What is a stroke? On average, every 40 seconds someone in the U.
Acute Care and Rehabilitation Module 6 Prevention of Stroke Despite the advent of new treatments for acute ischemic stroke and the promise of other acute therapies, prevention remains the best approach for reducing the incidence of stroke.
The public needs education about lifestyle changes that can reduce their risk of stroke. Messages about prevention have focused on several key areas of public education including modifiable risk factors such as reducing high blood pressure, reducing cholesterol, improving emergency response, decreasing tobacco use, improving nutrition, increasing physical activity, decreasing obesity, and decreasing and controlling diabetes.
Blood Pressure Hypertension remains the most important, well-documented, modifiable risk factor for stroke, and treatment of hypertension is among the most effective strategies for preventing both ischemic and hemorrhagic stroke.
In addition to lifestyle changes, statins eg, lovastatin, simvastatin may be needed to reduce cholesterol levels CDC, a. Emergency Response Heart attacks and strokes are life-and-death emergencies in which every second counts.
Nearly half of all stroke and heart attack deaths occur before patients are transported to hospitals.
For this reason, prehospital emergency medical service EMS organizations and providers are vital partners with public health to reduce death and disability from heart attacks and strokes.
Additionally, it is important for the public to recognize the major warning signs and symptoms and the need to immediately call CDC, a.
Tobacco Cigarette smokers have twice the risk of stroke compared to nonsmokers. Smoking decreases the amount of oxygen in the blood, causing the heart to work harder. Nutrition A healthy diet can reduce the risk for acquiring medical conditions such as hypertension, diabetes, high lipid levels, coronary artery disease, and obesity.
All of these conditions increase the chance of having a stroke. Recent studies indicate that a diet rich in fruits and vegetables can lower the risk of heart disease and stroke.
Another study found that a diet rich in fruits, vegetables, and low-fat dairy products lowered systolic blood pressure by 11mm Hg and diastolic blood pressure by almost 6mm Hg—as much as achieved by medications Harvard, a.
The average American consumes mg of sodium each day, most of which comes from processed, store-bought, and restaurant foods. Current dietary guidelines recommend that adults should consume no more than 2, mg of sodium per day. However, the following population groups should consume no more than 1, mg per day: Blood pressure rises with increasing amounts of sodium in the diet, and sodium reduction lowers cardiovascular disease and death rates over the long term.
Physical Activity Physical activity can help maintain a healthy weight and lower cholesterol and blood pressure. The Surgeon General recommends that adults should engage in moderate-intensity exercise for at least 30 minutes on most days of the week CDC, b.
Diabetes People who have diabetes are at least twice as likely as someone who does not have diabetes to have heart disease or a stroke.
People with diabetes also tend to develop heart disease or have strokes at an earlier age than other people. Women who have not gone through menopause usually have less risk of heart disease than men of the same age.
But women of all ages with diabetes have an increased risk of heart disease because diabetes cancels out the protective effects of being a woman in her childbearing years National Diabetes Information Clearinghouse, People with diabetes who have already had one heart attack run an even greater risk of having a second one.
In addition, heart attacks in people with diabetes are more serious and more likely to result in death. High blood-glucose levels over time can lead to atherosclerosis NDIC, If blood-glucose levels are high at the time of a stroke, then brain damage is usually more severe and extensive than when blood glucose is well-controlled.
Treating diabetes can delay the onset of complications that increase the risk of stroke NINDS, b. Carotid Endarterectomy Carotid endarterectomy is a surgical procedure in which fatty deposits are removed from one of the two carotid arteries located in the neck.
Carotid endarterectomy is done to prevent stroke for those who have a certain level of blockage and to prevent recurrent stroke; this is not an acute stroke treatment.Stroke: Acute Care and Rehabilitation. Module 6. Prevention of Stroke. Despite the advent of new treatments for acute ischemic stroke and the promise of other acute therapies, prevention remains the best approach for reducing the incidence of stroke.
References Stroke Version B References. Adams HP, Adams R, del Zoppo G, Goldstein LB. Management of patients with stroke: Identification and management of dysphagia.
Scottish Intercollegiate Guidelines Network. Management of patients with stroke: Rehabilitation, prevention and management of complications and discharge planning. Prompt stroke identification and treatment combined with stroke prevention strategies reduces the risk for complications and mortalities, as well as the cost of long-term hospitalizations.
Improve time to treatment by training your staff on quickly identifying strokes and promote prevention measures, such as stroke risk assessments and. The home is where the family comes together to experience security, shelter and safety.
Because we spend more than 50 percent of our lives indoors, it is important to make sure our families have a healthy home in which to live. Children are at a higher risk because they are still growing, discovering their environment and spending much of their time where many hazards exist.
Study in the field of stroke rehabilitation is extensive and wide-ranging, owing largely to the complexity of the clinical presentation of the individual with stroke and the interdisciplinary nature of the practice of stroke rehabilitation.
Management of Patients With Stroke: Rehabilitation, Prevention and Management of Complications, and Discharge Planning: a National Clinical Guideline. () ↑ Clinical Guidelines for Stroke Management A Quick Guide for Physiotherapy.