Additional Nursing Care for Stroke Patients and Patient Education

In this installment of the Sheikh Khalifa Stroke Institute (SKSI) webinar series, Lisa Klein, MSN, RN, AGCNS-BC, CNRN, discusses the heart rhythm that places people at risk for ischemic stroke, shares how nursing care can prevent specific stroke complications and reviews patient education topics.

[pyramydseven]

The information on your thumbnail, is very accurate. There absolutely is no one size fits all bp with strokes. Also, long term, some medications or a combination of meds can reduce or lower bp sometimes even more so than a bp medication themself. Personally, I would like to see a reduction in post-stroke inflammation once the bleed stopped and any blood mass removed. Preferably a solution applied prior to closing or prior to any drain removal. After those procedures are accomplished, getting beyond the blood brain barrier to reduce the inflammation left over, would be a welcome procedure. Also of note, it surprised me that there are events sometimes not recorded, such as storming pre-drain removal when the Doctor or facility wants the drain removed.

[pyramydseven]

FYI - If you are unable to be with your loved one during initial rehabilitation, please make other arrangements so that you can be. Ideally, although it's not appreciated, be there along with staff learning as much as you can, especially if you are going to be caring for this person after they leave the facility. Despite having numerous preventative measures in place, they can be forgotten, often. Also, pay attention, for your loved one, that they are receiving the medication that they should or what was prescribed. Misfills and under-over medication seem frequent. Maybe not at J. Hopkins, but in general. Well meaning nurses can hand your loved one medicine, but do not witness the medication actually being taken. Spot check the floor or areas around your loved one. If your loved one suffers from aphasia, when they're asked questions about themselves or their medication, it seems to me that most staff, are not trained to interact or interpret responses given by your loved one and the staff will often accept whatever they hear the patient say and make decisions based upon those inaccurate responses. The most important thing is to make sure that you honor your loved ones wishes and to make sure that others do as well. 👍🏼