Stroke is an emergency "brain attack", cutting off vital blood flow and oxygen to the brain. Ischemic stroke occurs when arteries are blocked by blood clots or by the gradual build-up of plaque and other fatty deposits. About 87% of all strokes are ischemic. Hemorrhagic stroke occurs when a blood vessel in the brain breaks, leaking blood into the brain. Hemorrhagic strokes account for 13% of all strokes.
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I have been on service with Around the Clock for over a year. My LVN, Shanai, is a great nurse. She has taken care of the wounds on my legs for the entire time I've been with Around the Clock. Shanai provides excellent patient care and what even makes it better is that she personally cares about her patients too. She takes great pride in providing her patients with the best care available. She is a true asset to Around the Clock.
When a weakened blood vessel ruptures and spills blood into brain tissue, it’s called a hemorrhagic stroke. The most common cause for the rupture is uncontrolled hypertension (high blood pressure). There are two other types of weakened blood vessels that can also cause hemorrhagic stroke: aneurysms (swellings within vessels) and arteriovenous malformations or AVMs (abnormal tangles of blood vessels).
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Drug/Device: Drug administration, if appropriate, is the next link in the chain of survival. If the patient is a candidate for fibrinolytic therapy, the window of opportunity for administration is narrow. According to the American Heart Association guidelines, fibrinolytic therapy should be administered within three hours of the onset of symptoms. If the patient is not a candidate for drug therapy they may qualify for Endovascular therapy to remove the clot mechanically rather than with fibrinolytics.
Magnetic resonance imaging (MRI). An MRI uses powerful radio waves and magnets to create a detailed view of your brain. An MRI can detect brain tissue damaged by an ischemic stroke and brain hemorrhages. Your doctor may inject a dye into a blood vessel to view the arteries and veins and highlight blood flow (magnetic resonance angiography, or magnetic resonance venography).
If you're seeking your doctor's advice during a scheduled appointment, your doctor will evaluate your risk factors for stroke and heart disease. Your discussion will focus on avoiding these risk factors, such as not smoking or using illegal drugs. Your doctor also will discuss lifestyle strategies or medications to control high blood pressure, cholesterol and other stroke risk factors.
Traditionally, care for older adults has been the responsibility of family members and was provided within the extended family home.[6] Increasingly in modern societies, care is now being provided by state or charitable institutions.[6] The reasons for this change include decreasing family size, greater life expectancy, the geographical dispersion of families, and the tendency for women to be educated and work outside the home.[6] Although the changes have affected European and North American countries first, they are now increasingly affecting Asian countries as well.[7]
That’s why it’s important to treat the underlying causes of stroke, including heart disease, high blood pressure, atrial fibrillation (fast, irregular heartbeat), high cholesterol, and diabetes. Your doctor may give you medications or tell you to change your diet, exercise, or adopt other healthy lifestyle habits. Surgery may also be helpful in some cases.
Suffering from a stroke can lead to a wide range of serious and possibly life-threatening repercussions, so if anyone in your family is affected by this condition, you should take immediate action. With only a small percentage of patients ever fully recovering from a stroke, rehabilitative measures have become an important step in post-stroke patient care. The success of these measures depends to a large extent on the experience and training of the medical team, so you may want to consider one or more of the following elite stroke rehabilitation centers.
“At UofL Hospital, we continually strive for excellence in the acute treatment of stroke patients,” said Dr. Kerri Remmel, medical director of the UofL Hospital Stroke Center and chair of the UofL Department of Neurology. “U Care adds the vital step of thoroughly programmed follow-up with stroke patients to ensure they continue recovery, avoid unnecessary readmission to the hospital and prevent a second stroke.”
Disposition: Disposition is the last link in the chain of survival. This step in stroke care focuses on the continuing care of the stroke patient. It is recommended that patients be admitted to an intensive care unit or stroke unit within three hours of arrival in the ED. Continued monitoring of a stroke patient includes frequent assessment of neurological status and monitoring of glucose levels and vitals, as well as prevention of complications. Determining the cause of the stroke is also part of disposition.

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The Ninth Five-Year Plan included policies in an attempt to care for the elderly left without children as caretakers.[30] A Senior Health Facilities Fund has been established in each district.[30] The Senior Citizens Health Facilities Program Implementation Guideline, 2061BS provides medical facilities to the elderly, and to those that are poverty stricken, free medicine and health care in all districts.[30] In its yearly budget, the government has planned to fund free health care to all heart and kidney patients older than 75.[30] Unfortunately, many of these plans are overly ambitious, which has been recognized by the Nepali government.[30] Nepal is a developing nation and may not be able to fund all of these programs after the development of an Old Age Allowance, or OAA. OAA provides a monthly stipend to all citizens over 70 and widows over 60.[30]
Le fait que nos programmes de formations soient faits sur mesure, de qualité et personnalisés. Nous recourons à une pédagogie active et ludique pour les mises en situations et exercices avec le simulateur du Grand Âge pour un ressenti et une réflexion unique sur la situation de handicap et de vieillissement. Nos formations sont en phase avec la réalité du terrain et nos formateurs interviennent quotidiennement auprès des Seniors (EHPAD, Services à Domicile …).
Most stroke survivors receive treatment in a rehabilitation program. Your doctor will recommend the most rigorous therapy program you can handle based on your age, overall health and degree of disability from your stroke. Your doctor will take into consideration your lifestyle, interests and priorities, and the availability of family members or other caregivers.

Before the inspection, we reviewed the information we held about the service. This included the previous inspection report and notifications since the last inspection. Notifications are changes, events and incidents that the service must inform us about. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
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