Resources for stroke patients and their families Stroke Organizations Stroke Follow-Up Clinic American Stroke Association 4502 Medical Drive, 5th Floor San Antonio, TX 78229 Tuesdays, 1-5 p.m. (210)-358-8555 A division of the American Heart Association 8415 Wurzbach Rd. San Antonio, TX 78229 (210) 617-2600 www.americanheart.org www.strokeassociation.org National Stroke Association 800-787-6537 Brain Aneurysm Foundation 12 Clarendon St. Boston, ME 02116 (617)723-3870 www.Bafound.org National Aphasia Association 29 New York, NY 10038 800-922-4622 www.aphasia.org What you need to know about your stroke Helpful Resources SignsOfStroke.net Spanish: www.medicinatv.com Tobacco Cessation (Stop Smoking): 358-7355 Chronic Disease Self Management Program: 358-7355 Books “Living with Stroke” Richard Senelick, MD “Nutrition and Stroke: Prevention & Treatment” Salah Gariballa “Stroke and the Family” Joel Stein, MD “The High Blood Pressusre Solution” Richard Moore, PhD UHS STROKE BOOKLET ENGLISH.indd Spread 1 of 6 - Pages(12, 1) 2/13/14 10:54 AM UHS Stroke Support Group Support. Education. Encouragement. A stroke is a life-changing experience, and not just for the stroke survivor. University Health System invites stroke survivors, family members and caregivers to join us for an uplifting support group. Come gain support, education and encouragement from others who know what you are going through. Meetings are held from 5 - 6 p.m. on the second Thursday of every month. Mark your calendar for these meetings: March 13 April 10 May 8 June 12 July 10 August 14 September 11 October 9 November 13 December 11 Light refreshments will be served. Free parking available. For more information, please call 358-8555. Risk Factors You CANNOT Control AGE For every 10 years you live, your risk of having a stroke increases. GENDER Men have 2 times greater risk for stroke than women. However, more women die of stroke than of breast cancer. RACE African Americans have 2 times greater risk of stroke than other races. Hispanics and Asians have the greatest risk for stroke from burst blood vessels. PAST STROKE or TIA If you’ve already had a stroke or a mini-stroke (TIA), your risk for stroke is now greater. TIAs do not cause lasting damage; however, they are a warning sign that a more serious stroke may occur. FAMILY HISTORY Your risk for stroke is greater when heart attack, stroke, or TIA runs in your family. Robert B. Green Campus 5th Floor, Foundation Room 903 W. Martin San Antonio, TX 78207 UHS STROKE BOOKLET ENGLISH.indd Spread 2 of 6 - Pages(2, 11) 2/13/14 10:54 AM Risk Factors you CAN Control The type of stroke you had ALCOHOL, CAFFEINE, and DRUG USE Heavy alcohol use increases risk for stroke. Drinking three or more cups of coffee a day may increase the risk of stroke in older men with high blood pressure. Use of street drugs, especially cocaine and amphetamines, is a major stroke risk. Using steroids for bodybuilding increases risk of stroke. STRESS Studies show a link between mental stress and the narrowing of the carotid arteries. Learning and practicing ways to reduce stress may help reduce your stroke risk. POOR NUTRITION A diet high in fat, sugar, and salt puts you at risk for stroke. Studies show that eating 5 servings of fruit and vegetables a day will reduce your risk of stroke by 30 percent. Ischemic (Clots) Most common kind of stroke. A result of an obstruction within a blood vessel supplying blood to the brain. Hemorrhagic (Bleed) Happens when a weakened blood vessel ruptures. Two types of weakened blood vessels usually cause this kind of stroke: aneurysms and arteriovenous malformations (AVMs). TIA (Transient Ischemic Attack) Also called a “mini stroke”. These warning strokes should be taken very seriously. UHS STROKE BOOKLET ENGLISH.indd Spread 3 of 6 - Pages(10, 3) 2/13/14 10:54 AM My Symptoms HIGH CHOLESTEROL An unhealthy cholesterol (co-LESS-ter-all) balance can lead to fat deposits in the arteries. These deposits are called plaque (PLAK). Plaque narrows the arteries and can lead to stroke. You should have your first cholesterol check at age 20. After that, follow your doctor’s guidelines for regular cholesterol testing. The best time for a cholesterol check is after you have not eaten for several hours. You should learn what your cholesterol numbers are. Cholesterol on Admission: __________ Your Goal: ___________ The part of your brain that had the blockage was the: __________________________ OBESITY Some things you may feel: Weakness in arms or legs _______________________ Slurred speech _______________________ Blurred vision _______________________ Forgetfulness _______________________ Mood swings _______________________ The treatments you received while at University Hospital: Excess weight increases your risk of stroke. People who have a stroke or heart disease often have excess body fat around their lower belly, or abdomen. This is sometimes called an “apple shape”. Obesity can also bring other risk factors with it, such as high blood pressure, higher bad cholesterol, and diabetes. Weight control and exercise improve your circulation and help reduce other risk factors. Admission Weight: ___________ Goal Weight: ____________ UHS STROKE BOOKLET ENGLISH.indd Spread 4 of 6 - Pages(4, 9) 2/13/14 10:54 AM Risk Factors you CAN Control Follow-up Care HIGH BLOOD PRESSURE It is important for you to keep all follow-up appointments with your physician – even if you are feeling well. Your follow-up appointments: The #1 risk factor for stroke is high blood pressure. Another name for high blood pressure is HYPERTENSION. When you control your blood pressure, you can greatly reduce your risk of stroke. Talk to your doctor to learn what your blood pressure should be. Starting at age 55, you should get your blood pressure checked twice a year, unless your doctor advises more frequent checks. BP on Admission: ____________ BP on Discharge: ____________ Medications These are the medications you will be taking at home: SMOKING Smoking is a major risk for stroke for these reasons: • Smoking causes your blood to clot easier. • Smoking increases the build-up of plaque (PLAK) in your arteries. • Every time you smoke, your arteries narrow and your blood pressure increases as a result of the nicotine. Take your medicines the way your doctor told you to take them. NEVER skip doses. If you have any questions about your medicines, call your Pharmacy or Nurse Link, at 358-3000. UHS STROKE BOOKLET ENGLISH.indd Spread 5 of 6 - Pages(8, 5) 2/13/14 10:54 AM Stroke is a medical emergency Symptoms of a Stroke If you or someone you know is having signs of a stroke, call 911 and seek medical help IMMEDIATELY! The most common sign of stroke is sudden weakness of the face, arm, or leg, most often on one side of the body. Do Not wait to see if the symptoms go away on their own. Even if the symptoms pass quickly, they could be an important warning that requires prompt medical attention. Other warning signs can include sudden: • numbness of the face, arm or leg • confusion, trouble speaking or understanding speech • trouble seeing in one or both eyes • trouble walking, dizziness, loss of balance or coordination • severe headache with no known cause A stroke occurs when the brain’s blood flow stops or when blood leaks into brain tissue. The oxygen supply to a part of the brain is interrupted by a stroke, causing brain cells in that area to die. This means that some parts of the body may not be able to function. There are a number of risk factors that increase the chances of having a stroke. Some risk factors cannot be reversed or changed. They are uncontrollable. But, you can do something about most of the risk factors for stroke. TIA stands for transient ischemic attack. TIAs do not cause lasting damage; however, they are a warning sign that a more serious stroke may occur. UHS STROKE BOOKLET ENGLISH.indd Spread 6 of 6 - Pages(6, 7) ACT FAST: FACE Facial droop Uneven smile ARMS Arm numbness Arm weakness SPEECH Slurred speech Difficulty speaking or understanding TIME Time is critical– Call 911 or get to the hospital immediately. 2/13/14 10:54 AM