Stroke Awareness - Skills for Care

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Level 2 Stroke Awareness
Award
Blockage
FAST
TIA
time
Day 1
SfC QCF Unit SCM 201
Group Agreement
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Confidentiality
Respect
Mobile Phones
Break times
Domestics (Fire, WC)
Introductions
SfC QCF Unit SCM 201
Aims
• Provide an understanding of different
types of Stroke. Signs, symptoms and
effect on the person.
• Promote appropriate responses in the
event of a Stroke and positive
management and support following a
Stroke
SfC QCF Unit SCM 201
Learning Outcomes
• Know what a Stroke is
• Know how to recognise Stroke
• Understand the management of risk
factors
• Understand the importance of
emergency response and treatment
• Understand the management of Stroke
SfC QCF Unit SCM 201
The Brain
• Happens in the brain
• Different areas of the brain control
different functions of the body
• How someone is affected by a stroke
will depend on which area of the brain is
affected
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BRAIN
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What is a Stroke?
• The blood supply is cut off to the brain
• Stops oxygen and nutrients reaching
the brain
• Damages or kills brain cells and stops
parts of the brain working properly
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Other conditions mistaken for
stroke
• Hypoglycemia (low blood sugar)
• Bells Palsy
• Migraine
• Epilepsy
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What is Stroke?
• Two types of stroke
• Ischaemic – most common type of
stroke (approx 80%)
• Hemorrhagic- less common type of
stroke (approx 20%)
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Ischaemic Stroke
• A blockage
• cerebral thrombosis a blood clot in an
artery to the brain
• cerebral embolism a clot, air bubble of
globule of fat carried to the brain and
causing a blockage
SfC QCF Unit SCM 201
Haemorrhagic Stroke
• A bleed
• Intracerebral haemorrhage a blood
vessel bursts in the brain
• Subarachnoid haemorrhage a blood
vessel burst in the space between the
brain and skull
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Stroke animation
stroke
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Trans Ischaemic Attack
• TIA or mini stroke
• Similar signs to a stroke
• Temporary disruption of supply of blood
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Trans Ischaemic Attack
• Part of the brain goes without oxygen
and nutrients for a brief period of time
• A sign that parts of the brain aren't
getting enough oxygen
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Trans Ischaemic Attack
• Only lasts a short period of time minutes
or hours up to 24 hours
• Don’t Ignore signs increased risk of
stroke
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TIA Experience
NHS CHOICES TIA
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SfC QCF Unit SCM 201
Signs and Symptoms of a
stroke?
SfC QCF Unit SCM 201
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Signs and symptoms of a
stroke
Dropping eyes, mouth, arms, legs
Blurred vision
Slurred speech
Confusion
Weakness, numbness or paralysis
Loss of consciousness
Dizziness
Sudden severe headache
SfC QCF Unit SCM 201
ACT FAST
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Key stages of stroke
• Symptoms usually develop quickly and
suddenly
• As a result of a blockage or bleed in the
brain
• Different areas of the brain relate to
different areas of the body
SfC QCF Unit SCM 201
Key Stages of stroke
• This may happen when someone is
asleep and they can wake up with
symptoms
• Symptoms include weakness,
confusion, slurred speech and drooping
of eyes, mouth or face
SfC QCF Unit SCM 201
Key stages of stroke
• Everyone's stroke is different and
depending on the area of the brain that
is effected and the damage that is done
• FAST can help recognise the symptoms
• Emergency treatment is needed
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Key Stages of stroke
• Admitted to hospital where test and
scans such as MRI and CT are
preformed to confirm stroke and its type
• Admitted to specialist stroke unit and
treatment would be given depending on
the type of stroke
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Key stages of stroke
• Treatment is given depending on the
type of stroke that has happened such
as clot busting medication for ischemic
strokes
• As the swelling decreases damaged
areas of the brain may recover
SfC QCF Unit SCM 201
Key Stages of Stroke
• Other areas of the brain can learn to
take over from the parts that are too
damaged to recover
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Key stages of stroke
• Most recovery usually happens in the
first few months following a stroke
however recovery can take many years
• Assessments and support would be
available such as SALT and
physiotherapists
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Key stages of stroke
• Rehabilitation happens in specialist
units or at home
• Prevention is important as following a
stroke you are at risk of having another
one.
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How can a stroke effect
somebody?
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Affected by stroke
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Eating and drinking
Continence
Communication
Memory
Behaviour
Changes in mood
Changes in personality
SfC QCF Unit SCM 201
SfC QCF Unit SCM 201
Stroke Facts
• 150,000 people a year are affected by
stroke in the UK (NICE guidelines 2010)
• Stroke is the third largest cause of
death in the UK (National Stroke Strategy 2007)
• Everyone can do something to reduce
their risk of stroke
SfC QCF Unit SCM 201
Stroke Facts
• 20–30 per cent of people who have a
stroke die within a month.
• 25 per cent of strokes occur in people
who are under the age of 65.
• There are over 900,000 people living in
England who have had a stroke.
(National stroke strategy 2007)
SfC QCF Unit SCM 201
Risk Factors
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Age
Ethnicity
Genetics
Lifestyle, diet, lack of exercise, smoking
High blood pressure or other conditions
Drinking
Obesity
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How might risk change?
How might these risk factors
change in different settings?
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How to reduce risk
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Review of day 1
• Know what a Stroke is
• Know how to recognise Stroke
• Understand the management of risk
factors
• Understand the importance of
emergency response and treatment
• Understand the management of Stroke
SfC QCF Unit SCM 201
Homework
• Revisit skills today and practice
• Make a start on completing workbook
• Complete reflective journal from todays
session
• Record all your learning and hours
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How to contact me
• Phone 01743 254815
• Email
jade.matravers@shropshire.gov.uk
SfC QCF Unit SCM 201
Level 2 Stroke Awareness
Award
Blockage
FAST
TIA
time
Day 2
SfC QCF Unit SCM 201
Group Agreement
•
•
•
•
•
•
Confidentiality
Respect
Mobile Phones
Break times
Domestics (Fire, WC)
Introductions
SfC QCF Unit SCM 201
Aims
• Provide an understanding of different
types of Stroke. Signs, symptoms and
effect on the person.
• Promote appropriate responses in the
event of a Stroke and positive
management and support following a
Stroke
SfC QCF Unit SCM 201
Learning Outcomes
• Know what a Stroke is
• Know how to recognise Stroke
• Understand the management of risk
factors
• Understand the importance of
emergency response and treatment
• Understand the management of Stroke
SfC QCF Unit SCM 201
What did we cover
last week?
SfC QCF Unit SCM 201
Bubble
Busters
A Trainer Bubble Production
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© Trainer Bubble
Restart
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© Trainer Bubble
Why is stroke a medical
emergency?
• TIME = BRAIN
• The quicker help is sort the quicker
treatment is can be given
• Limiting the damage to the brain
SfC QCF Unit SCM 201
Suspecting Stroke
• FAST
• Check in safe position
• Do not give food/drink whist waiting for
help
• Check airway is open and clearrecovery position
• Call 999 – check your policies and
procedures.
SfC QCF Unit SCM 201
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Impact on individual of key
stages of stoke
Onset
Diagnosis
Treatment
Rehabilitation
Prevention
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SfC QCF Unit SCM 201
What would you need to record
following this incident?
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Recording
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Time eg first symptoms
When, where, who
What symptoms you observed
Any observations taken
What action you took eg FAST,
Recovery position etc
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Recording
• Time you summoned help, who you
called, name or reference number
• Who else was there, help received
• Who else you contacted eg relative,
manager etc
• Any other medical information
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Why is stroke care important?
Aim one (National stroke strategy 2007)
• For those who have had a stroke and
their relatives and carers, whether at
home or in care homes, to achieve a
good quality of life and maximise
independence, well-being and choices.
SfC QCF Unit SCM 201
Why is stroke care important?
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Psychological and emotional well being
Improved recovery
Active participation
Quality of life
Needs met
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Support ?
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