Stroke (Brain Attack) Your Care at Home - California Pacific Medical


Stroke (Brain Attack) Your Care at Home

learning about your health


Your Care at Home Make Your Follow-up Appointment You need to see your doctor 1 to 2 weeks after you go home.

Your Medicines at Home Ischemic Stroke Prevention An important part of stroke care includes taking medicines to prevent more blood clots. You may get one of the following clot prevention medicines: 1. Anticoagulants (“blood thinners”): Coumadin (Warfarin) or Heparin •

Purpose: To prevent new blood clots from forming.

Action: Anticoagulants prevent blood clots from forming or growing.

Possible side effects: Bleeding or bruising.

With these medicines, your doctor needs to watch you closely and you need regular blood tests.

2. Antiplatelets: Aspirin, Clopidogrel (Plavix), Dipyridamole/Aspirin combination (Aggrenox) •

Purpose: To prevent thrombolic strokes.

Action: Antiplatelets prevent blood clots from forming or growing.

Possible adverse effects: Bleeding or bruising.

You do not need regular blood tests when taking these medicines.

Beyond Medicine.

Stroke: Your Care at Home

WARNING SIGNALS of BLEEDING Tell your doctor or nurse if you have any signs of bleeding: •

easy bruising

bleeding when you brush your teeth

dark brown urine

dark brown, red or black stool

cuts that won’t stop bleeding

Warning Signs of a Stroke If you have neurological symptoms that are different from or much worse than your original symptoms, call your doctor or 911 immediately – DO NOT WAIT!

We are able to treat certain types of strokes, but the treatments must be given in a hospital within 4.5 hours after your first symptoms.

TIME LOST IS BRAIN LOSS. Do not wait, every minute counts! F.A.S.T. will help you recognize symptom(s) of a stroke: 1. Facial droop is best seen when the person smiles. 2. Arm: Ask the person to hold out their arms with hands facing up and close their eyes. One side will drift down in a stroke. Weakness/loss of sensation may be seen in an arm or leg. 3. Speech: slurred, inappropriate words, or mute. 4. Time to call your doctor or 911 immediately.


Stroke: Your Care at Home

Planning Your Activities •

Do as much as you can for yourself at home. Take breaks and get enough rest. You can also plan activities out of the house.

Practice the skills and exercises you learned in the hospital.

Use your weak limbs as much as possible.

You may continue to receive therapy at home or come to the hospital for outpatient therapy.

Talk to your doctor about when you can go back to your usual activities.

You may feel tired after a stroke for many reasons: •

You may have less energy than before.

You may have as much energy as before, but you use it differently.

You may feel more tired due to emotional rather than physical changes.

You may be depressed. This is a treatable illness that happens to many stroke survivors. Symptoms include: lack of energy, lack of motivation, lack of concentration, or not enjoying anything. Talk to your doctor if you think you may be depressed.

About Your Diet Eat the kinds of food your speech therapist and dietitian recommend.

Tips on Personal Care and Safety at Home Bathing: If you are weak on one side or get dizzy, use a shower chair. Your occupational therapist helps you decide the best shower chair for you. Prevent Injuries: •

Place things within reach in all rooms; don’t reach out for things.

Use all assistive devices properly.

Avoid using a bath rug inside the bathroom and remove any rugs that are not nailed down to prevent falls.

Clear up all barriers in your room, the hall, and doorway.

Call 911 or use a lifeline in an emergency.


Stroke: Your Care at Home

Emotional Changes After a Stroke After a stroke, you may have emotional changes. These may be from a biological cause of the stroke, or a psychological cause from the effects of the stroke. Biological Causes: •

You may have rapid mood changes and episodes of crying or laughing that do not seem to match your mood.

Post-stroke depression includes feelings of sadness, hopelessness, helplessness, irritability, and/or changes in eating, sleeping, and thinking. You may need treatment for post-stroke depression. Talk to your doctor if you have any of these symptoms and take prescribed medicines.

Psychological Causes: •

Your emotional changes may include feelings of frustration, anxiety, anger, apathy, lack of motivation, and/or depression or sadness. By understanding the effects of stroke and acknowledging these feelings, you can begin to deal with the emotional changes.

How Can I Cope with my Changing Emotions? •

Do not judge your feelings as "good" or "bad." Let yourself cope without feeling guilty about your emotions.

Talk to people who understand what you are going through: other stroke survivors and health care professionals (for example, doctors, nurses, therapists, and social workers). Ask about joining a support group.

Think of yourself in a positive way. Allow yourself to make mistakes. Give yourself credit for the progress you have made (large and small). Get enough exercise and find activities that you enjoy.


Stroke: Your Care at Home

More Ways to Learn 1. Watch the Patient Video Education Channel in your Hospital Room. Follow these instructions to use the video library on many different health topics: •

Tune to channel 60 on the television set, and follow the on-screen directions.

Pacific Campus patients: dial extension 78888, California Campus patients: dial extension 21000, and Davies Campus patients: dial extension 33600.

Order videotape for viewing according to category or title by listening to information given over the telephone.

2. Take a Stroke Education Class: “Stroke Survivor Starting Over”. This class is free and open to everyone. Classes are held at the California Pacific Regional Rehabilitation Center, Davies Campus (Castro & Duboce Streets). For more information, call 415.600.6380 or 415.600.5340. 3. Visit Our Community Health Resource Center for classes and written information on a wide variety of health topics. The Stroke Survivor Support Group meets the first Thursday of the month from 1:00 to 2:30 p.m. CHRC is located at 2100 Webster Street, San Francisco, (415) 923-3155. 4. Visit the Following Web Sites: •

American Stroke Association:

National Library of Medicine:

National Stroke Association:

Peninsula Stroke Association:


Produced by the staff and physicians at California Pacific Medical Center in association with the Center for Patient and Community Education. Last updated: 9/10. References: American Heart Association; American Stroke Association; Castillo-Richmond, et al. Effects of stress Reduction on Carotid Atherosclerosis in Hypertensive American. Stroke. 2002; 341:568. © 2002-2010 California Pacific Medical Center Note: This information is not meant to replace any information or personal medical advice which you get directly from your doctor(s). If you have any questions about this information, such as the risks or benefits of the treatment listed, please ask your doctor(s).



Stroke (Brain Attack) Your Care at Home - California Pacific Medical

Stroke (Brain Attack) Your Care at Home learning about your health i Your Care at Home Make Your Follow-up Appointment You ne...

346KB Sizes 4 Downloads 13 Views

Recommend Documents

Stroke: A Brain Attack - IOSR Journal of Pharmacy
Stroke, also called brain attack, is a brain injury caused by a sudden interruption in the blood supply of the brain. ..

Stroke | Stroke | Medical Specialties
Stroke - Download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read online.

Organizing Your Medical Bills | California Health Advocates
Fill out your Health Insurance Claims Record (PDF). This will give you a complete summary of all your bills and payments

California - Georgia-Pacific
GP's Antioch, La Mirada, Madera (packaging), Modesto and San Leandro facilities received OSHA VPP Star designations for

Children Living with Diabetes - California Pacific Medical Center
We recommend that you limit your child's intake of sugary drinks, and use them only to treat low blood glucose. Type 2 d

This ain't your dose: Sensor Spoofing Attack on Medical - Usenix
This ain't your dose: Sensor Spoofing Attack on Medical Infusion Pump. Youngseok Park1,2, Yunmok Son2, Hocheol Shin2, Do

Medical Bridge | Nursing Home Care | Insurance - Scribd
coloniallife. com. Hospital Confinement Indemnity Insurance. Can you afford the out-of-pocket costs not covered by your

Don't Let Sprain and Strain Drain Your Brain - California Orthopaedic
In ICD-9, sprain and strain codes are found in the same category range (840–848). The range includes the ... The types

Staying alert against terrorist attack at home and abroad -
31 May 2016 - In an increasingly global and interconnected world, political instability, unrest and terrorism can have a

Pulsara Stroke Care | EMS World
... which will take place June 1-2, 2018, in Concord, NC. Home. Submit Your Presentation Proposal for the 2018 NVFC Trai