Level 2 Stroke Awareness Award Blockage FAST TIA time Day 1 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 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 SfC QCF Unit SCM 201 BRAIN SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 Other conditions mistaken for stroke • Hypoglycemia (low blood sugar) • Bells Palsy • Migraine • Epilepsy SfC QCF Unit SCM 201 What is Stroke? • Two types of stroke • Ischaemic – most common type of stroke (approx 80%) • Hemorrhagic- less common type of stroke (approx 20%) SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 Stroke animation stroke SfC QCF Unit SCM 201 Trans Ischaemic Attack • TIA or mini stroke • Similar signs to a stroke • Temporary disruption of supply of blood SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 TIA Experience NHS CHOICES TIA SfC QCF Unit SCM 201 SfC QCF Unit SCM 201 Signs and Symptoms of a stroke? SfC QCF Unit SCM 201 • • • • • • • • 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 SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 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. SfC QCF Unit SCM 201 How can a stroke effect somebody? SfC QCF Unit SCM 201 Affected by stroke • • • • • • • 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 • • • • • • • Age Ethnicity Genetics Lifestyle, diet, lack of exercise, smoking High blood pressure or other conditions Drinking Obesity SfC QCF Unit SCM 201 How might risk change? How might these risk factors change in different settings? SfC QCF Unit SCM 201 How to reduce risk SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 © Trainer Bubble Restart H B H I A T B L P S W S B T D F B G R O © 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 • • • • • Impact on individual of key stages of stoke Onset Diagnosis Treatment Rehabilitation Prevention SfC QCF Unit SCM 201 SfC QCF Unit SCM 201 What would you need to record following this incident? SfC QCF Unit SCM 201 Recording • • • • • Time eg first symptoms When, where, who What symptoms you observed Any observations taken What action you took eg FAST, Recovery position etc SfC QCF Unit SCM 201 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 SfC QCF Unit SCM 201 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? • • • • • Psychological and emotional well being Improved recovery Active participation Quality of life Needs met SfC QCF Unit SCM 201 Support ? SfC QCF Unit SCM 201