Stroke Care

A stroke is a rapid development of disturbance of brain function lasting more than 24 hours. A transient ischaemic attack (TIA) is the same but fully resolves within 24 hours.

The majority of strokes (84%) occur because of a clot on the brain which causes part of the brain to lose blood supply and die. Most of the remaining 16% of strokes are caused by a bleed in the brain, called a cerebral haemorrhage.

Stroke is a major health problem in the UK:
• It accounts for about 11% of all deaths
• Most people survive a first stroke, but often have significant disability
• Each year in England, approximately 110,000 people have a first or recurrent stroke and a further 20,000 people have a TIA
• Risk of recurrence of a stroke is high. About one half of survivors are likely to experience a second stroke within 5 years of the first
• More than 900,000 people in England are living with the effects of stroke, with half of these being dependent on other people for help with everyday activities

 Find out more information here 

 

Risk Factors

There are many risk factors for stroke. Some of them are listed here and these are all risk factors that can be modified to reduce the risk
• high blood pressure (hypertension)
• smoking
• diabetes mellitus
• diet: high salt intake/high fat intake/cholesterol
• excess alcohol intake
• obesity
• low physical exercise

 

Signs and Symptoms of Stroke

Signs and Symptoms of having a stroke are:
• Weakness on one side: the limb first becomes limp, and then develops spasticity i.e. becomes more rigid and hard to move.
• visual disturbance – loss of half of the vision from each eye
• sensory loss – numbness and tingling
• Dysphasia (loss of speech or language)
• Altered consciousness

 

Treatment

Remember the adverts ‘act FAST’
        Facial weakness - can the person smile? Has their mouth or eye drooped?
        Arm weakness - can the person raise both arms?
        Speech problems - can the person speak clearly and understand what you say?
        Time to call 999

In hospital they may do a brain scan either CT or MRI soon after the start of symptoms to determine type of stroke whether it is a clot or a bleed.
• If due to a clot – can give thrombolysis (clot busting treatment) within 3 hours of symptoms starting & aspirin
• If due to haemorrhage – may need urgent surgery to drain the blood.

Longer term treatment involves:
• prevention of complications
• reduce risk factors for having another stroke
• rehabilitation – physiotherapy/occupational therapy/speech and language therapy

 Find out more information about treating strokes on the NHS website

 

How Radfield Home Care Can Assist You

All of our carers receive training in how to recognise the signs of stroke so that they too can act FAST and call 999.  We support many people who have had strokes. The care that each person requires is unique to them and we will put in the exact care that you need. We can be flexible so if you need quite a lot of care immediately on coming home after a stroke to rehabilitate, we can reduce this week by week or day by day as your recovery progresses.


As well as providing personal care and help with running the house, we can also help with rehabilition. We support many people to undertake physiotherapy exercises and accompany on walks to build up strength and confidence and to promote independence.


We are able to administer medication and our technology solutions allow us to monitor the times that medication is given which is important to ensure that blood pressure and other preventative medications are given at the right times.  Our carers can help with shopping and preparing meals and ensuring that diets are suitable and low in fat and salt if required and encourage and support clients to stay well hydrated.