Acute stroke care pathway
Common Questions and Answers about Acute stroke care pathway
stroke
I've noticed months after the hemorrhagic stroke that I still have minimal numbness in the lower part of my leg and sensitivity in my left arm and hand everything else is fine. Has anyone experienced a change in their sense of taste?
The onset of pain under any circumstance shouldn't be ignored. I highly recommend that you pay a visit to your doctor as soon as possible.
That said, I'm not sure why your post bears the title "Stroke". Strokes usually present over the course of several hours and involve a plethora of neurological symptoms, like confusion, difficulty speaking, memory loss, sudden lethargy, tingling or numbness down one side of the body, and sometimes a sharp pain in the head.
All these result in either narrowing or a brain blood vessel or its occlusion by a clot. Total stroke care which involves maintaining respiration, taking care of heart function, reducing brain edema, thrombolysis etc help the patient recover. Recovery from stroke depends on how soon the blood vessel could be opened by thrombolysis and if at all it can be opened.
The next day he woke up with the same symptoms as the stroke 6 years ago and we assumed he had another stroke. The MRI, CTScan shows no new stroke, but his symptoms continue and he doesn't seem to be getting much better. He has lost his job due to the memory loss issues. Any thoughts on what could have happened? We are seeing a neuropsychologist.
If there was evidence of an acute stroke on the MRI, investigation for causes of stroke in a young person (of which there are many many causes including blood clots from various areas of the body including heart and legs, various clotting tendencies including the clotting tendency that occurs in all women around pregnancy but also other hereditary or non-hereditary clotting disorders, and some genetic disorders such as CADASIL and mitochondrial disorders).
We tried to get dad into an acute care facility but were told he did not meet minimum requirements. Acute care for rehab centers normally require a minimum of three hours rehab 5-6 days a week. When my dad was tested, he did not consistently respond to commands. I am positive that he could hear, and he responded some days much better than other days.
Keep telling your father that you are working on getting him to a higher level of care.
Rapid assessment of acute ischemia is critical for the management of acute stroke patiens who may benefit from thrombolytics or neuroprotective therapeutics. Differentiation of acute from chronic stroke, which may all appear hyperintense on T2- Weighted Imaging(T2WI ), is essential in determining the management of patiens.
It depends, if the stroke is stabilized, he may be shifted to a nursing home for long term care. 10% of stroke patients require care in a nursing home or other long-term facility. For skilled nursing facility, stroke survivors require daily skilled nursing or rehabilitation services that can be provided only on an inpatient basis. So, he may have been shifted. Regards.
my sister has stage 3 ovca and hasent been doing to well lately. Two weeks ago she had a big stroke, her speech is pretty bad and her balance is also bad. I have talked to her oncologist and he told me that her cancer had advanced to the point that chemo wasnt working for her anymore, she has tried alot of different ones,and at last ca125 it was almost 4000. They have had a team meeting with all of her doctors and have called hospice. she will be discharged home saturday.
Cocaine abusers can experience acute cardiovascular or cerebrovascular emergencies, such as a heart attack or stroke, which may cause sudden death. Cocaine-related deaths are often a result of cardiac arrest or seizure followed by respiratory arrest. The fact your partner is with medical care may be an escape from serious after effects or any permanent damage!
Thanks for your question.
The problem in this case is that because the ICU/CCU unit she was transferred , wants us to transfer her to an acute care long term hospital. I guess thats because while they admit that she is stable, for all intents and purposes right now, they are no longer giving the Mannitol to reduce brain swelling. . That coupled with the fact that she is still totally unresponsive ( still), has led them to be almost rude and forceful with my sister re: my mom.
My mother had a massive stroke. The Drs said it was the type of stroke that is fatal. 4 days later she is starting a very soft diet, physical therapy, and speech therapy. The stroke hit the left side of her brain and was bleeding. She is gaining little feeling in right leg, can move head to right(slightly) and attempting to talk. She responds by hand squeezing and smiles as well as slight laughter. She remains in ICU but we are looking for nursing home.
And, if you have insurance or can find a way to afford it, get your husband out of a skilled nursing facility and into an acute or post-acute care rehab facility, preferably one that specializes in brain injuries.
My husband had a severe stroke in August and is currently in a neurorehab. He was paralyzed on the right side, lost his ability to speak intelligbly, had no sense of balance, couldn't swallow, short-term memory loss, and had many cognitive issues.
My mother suffered an acute subdural hematoma after falling down the stairs, hitting her head. She had surgery to drain the blood within a 2 hour window.
Her recovery was outstanding at first, and was sent home a week later. She seemed to be pretty close to 100% mentally - able to carry on inteligent conversations with no problems.
All of a sudden a couple days after she had been taken home, she began to be unable to "spit out" what she was trying to say.
Other causes are injury to brain, brain tumor, infection of brain, infection of optic nerve, injury to optic nerve, optic nerve tumor, stroke, carotid artery aneurysm and injury to the occipital lobe of the brain. A neuro-ophthalmic consultation will throw more light on the exact cause. Take care!
What could cause numbness on the right arm, hip and leg, nausea, in addition to acute chest pain.
My husband is 44 years old. He suffered from a hemorrhagic stroke on 7/3. He has movement on the left side but it is weak. He can speak, eat, talk. He has one more week of acute rehab left as an inpatient then he will follow-up with out-patient thearpy. The biggest problem I have been having is his mind is not the same. He remembers everyone and everything in the past. However, he adds new experiences that never took place today or in the past. He has hallucinations and paranoia.
Remember that while emergency rooms are the appropriate choice for an acute situation like stroke symptoms, that you then should follow up with your primary care doctor or a neurologist after. We recommend you see a pcp or neurologist now which it does sound like you've had some follow up to discuss lack of feeling in your toe. Here is some general information on TIA's. https://www.webmd.com/stroke/what-is-tia#1
How exactly did they diagnose you with a TIA?
Even if not always life-threatening, these complications can lead to prolonged hospitalization, delay in rehabilitation, poor functional outcomes, and increased costs of care.1–5 Acute neurological complications include brain edema, hemorrhagic transformation, recurrent stroke, seizure, and epilepsy.4,6 Psychiatric complications include depression, psychosis, confusion, and delirium.
anyways my question is about acute relapses i awoke at approx.
My dad in Indonesia, 63 years old, is currently in hospital due to stroke (brainsteam?) since a month ago. Based on what I heard, I am in usa, he is currently physically getting better. He can write and move his hand/foot. However, he still can not breath by himself and rely on the ventilator although the doctor did tracheotomy. Everytime, the ventilator is taken out and replace with the oxygen, he start having difficulty to breath.
The doctors are recommending surgery on the right side first, since that is the side of the stroke. She was moved to acute rehab first to get stronger and to give a diagnosed UTI time to clear up. Is there a time frame for the most success for both cardioid surgeries. The surgeon said 1-2 weeks after the stroke and neurologist said it is elective and can be done in a few weeks after she gets stronger.
Recommended
