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
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
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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%)
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
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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
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
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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
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.
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How can a stroke effect
somebody?
SfC QCF Unit SCM 201
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
SfC QCF Unit SCM 201
How might risk change?
How might these risk factors
change in different settings?
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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
[email protected]
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
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P
S
W
S
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T
D
F
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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
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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
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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
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?
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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
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