their relationship.
Financially- the client may have to pay prescription charges.
Stroke Impacts on the Family
physically- the family may have lack of sleep through worry.
Intellectually- the family will learn about the condition and may have a lack of concentration.
Emotionally- the family may feel sad or worried about the client.
Socially- if the family have to care for the patient their realationship may become stressed.
Financially- the family may have to help pay for careres for the patient.
Stroke Patient Centred Approach
- the patient will be put at the centre of the care process
- the patient will have respect and will be involved indecision making such as lifestyle plans when it is appropriate
- the patient will be supported with their health and lifestyle changes. lifestyle changes may include improving the patients diet, helping them stop smoking and help them stick to alochol guidelines.
- practitioners working with the client should recognise ways in which they can take resposibility for their own care. this can include taking resposibily for their medication.
- The patient should feel eabled to make informed choices, give informed consent and be empowered to access health care services.
- Practitioners should show compassion as the patient may feel vulnerable in their fatal condition.
- the patient should also be treat with respect and dignity which should help gain a great involvement from the patient in their own care
Stroke Patient Care Pathway
- someone suffering with a stroke will either be seen by a paramedic or will go straight to A&E.
- the patients history will be taken through blood pressuer checks and family history checks.
- FAST test used for observation.
- Diagnosis and study of brain done by consultant and xray specialist to xray brain.
- treatment including asprin, alteplase (prevent blood clots) may require surgery
- Confidential records made and maitained
- the patient may be reffered to a dietician as atherosclerosis build up is the main cause of a stroke.
- the patient will stay at the centre of care throughout the process
- the patient will recieve on-going monitoring and treatment